When Numbness and Tingling Play a Role—Sexual Function in Compressive Neuropathy

Abstract

Purpose

Compressive neuropathies such as carpal tunnel and cubital tunnel syndrome can lead to sensation loss, muscle weakness, joint contractures, and disrupted sleep. The interplay between these conditions and the effect on patients’ intimacy is unknown. The purpose of this study was to examine sexual function before and after surgery in patients undergoing carpal tunnel release or cubital tunnel release.

Methods

All patients 18 years or older who underwent unilateral or bilateral carpal tunnel release and/or cubital tunnel release, performed either open or endoscopically, between January 2021 and August 2022, were retrospectively identified. An anonymous 21-question survey assessing pre- and post-operative sexual function was sent electronically to patients who were between 3 months and 2 years postprocedure.

Results

A total of 47% of respondents reported that their upper extremity symptoms disrupted their sexual activity. Before surgery, various challenges were reported: paresthesia (84%), pain (61%), reduced strength (53%), and reduced motion (40%). A total of 65% of patients changed positions before surgery, most frequently by avoiding weight-bearing (79%) and using the affected arm (55%). After surgery, 61% reported an easier time engaging in sexual activity, which was most frequently attributed to diminished paresthesia (69%) and pain (67%). A total of 73% of patients resumed sexual activities within 3 weeks of surgery. Ultimately, 32% of patients were more satisfied with their sexual function after surgery.

Conclusions

Sexual function is intimately tied to the physical and mental health of individuals. Surgical release improves sexual function and satisfaction.

Type of study/level of evidence

Retrospective Case–Control Cohort, Therapeutic III.