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Sexual function after total hip arthroplasty
S H Stern1, M D Fuchs, S B Ganz
1Hip Service, Hospital for Special Surgery, New York, New York 10021.
Clinical Orthopaedics and Related Research
|August 1, 1991
Summary
Total hip replacement significantly improves sexual function, with most patients resuming intercourse within two months. Post-surgery, hip pain is rarely a sexual issue, though patients desire more guidance on sexual activity.
Area of Science:
- Orthopedic Surgery
- Sexual Health
- Rehabilitation Medicine
Background:
- Hip disease frequently causes significant sexual difficulties.
- Successful total hip replacement (THR) is crucial for restoring patient quality of life.
Purpose of the Study:
- To assess sexual function and patient satisfaction after THR.
- To identify factors influencing sexual activity resumption and preferred positions post-THR.
- To determine patient needs for information regarding sexual health after THR.
Main Methods:
- Eighty-six patients with successful THR completed questionnaires on sexual activity.
- Data collected included pre- and post-operative sexual difficulties, time to resume intercourse, and preferred coital positions.
- Patient desire for post-arthroplasty sexual function information was also assessed.
Main Results:
- Preoperatively, 46% of patients reported sexual difficulties due to hip disease; only 1% reported issues post-surgery.
- 55% of patients resumed intercourse within 1-2 months post-THR.
- Male patients resumed intercourse sooner than female patients. Preferred positions included supine, prone (males), and sidelying (females).
Conclusions:
- Total hip replacement effectively resolves sexual difficulties associated with hip disease.
- Patients resume sexual activity relatively quickly, with specific position preferences.
- There is a high demand (89%) for informational resources on sexual function post-THR, leading to the development of a patient booklet.