Sexual outcome after epilepsy surgery

Amee D. Baird, Sarah J. Wilson, Peter F. Bladin, Michael M. Saling, David C. Reutens*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

65 Citations (Scopus)


The aim of this study was to provide a description of patient-perceived sexual change after temporal lobe resection (TLR) and extratemporal resection (ETR). Fifty-eight TLR and sixteen ETR patients completed a semistructured interview and questionnaire assessing sexual change after epilepsy surgery. Five areas of sexual functioning were addressed: sexual drive, thoughts/fantasies, interest, masturbation, and activity. Each patient's perception of sexual changes relative to perceived levels of normal functioning was assessed. Characteristically, the onset of sexual change occurred in the first three postoperative months and persisted to the time of interview. A postoperative sexual change was significantly more likely to be reported by patients who had undergone TLR (64%) than ETR (25%). In the TLR group, sexual change was significantly more frequent following right-sided resections. Marked sexual change occurred more frequently in females than males. Postoperative sexual change is an important outcome feature after epilepsy surgery. The predisposition of TLR patients to postoperative change provides further evidence for a temporal lobe contribution to sexual function.

Original languageEnglish
Pages (from-to)268-278
Number of pages11
JournalEpilepsy and Behavior
Issue number3
Publication statusPublished - Jun 2003
Externally publishedYes


  • Epilepsy surgery
  • Sexuality
  • Surgical outcome
  • Temporal lobe resection


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