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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
PubMed
Summary
This summary is machine-generated.

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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.

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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.