INFLUENCE OF INTRAOPERATIVE PREVENTION OF EPIDURAL FIBROSIS ON DYNAMICS OF ERECTILE DYSFUNCTION IN PATIENTS WITH SURGERY FOR A HERNIATED DISC AT THE LUMBOSACRAL REGION OF SPINE

Abstract

Purpose: To study post erectile dysfunction (ED) in the dynamics of the patients operated on various ways for a herniated disc of the lumbar-sacral region of spine.Materials and methods: 34 male patients were operated. All the patients before and after surgery were evaluated the severity of pain, the degree of erectile dysfunction, neurological outcome. The patients were divided into 2 groups: microdiskectomy without curettage cavity disk with prevention of epidural fibrosis by fat with injections of Depo-Medroli - group I, microdiskectomy without curettage cavity disk group - II.Results: Erectile dysfunction in patients with disc herniation of the lumbosacral region of spine in our study occurred in 57.7% of cases. In 38.2% of patients was revealed moderate and severe ED.Summary: Results of surgical treatment in the first group of patients were some what better than those of the second. This is associated with a lower incidence in the first group of recurrence of disc herniation and scar-adhesions epiduritis in the postoperative period.

Keywords

• erectile dysfunction
• herniated disc
• scar-adhesive epidurit