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

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.

Logistic Regression Analysis of Risk Factors and Improvement of Clinical Treatment of Traumatic Arthritis after Total Hip Arthroplasty (THA) in the Treatment of Acetabular Fractures

“…Finally, 10 patients needed revision surgery [ 23 ]. In terms of conventional THA, due to scar tissue, formation of ectopic ossification, obstruction of internal fixation, and so on, the survival rate of the prosthesis is lower [ 24 ]. At present, with the improvement of the reduction technology of primary internal fixation, the improvement of prosthesis technology, the understanding of its influencing factors, and the maturity of surgical techniques, the curative effect has been enhanced [ 25 ].…”

Sexual function and sexual activity in young total hip arthroplasty Chinese patients: A retrospective cohort study

“…Total hip arthroplasty has proven to be an effective surgical intervention to ameliorate the adverse effects of hip diseases in young patients ( 20 , 21 ). Sexual life is an essential component determining QoL and satisfaction, especially in the young group, and restoring the ability to engage in sexual activity may actually be a critical goal after the operation ( 6 , 22 ). However, until now, there has been relatively scant work on examining the specific domains of SF and the changes in sexual activity post-THA in young, active patients afflicted with hip disease.…”

“…More than one million total joint arthroplasties have been performed every year worldwide, and the number has been increasing among middle-aged adults (3). The effects of THA on the general QoL have been well documented in young patients to reduce pain and joint stiffness and improve function satisfaction in daily activities (4)(5)(6). While sexual function (SF) is a valued component of patient-reported QoL and is positively associated with better overall health in young patients' life, limited understanding exists of postoperative young hip disease patients around the world.…”