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Abstract：
UNASSIGNED: Retrospective cohort.
UNASSIGNED: Delayed ejaculation (DE) is a distressing condition characterized by a notable delay in ejaculation or complete inability to achieve ejaculation, and there are no existing reports of DE following lumbar spine surgery. Inspired by our institutional experience, we sought to assess national rates of DE following surgery of the lumbar spine.
UNASSIGNED: We queried the Optum De-identified Clinformatics Database for adult men undergoing surgery of the lumbar spine between 2003 and 2017. The primary outcome was the development of DE within 2 years of surgery. Multivariable logistic regression was performed to identify factors associated with the development of DE.
UNASSIGNED: We identified 117 918 men who underwent 162 646 lumbar spine surgeries, including anterior lumbar interbody fusion (ALIF), posterior lumbar fusion (PLF), and more. The overall incidence of DE was 0.09%, with the highest rate among ALIF surgeries at 0.13%. In multivariable analysis, the odds of developing DE did not vary between anterior/lateral lumbar interbody fusion, PLF, and other spine surgeries. A history of tobacco smoking (OR = 1.47, 95% CI 1.00-2.16, P = .05) and obesity (OR = 1.56, 95% CI 1.00-2.44, P = .05) were associated with development of DE.
UNASSIGNED: DE is a rare but distressing complication of thoracolumbar spine surgery, and patients should be queried for relevant symptoms at postoperative visits when indicated.
UNASSIGNED: Delayed ejaculation (DE) is a distressing condition characterized by a notable delay in ejaculation or complete inability to achieve ejaculation, and there are no existing reports of DE following lumbar spine surgery. Inspired by our institutional experience, we sought to assess national rates of DE following surgery of the lumbar spine.
UNASSIGNED: We queried the Optum De-identified Clinformatics Database for adult men undergoing surgery of the lumbar spine between 2003 and 2017. The primary outcome was the development of DE within 2 years of surgery. Multivariable logistic regression was performed to identify factors associated with the development of DE.
UNASSIGNED: We identified 117 918 men who underwent 162 646 lumbar spine surgeries, including anterior lumbar interbody fusion (ALIF), posterior lumbar fusion (PLF), and more. The overall incidence of DE was 0.09%, with the highest rate among ALIF surgeries at 0.13%. In multivariable analysis, the odds of developing DE did not vary between anterior/lateral lumbar interbody fusion, PLF, and other spine surgeries. A history of tobacco smoking (OR = 1.47, 95% CI 1.00-2.16, P = .05) and obesity (OR = 1.56, 95% CI 1.00-2.44, P = .05) were associated with development of DE.
UNASSIGNED: DE is a rare but distressing complication of thoracolumbar spine surgery, and patients should be queried for relevant symptoms at postoperative visits when indicated.
摘要：
■回顾性队列。
■延迟射精（DE）是一种令人痛苦的状况，其特征是射精明显延迟或完全无法实现射精，并且没有腰椎手术后DE的现有报道。受我们机构经验的启发，我们试图评估腰椎手术后的全国DE发生率.
■我们查询了2003年至2017年间接受腰椎手术的成年男性的Optum去识别临床形式学数据库。主要结果是手术后2年内DE的发展。进行多变量逻辑回归以确定与DE发展相关的因素。
■我们确定了117918名男性，他们接受了162646例腰椎手术，包括腰椎前路椎间融合术（ALIF），腰椎后路融合(PLF),还有更多.DE的总发生率为0.09%，ALIF手术中的比率最高，为0.13%。在多变量分析中，发生DE的几率在前/外侧腰椎椎间融合术之间没有变化，PLF,和其他脊柱手术。吸烟史（OR=1.47，95%CI1.00-2.16，P=0.05）和肥胖（OR=1.56，95%CI1.00-2.44，P=0.05）与DE的发展相关。
■DE是胸腰椎手术的一种罕见但令人痛苦的并发症，患者应在术后就诊时询问相关症状。
■延迟射精（DE）是一种令人痛苦的状况，其特征是射精明显延迟或完全无法实现射精，并且没有腰椎手术后DE的现有报道。受我们机构经验的启发，我们试图评估腰椎手术后的全国DE发生率.
■我们查询了2003年至2017年间接受腰椎手术的成年男性的Optum去识别临床形式学数据库。主要结果是手术后2年内DE的发展。进行多变量逻辑回归以确定与DE发展相关的因素。
■我们确定了117918名男性，他们接受了162646例腰椎手术，包括腰椎前路椎间融合术（ALIF），腰椎后路融合(PLF),还有更多.DE的总发生率为0.09%，ALIF手术中的比率最高，为0.13%。在多变量分析中，发生DE的几率在前/外侧腰椎椎间融合术之间没有变化，PLF,和其他脊柱手术。吸烟史（OR=1.47，95%CI1.00-2.16，P=0.05）和肥胖（OR=1.56，95%CI1.00-2.44，P=0.05）与DE的发展相关。
■DE是胸腰椎手术的一种罕见但令人痛苦的并发症，患者应在术后就诊时询问相关症状。
