Our Summary

This research paper investigates the impact of having your spleen removed (a procedure known as a splenectomy) on sexual interest and function. The spleen is often removed due to disease or injury, and its absence can lead to various health problems, including a weakened immune system and metabolic diseases. One of these issues is dyslipidemia, which can cause life-threatening conditions like sepsis and pulmonary embolism.

This study involved 60 healthy adults (30 men and 30 women) who had their spleens removed due to isolated spleen trauma. They were tested more than a year after their surgeries using specific indexes to measure sexual function in men and women. The results were compared to their sexual function before the surgery.

The research found that both men and women experienced a significant decrease in sexual interest and an increase in sexual dysfunction after their spleens were removed. However, their lab tests, including hormone levels, appeared normal. This suggests that the absence of the spleen is linked to a marked decrease in sexual interest and increased sexual dysfunction, even though other health indicators seem normal.

FAQs

  1. What is the impact of having a splenectomy on sexual interest and function?
  2. What health problems can arise from the removal of the spleen?
  3. Did the study find any changes in hormone levels after the splenectomy that could explain the decrease in sexual interest and function?

Doctor’s Tip

A helpful tip a doctor might tell a patient about splenectomy is to be aware that the procedure could potentially impact sexual interest and function. It’s important to communicate any changes or concerns in this area with your healthcare provider so they can provide appropriate support and guidance. Additionally, maintaining overall good health through regular exercise, a balanced diet, and managing any underlying health conditions can help mitigate any potential effects of splenectomy on sexual function.

Suitable For

Patients who are typically recommended splenectomy include those with:

  1. Spleen trauma: Patients who have suffered severe spleen trauma due to accidents or injuries may require splenectomy to stop internal bleeding or prevent further complications.

  2. Spleen tumors: Patients with tumors in the spleen, such as splenic cysts or splenic hemangiomas, may need to have their spleen removed to prevent the spread of cancer or alleviate symptoms.

  3. Blood disorders: Patients with blood disorders that affect the spleen, such as sickle cell disease or thalassemia, may require splenectomy to improve their quality of life or manage complications related to their condition.

  4. Autoimmune disorders: Patients with autoimmune disorders that cause the spleen to become enlarged or overactive, such as immune thrombocytopenic purpura (ITP) or autoimmune hemolytic anemia, may benefit from splenectomy to control symptoms and prevent further complications.

  5. Infections: Patients with severe infections of the spleen, such as splenic abscesses or splenic sepsis, may require splenectomy to remove the source of infection and prevent its spread to other parts of the body.

Overall, splenectomy is recommended for patients with conditions that cannot be managed effectively with conservative treatments and pose a significant risk to their health and well-being. It is important for patients to discuss the potential risks and benefits of splenectomy with their healthcare provider to make an informed decision about their treatment options.

Timeline

Before the splenectomy:

  • Patient experiences symptoms or conditions that necessitate the removal of the spleen, such as trauma or disease.
  • Patient undergoes pre-operative tests and evaluations to determine the need for surgery.
  • Patient discusses the procedure with their healthcare provider and prepares for the surgery.
  • Patient undergoes the splenectomy procedure.
  • Patient is monitored closely in the hospital for any complications or side effects post-surgery.

After the splenectomy:

  • Patient may experience pain, discomfort, and fatigue following the surgery.
  • Patient is discharged from the hospital and instructed on post-operative care and recovery.
  • Patient may need to take medications to prevent infections or manage any complications related to the spleen removal.
  • Patient is monitored closely for any signs of infection or other complications, as the absence of the spleen can weaken the immune system.
  • Patient may need to make lifestyle changes to reduce the risk of complications, such as getting vaccinated against certain infections.
  • Patient may experience changes in sexual interest and function, as seen in the study mentioned above.
  • Patient continues to follow up with their healthcare provider for regular check-ups and monitoring of their overall health.

What to Ask Your Doctor

Some questions a patient should ask their doctor about splenectomy include:

  1. What are the potential risks and complications associated with splenectomy?
  2. How will my immune system be affected after having my spleen removed?
  3. Will I need to take any medications or supplements to compensate for the loss of my spleen?
  4. How will my risk of infections change after splenectomy?
  5. Will I need any additional vaccinations or preventative measures after the surgery?
  6. How will my metabolic health be affected by the absence of my spleen?
  7. Will I need to make any lifestyle changes to maintain my health after splenectomy?
  8. How often should I follow up with my doctor after the surgery?
  9. Will I experience any changes in my sexual function or interest after having my spleen removed?
  10. Are there any specific tests or screenings I should undergo to monitor my health post-splenectomy?

Reference

Authors: Sabino KR, Petroianu A. Journal: Sci Rep. 2021 Nov 5;11(1):21770. doi: 10.1038/s41598-021-01371-7. PMID: 34741128