Summary

Arthroscopic rotator cuff repair improved shoulder function, pain level, sexual function, satisfaction, and improved mobility during sexual engagements. However, it did not affect the level of sexual desire after two years of follow-up.

Abstract

Purpose

To assess the effect of arthroscopic rotator cuff repair on sexual function, desire,
and satisfaction, in addition to the shoulder function.

Methods

We did arthroscopic rotator cuff repair for 55 sexually active married individuals
with rotator cuff tears. Shoulder and sexual function were assessed using: 1- the
Constant-Murley score (CMS), 2- two visual analog scales (VAS) questionnaires, one
to evaluate pain level during daily activities and the second to assess the pain level
only during sexual activity, 3- Change in Sexual Functioning Questionnaire (CSFQ),
4- Sexual Desire Inventory (SDI) Questionnaire, 5- the Index of Sexual Satisfaction
(ISS) Questionnaire, and 6- the study-specific short questionnaires. Assessment
parameters were done before surgery and at 1 month (1M), 3 months (3M), 6 months
(6M), 12 months (12M), 18 months (18M), and 24 months (24M) after surgery.

Results

Only 49 subjects were included in the final analysis (6 were excluded from the
last follow-up). 77% of the study subjects found that their sexual life was affected
by their shoulder condition, with 65% reporting that this was due to increased
pain.75% needed to adjust their sexual position to accommodate their shoulder
problem. 55% found that below the partner position is the most comfortable
position during the sexual act. Additionally, we found a significant improvement
over time in the CMS score, two VAS questionnaires, CSFQ, and ISS.

Conclusion

Arthroscopic rotator cuff repair improved shoulder function, pain level, sexual
function, satisfaction, and mobility during sexual engagements. it did not affect the
level of sexual desire.