Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev Beer Sheva, Israel ; Physical Therapy Center, Meuhedet Health Services Rehovot, Israel.
Inner Stability, Ltd. Individual and Couple's Sex Therapy Bet Shemesh, Israel.
Sex Med. 2014 Dec;2(4):159-67. doi: 10.1002/sm2.35.
More than 1 million total hip replacements (THRs) are performed every year worldwide. Achieving decreased pain, increased mobility, and improved quality of life (QoL) are key factors in the decision to undergo THR. Sexual activity is a valued component of QoL; however, little is known about how THR affects sexual functioning or the extent to which health care providers address sexuality in THR patients.
The aim of the study was to assess the literature regarding sexuality and sexual function in patients before and after THR.
PubMed, Google Scholar, and PEDro databases were searched without search limitations from inception until December 2013 for terms relating to sexual function and THR.
Sexual activity before and after a THR is an important QoL issue. In patients with end-stage hip osteoarthritis, THR has been reported to have beneficial effects in restoring sexual satisfaction and performance. While research has recently been conducted to determine the range of motion of the hip joints necessary to execute certain sexual positions, there remains a lack of validated guidelines and the risks related to sexual activity after THR is rarely discussed between patients and medical staff.
The ability to move comfortably is included among the many physical and psychosocial factors influencing sexual functioning. Practitioners should be encouraged to question their THR patients about sexual concerns and to provide counseling related to physical and functional aspects of sexual activity. Rehabilitation that focuses specifically on activities of daily living of sex should include sexual counseling, therapeutic exercise, and advice regarding sexual positions. Rehabilitation provided by physical therapists may help decrease pain, and facilitate greater self-awareness, self-confidence, and improved body image, all of which encourage and affirm optimal sexual health. Meiri R, Rosenbaum TY, and Kalichman L. Sexual function before and after total hip replacement: Narrative review.
全球每年进行超过 100 万例全髋关节置换术（THR）。减轻疼痛、提高活动能力和改善生活质量（QoL）是决定进行 THR 的关键因素。性行为是 QoL 的重要组成部分；然而，对于 THR 如何影响性功能以及医疗保健提供者在 THR 患者中多大程度上解决性行为问题知之甚少。
本研究旨在评估 THR 前后患者性功能和性行为的相关文献。
无检索限制地从建库至 2013 年 12 月，在 PubMed、Google Scholar 和 PEDro 数据库中检索与性功能和 THR 相关的术语。
THR 前后的性行为是一个重要的 QoL 问题。在终末期髋关节骨关节炎患者中，THR 已被报道在恢复性满足和表现方面具有有益效果。虽然最近已经进行了研究以确定执行某些性行为所需的髋关节运动范围，但仍然缺乏经过验证的指南，并且患者和医务人员很少讨论 THR 后进行性行为的风险。
舒适活动能力是影响性功能的众多生理和心理社会因素之一。从业者应鼓励他们询问 THR 患者有关性问题，并提供与性行为的身体和功能方面相关的咨询。专门针对性生活日常活动的康复应包括性咨询、治疗性运动和有关性姿势的建议。物理治疗师提供的康复可能有助于减轻疼痛，并促进更大的自我意识、自信和改善身体形象，所有这些都鼓励和肯定最佳的性健康。
