Rougereau Grégoire, Rabot Camille, de Thomasson Emmanuel, Tourabaly Idriss, Mazel Christian, Langlais Tristan, Ollat Didier
Département de chirurgie orthopédique, institut Mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France; Département de chirurgie orthopédique et traumatologique, hôpital de la Pitié-Salpêtrière, université de la Sorbonne, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
Département de chirurgie orthopédique, institut Mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.
Orthop Traumatol Surg Res. 2022 Feb;108(1):103171. doi: 10.1016/j.otsr.2021.103171. Epub 2021 Dec 7.
We are not aware of studies conducted in France to assess information provided by surgeons about the impact of total hip arthroplasty (THA) on sexual activity or sexual activity resumption after THA. The objectives of this study in a cohort of patients seen after THA were to evaluate: (1) the time to sexual activity resumption, (2) whether sexual activity resumption was discussed with the surgeon and whether the patients wanted information on this point, and (3) the modalities and experience of sexual activity resumption according to demographic features.
Age and sex influence the timing and modalities of sexual activity resumption after THA.
We conducted a single-centre prospective cohort study in consecutive patients who received follow-up for 6months after THA. Each patient completed an anonymised questionnaire on preoperative sexual activity, modalities of postoperative sexual activity resumption, information delivered by the surgeon, and expectations regarding the delivered information. The patients also specified their age and sex on the questionnaire.
Of 101 included patients, 49 were still sexually active before surgery. Of these 49 patients, 35 (71.4%) reported no difference in the frequency of sexual activity before and after THA. Only 4 (8.2%) patients did not resume sexual activity during follow-up. Older age was associated with a lower demand for information [odds ratio, 0.95; 95% confidence interval: 0.91-0.99 (p=0.01)]. Compared to the females, the males more often recovered similar sexual activity to that before surgery regarding frequency [18/20 vs. 17/29 (p=0.02)] and quality of sexual positions [15/20 vs. 9/29 (p=0.003)]. Males resumed sexual activity on average during the first 3weeks [10/20 (p=0.02)], compared to after 6weeks for most females [13/29 (p=0.03)]. Age was not associated with the time to sexual activity resumption [ρ=0.0868; 95% confidence interval: -0.205 to 0.365 (p=0.56)].
Among patients who were sexually active before surgery, 71.4% reported having resumed the same frequency of sexual activity 6months after surgery. The main difficulty in both males and females was fear of prosthetic hip dislocation, which was related in part to insufficient preoperative information. Males resumed sexual activity earlier than did females. In patients who were sexually active before surgery, age was not associated with the resumption of sexual activity after surgery.
IV, prospective study with no control group.
我们并不知晓在法国开展的有关外科医生提供的全髋关节置换术（THA）对性活动的影响或THA后性活动恢复情况的研究。本研究针对一组接受THA后就诊的患者，旨在评估：（1）性活动恢复的时间；（2）是否与外科医生讨论过性活动恢复情况以及患者是否希望获得这方面的信息；（3）根据人口统计学特征，性活动恢复的方式和体验。
年龄和性别会影响THA后性活动恢复的时间和方式。
我们对连续接受THA后6个月随访的患者进行了单中心前瞻性队列研究。每位患者完成一份关于术前性活动、术后性活动恢复方式、外科医生提供的信息以及对所提供信息期望的匿名问卷。患者还在问卷上注明了自己的年龄和性别。
在纳入的101例患者中，49例术前仍有性活动。在这49例患者中，35例（71.4%）报告THA前后性活动频率无差异。随访期间只有4例（8.2%）患者未恢复性活动。年龄较大与信息需求较低相关[比值比，0.95；95%置信区间：0.91 - 0.99（p = 0.01）]。与女性相比，男性在性活动频率[18/20对17/29（p = 0.02）]和性姿势质量[15/20对9/29（p = 0.003）]方面更常恢复到与术前相似的水平。男性平均在术后前3周恢复性活动[10/20（p = 0.02）]，而大多数女性在术后6周后恢复[13/29（p = 0.03）]。年龄与性活动恢复时间无关[ρ = 0.0868；95%置信区间：-0.205至0.365（p = 0.56）]。
在术前有性活动的患者中，71.4%报告术后6个月恢复了相同的性活动频率。男性和女性的主要困难都是担心人工髋关节脱位，这部分与术前信息不足有关。男性比女性恢复性活动更早。在术前有性活动的患者中，年龄与术后性活动恢复无关。
IV级，无对照组的前瞻性研究。
