College of Public Health and Health Professions, Social and Behavioral Sciences Department, University of Florida, Gainesville, FL 32611, United States.
Social and Behavioral Sciences, Independent Researcher, Houston, TX 77025, United States.
Sex Med Rev. 2023 Sep 27;11(4):349-358. doi: 10.1093/sxmrev/qead036.
There is limited information on sexual activity and functioning for patients with hip abnormalities, specifically femoroacetabular impingement (FAI), labral tears, and hip dysplasia, before and after surgical interventions.
The aim of this review was to synthesize the existing literature on sexual activity and functioning for patients with FAI, labral tears, and/or hip dysplasia before and after their respective surgeries.
We performed a rigorous, comprehensive search on multiple databases including PubMed, EMBASE, CINAHL, and Web of Science. Subject headings and a search string of key terms including Medical Subject Headings were used systematically to search these databases. The reference list was reviewed with an additional reviewer to reduce bias.
A total of 726 articles were found during the search, which were narrowed down to 22 articles that included at least 1 hip abnormality in relation to sexual functioning, sexual pain, or sexual activity. FAI, labral tears, and hip dysplasia can affect sexual activity, functioning, and positioning, and corrective surgery generally improves these metrics. Surgery improved vulvodynia, clitorodynia, and scrotal pain symptoms for some patients, though arthroscopy resulted in some instances of temporary pudendal nerve dysfunction.
This review may serve as an important resource for surgeons, healthcare providers, researchers, physical therapists, and patients to understand the relationship between the hips and sexual functioning, and to bridge the gaps among the disciplines of orthopedics, pelvic floor physiology, and sexual health. Hip anatomy impacts sexual activity, functioning, and positioning as well as vulvodynia and scrotal pain symptoms for some patients, and a comprehensive hip evaluation by a qualified hip specialist should be considered for patients with such complaints.
在接受髋关节异常（如股骨髋臼撞击症、盂唇撕裂和髋关节发育不良）手术前后，关于患者的性行为和功能的信息有限，特别是在医学文献中。
本综述旨在综合现有的关于接受股骨髋臼撞击症、盂唇撕裂和/或髋关节发育不良手术前后患者性行为和功能的文献。
我们在多个数据库（包括 PubMed、EMBASE、CINAHL 和 Web of Science）上进行了严格、全面的搜索。使用主题词和关键词搜索字符串系统地搜索这些数据库。审查了参考文献列表，以减少偏见。
在搜索过程中总共发现了 726 篇文章，其中有 22 篇文章至少包括 1 个与性行为功能、性疼痛或性行为相关的髋关节异常。股骨髋臼撞击症、盂唇撕裂和髋关节发育不良会影响性行为、功能和体位，而矫正手术通常可以改善这些指标。手术改善了一些患者的外阴痛、阴蒂痛和阴囊痛症状，但关节镜检查会导致一些暂时性阴部神经功能障碍。
本综述可以为外科医生、医疗保健提供者、研究人员、物理治疗师和患者提供重要资源，以了解臀部与性行为功能之间的关系，并弥合骨科、盆底生理学和性健康等学科之间的差距。髋关节解剖结构会影响一些患者的性行为、功能和体位，以及外阴痛和阴囊痛症状，对于有此类抱怨的患者，应由合格的髋关节专家进行全面的髋关节评估。
