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Evaluation of sexual quality of life after bilateral total hip arthroplasty surgery - 03/02/22

Doi : 10.1016/j.otsr.2021.103125 
Sadullah Turhan a, , Alime Buyuk b
a Department of Orthopedics and Traumatology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey 
b Department of Physiotherapy and Rehabilitation Antalya, Faculty of Health Sciences, Akdeniz University, Antalya, Turkey 

Corresponding author.

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Abstract

Background

Patients experience limitation of hip joint movement due to coxarthrosis, such limitation may affect the quality of sexual activity in patients. We aimed at investigating the postoperative quality of sexual life and evaluating the clinical satisfaction of patients who underwent bilateral total hip arthroplasty.

Hypothesis

Postoperative sexual life quality improvement in patients undergoing bilateral total hip arthroplasty increases clinical satisfaction.

Methods

The study included patients who underwent staged bilateral total hip arthroplasty surgery between June 2016 and January 2019. Each patient was evaluated using the sexual quality of life-female (SQOL-F) or Sexual quality of life-male (SQOL-M) questionnaire containing similar questions for both genders regarding sexual satisfaction.

Results

Among all the individuals, 32 were sexually active (13 females, 19 males), and seven were not sexually active (6 females, 1 male) before the surgery. Among the 29 individuals (18 females, 11 males) who thought that their sexual life was negatively affected even before the surgery, 10 (1 female, 9 males) were found not to be negatively affected. Moreover, the sexual life of 18 females was negatively affected 27.93±14.5 months (range, 12–43) before hip arthroplasty and 11 males was negatively affected 19.5±11.0 months (range, 8–31) before the surgery as well. Twenty (10 females, 10 males) individuals stated an improvement in their sexual life, 13 (6 females, 7 males) individuals stated no change. Unfortunately, 6 (3 females, 3 males) individuals stated a degradation of their sexual activity after hip arthroplasty. Patients gained more than 60 degrees of hip range of motion and experienced significant reduction in pain after hip joint movements after surgery.

Discussions

In our study, we evaluated sexual limitations before and after total hip arthroplasty surgery and postoperative sexual quality of life. Due to the increased range of motion of patients after surgery, the proportion of sexually active individuals increased and the sexual quality of life reached a satisfactory level.

Level of Evidence

III; retrospective cohort study.

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Keywords : Sexual activity, Total hip replacement, Quality of life


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© 2021  Publicado por Elsevier Masson SAS.
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Vol 108 - N° 1

Artículo 103125- février 2022 Regresar al número
Artículo precedente Artículo precedente
  • Sexual activity resumption after total hip arthroplasty: A satisfaction survey in 101 patients
  • Grégoire Rougereau, Camille Rabot, Emmanuel de Thomasson, Idriss Tourabaly, Christian Mazel, Tristan Langlais, Didier Ollat
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