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Total hip arthroplasty and sexual activity: a systematic review
E M Neonakis1, F Perna2, F Traina2
1Third Department of Orthopaedics, Metropolitan General Hospital, 264 Mesogeion Avenue, 15562, Holargos, Athens, Greece. neonakisemmanouil@gmail.com.
Musculoskeletal Surgery
|February 8, 2020
Summary
Total hip arthroplasty (THA) can improve sexual activity for patients experiencing hip pain from degenerative conditions. However, patient education on postoperative sexual expectations and resumption is insufficient.
Area of Science:
- Orthopaedic Surgery
- Rehabilitative Medicine
- Sexual Health
Background:
- Degenerative hip pathologies significantly limit daily activities, including sexual function.
- Total hip arthroplasty (THA) is a common surgical intervention for hip pain.
- Limited research exists on THA's specific impact on patient sexual activity.
Purpose of the Study:
- To systematically review the existing literature on the effectiveness of THA in improving sexual activity.
- To assess the current understanding and reporting of sexual function outcomes post-THA.
Main Methods:
- A comprehensive search of four electronic databases was conducted for relevant studies.
- Inclusion criteria focused on English-language articles evaluating THA's effect on sexual activity.
- Sixteen studies involving 2391 patients were included after abstract and full-text review.
Main Results:
- The current literature indicates a general improvement in sexual life following THA.
- Pre- and postoperative sexual function reports were evaluated and compared across studies.
- A significant lack of patient education and surgeon guidance regarding postoperative sexual activity was identified.
Conclusions:
- THA appears to positively impact sexual activity for patients with degenerative hip disease.
- There is a critical need for enhanced patient education and surgeon communication regarding sexual health after THA.
- Further dedicated research is required to fully understand the effects of surgical approaches and recovery on postoperative sexual function.
