Top

International Orthopaedics

Published in:

01-11-2021 | Osteoarthritis of the Hip | Original Paper

The impact of total hip arthroplasty on sexual satisfaction in female patients: a prospective before-and-after cohort study

Authors: Guillermo Bonilla, María A. Asmar, Cristina Suarez, Valeria Barrios, Maria A. Suarez, Adolfo Llinás

Published in: International Orthopaedics | Issue 11/2021

Abstract

Purpose

Despite the high rate of sexual limitation in female patients with hip osteoarthritis, evidence reporting sexual satisfaction after hip arthroplasty in women is limited. This study aimed to assess the impact of surgery on sexual satisfaction in women who undergo elective total hip arthroplasty (THA). As a secondary objective, we measured the effect of THA on different factors that could be related to sexual limitation and satisfaction.

Methods

We designed a prospective before-and-after cohort study in which all consecutive women undergoing THA were screened for inclusion. Patients answered a ten question specifically designed questionnaire before and after surgery. An independent analysis was performed for each question through a McNemar-Bowker test for paired proportions.

Results

Fifty-six patients completed the protocol and were available for analysis at the end of the study. Sexual satisfaction increased from 29% before surgery to 93% after the procedure (p < 0.001). All questions related to physical limitations demonstrated significant improvement after surgery. In addition, psychological aspects of limitation including fear of pain and injury, or perception of attractiveness, showed significant recovery as well.

Conclusion

There is a high rate of patients reporting limitations and disabilities during sexual activities among women with osteoarthritis. THA represents a positive impact on sexual functioning both in its physical and psychological aspects, thus increasing satisfaction rates in female patients. Surgeons should include these elements in the conversation with patients before and after surgery.

Currey HL (1970) Osteoarthrosis of the hip joint and sexual activity. Ann Rheum Dis 29:488–493. https://doi.org/10.1136/ard.29.5.488CrossRefPubMedPubMedCentral

Lavernia CJ, Villa JM (2016) High rates of interest in sex in patients with hip arthritis. Clin Orthop Relat Res 474:293–299. https://doi.org/10.1007/s11999-015-4421-8CrossRefPubMed

Nilsing Strid E, Ekelius-Hamping M (2020) Experiences of sexual health in persons with hip and knee osteoarthritis: a qualitative study. BMC Musculoskelet Disord 21.https://doi.org/10.1186/s12891-020-03596-5

Zahi S, Mahir L, Tounsi J et al (2017) Sexual activity before and after total hip arthroplasty. Int Phys Med Rehabil J 1:55–59. https://doi.org/10.15406/ipmrj.2017.01.00014CrossRef

Neonakis EM, Perna F, Traina F et al (2020) Total hip arthroplasty and sexual activity: a systematic review. Musculoskelet Surg 104:17–24. https://doi.org/10.1007/s12306-020-00645-zCrossRefPubMed

Issa K, Pierce TP, Brothers A et al (2017) Sexual activity after total hip arthroplasty: a systematic review of the outcomes. J Arthroplasty 32:336–340. https://doi.org/10.1016/j.arth.2016.07.052CrossRefPubMed

Charbonnier C, Chagué S, Ponzoni M et al (2014) Sexual activity after total hip arthroplasty: a motion capture study. J Arthroplasty 29:640–647. https://doi.org/10.1016/j.arth.2013.07.043CrossRefPubMed

Meiri R, Rosenbaum TY, Kalichman L (2014) Sexual function before and after total hip replacement: narrative review. Sex Med 2:159–167. https://doi.org/10.1002/sm2.35CrossRefPubMedPubMedCentral

Yoon BH, Lee KH, Noh S et al (2013) Sexual activity after total hip replacement in Korean patients: how they do, what they want, and how to improve. Clin Orthop Surg 5:269–277. https://doi.org/10.4055/cios.2013.5.4.269CrossRefPubMedPubMedCentral

10.

Guclu B, Koken M (2020) Does THA affect sexual dysfunction in female patients with DDH? J Arthroplasty 35:1627–1635. https://doi.org/10.1016/j.arth.2020.01.049CrossRefPubMed

11.

Wall PDH, Hossain M, Ganapathi M, Andrew JG (2011) Sexual activity and total hip arthroplasty: a survey of patients’ and surgeons’ perspectives. HIP Int 21:199–205. https://doi.org/10.5301/HIP.2011.6518CrossRefPubMed

12.

Harmsen RTE, Haanstra TM, Sierevelt IN, et al (2016) Does total hip replacement affect sexual quality of life? BMC Musculoskelet Disord 17.https://doi.org/10.1186/s12891-016-1048-1

13.

Ugwuoke A, Syed F, Hefny M et al (2020) Discussing sexual activities after total hip arthroplasty. J Orthop Sci 25:595–598. https://doi.org/10.1016/j.jos.2019.06.010CrossRefPubMed

14.

Dahm DL, Jacofsky D, Lewallen DG (2004) Surgeons rarely discuss sexual activity with patients after THA: a survey of members of the American Association of Hip and Knee Surgeons. Clin Orthop Relat Res 237–240.https://doi.org/10.1097/01.blo.0000137555.74475.a5

15.

Laffosse J-M, Tricoire J-L, Chiron P, Puget J (2008) Sexual function before and after primary total hip arthroplasty. Jt Bone Spine 75:189–194. https://doi.org/10.1016/j.jbspin.2007.05.006CrossRef

16.

Wang BL, Yue DB, Liu BX, Guo WS (2014) Quality of sexual life after total hip arthroplasty in male patients with osteonecrosis of femoral head. Eur J Orthop Surg Traumatol 24:1217–1221. https://doi.org/10.1007/s00590-014-1432-1CrossRefPubMed

17.

Nunley RM, Nam D, Bashyal RK et al (2015) The impact of total joint arthroplasty on sexual function in young, active patients. J Arthroplasty 30:335–340. https://doi.org/10.1016/j.arth.2014.09.029CrossRefPubMed

18.

Meyer H, Stern R, Fusetti C et al (2003) Sexual quality-of-life after hip surgery. J Orthop Traumatol 4:21–25. https://doi.org/10.1007/s101950300003CrossRef

Title: The impact of total hip arthroplasty on sexual satisfaction in female patients: a prospective before-and-after cohort study
Authors: Guillermo Bonilla
María A. Asmar
Cristina Suarez
Valeria Barrios
Maria A. Suarez
Adolfo Llinás
Publication date: 01-11-2021
Publisher: Springer Berlin Heidelberg
Keywords: Osteoarthritis of the Hip
Osteoarthrosis
Osteoarthrosis
Osteoarthritis of the Hip
Hip-TEP
Hip-TEP
Published in: International Orthopaedics / Issue 11/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-021-05085-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The impact of total hip arthroplasty on sexual satisfaction in female patients: a prospective before-and-after cohort study

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 11/2021

Pulsed electromagnetic fields after intramedullary nailing of tibial fractures: a case control study

Imageless robotic-assisted total knee arthroplasty accurately restores the radiological alignment with a short learning curve: a randomized controlled trial

Unplanned excision of soft tissue sarcoma: does it impact the accuracy of intra-operative pathologic assessment at time of re-excision?

Appropriateness of hip osteoarthritis management in clinical practice compared with the American Academy of Orthopaedic Surgeons (AAOS) criteria

Detailed features and prognostic factors of twenty-three patients with drop finger caused by cervical radiculopathy: a retrospective multicentre study

A prospective study to compare the operative outcomes of minimally invasive proximal and distal chevron metatarsal osteotomy for moderate-to-severe hallux valgus deformity