• Cara M Thomas, Iahn Cajigas, and Howard B Levene.
• Department of PM&R, St. Mary's Medical Center, West Palm Beach, Florida, USA.
• World Neurosurg. 2020 Sep 1; 141: e70-e75.

ObjectiveThe impact of various types of spinal surgeries on sexual health and postoperative sexual activity is a common question among both patients and health care professionals. Unfortunately, there is no clear answer to this question in the scientific literature. Our goal was to survey the current practices and recommendations of neurosurgeons to see if there was a clinical consensus.MethodsParticipants in the survey included 50 spine surgeons: 47 males and 3 females. The average age of the participants was 45.7 years old, and the number of years of practice after residency was on average 11.7 years. Additional survey questions included the number of weeks recommended for patients to abstain before returning to sexual activity after specified small, medium, and large spinal surgeries.ResultsWe found that there were no statically significant correlations between the participants' ages or years post residency and the time response for postoperative return to sexual activity. Some answers were significantly different among the participants. The results also showed a trend for spine surgeons to recommend longer intervals for return to sexual activities after more involved surgical procedures.ConclusionsThe survey results and comments demonstrate the complete lack of physician consensus regarding recommendations for postoperative return to sexual activity and the need for further study.Copyright © 2020 Elsevier Inc. All rights reserved.

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