Third Department of Orthopaedics, Metropolitan General Hospital, 264 Mesogeion Avenue, 15562, Holargos, Athens, Greece.
IRCCS - Istituto Ortopedico Rizzoli, Bologna, Italy.
Musculoskelet Surg. 2020 Apr;104(1):17-24. doi: 10.1007/s12306-020-00645-z. Epub 2020 Feb 6.
Hip discomfort due to degenerative pathologies causes limitations in the everyday activities of patients, including sexual activity. To address such limitations, patients are usually treated with total hip arthroplasty (THA). The aim of this systematic review was to investigate the success of this surgical procedure to ameliorate sexual activity of patients. We performed a comprehensive research of four electronic databases for articles pertaining to the benefits of THA on sexual activity. Exclusion criteria included articles not in English. The search initially yielded 34 articles. Two authors subsequently read all abstracts and excluded all studies unrelated to the topic, leaving 16 articles for further evaluation. Sixteen articles filtered by orthopaedic departments were included in this review. A total of 2391 patients were considered. Pre- and postoperative reports on sexual concerns have been evaluated and compared. The current literature suggests that sexual life is improved after THA. Patient education regarding postoperative expectations and resumption of sexual activity is severely lacking and the majority of surgeons offer little or no information on the subject. Specifically designed studies on the subject are required to evaluate the effects of surgery and approaches on postoperative restrictions.
由于退行性病变引起的髋关节不适会限制患者的日常活动，包括性行为。为了解决这些限制，患者通常接受全髋关节置换术（THA）治疗。本系统评价旨在调查该手术改善患者性行为的成功率。我们对四个电子数据库进行了全面检索，以获取有关 THA 对性行为益处的文章。排除标准包括非英文文章。最初的搜索结果为 34 篇文章。随后，两位作者阅读了所有的摘要，并排除了所有与主题无关的研究，留下了 16 篇文章进行进一步评估。这篇综述纳入了经骨科科室筛选的 16 篇文章。共纳入 2391 例患者。评估并比较了术前和术后对性行为的关注报告。目前的文献表明，THA 后性生活得到改善。关于术后预期和恢复性行为的患者教育严重缺乏，大多数外科医生很少或根本不提供有关该主题的信息。需要专门设计的研究来评估手术和方法对术后限制的影响。
