Shalby Ltd., Ahmedabad, India.
Shalby Multispeciality Hospital, Sarkhej-Gandhinagar Highway, Opposite Karnavati Club, Ramdev Nagar, Ahmedabad, Gujarat, 380015, India.
Eur J Orthop Surg Traumatol. 2024 May;34(4):1987-1996. doi: 10.1007/s00590-024-03873-2. Epub 2024 Mar 16.
This study aimed to report changes in sexual activity and related difficulties and concerns among Indian patients at the end of 1-year after primary total hip arthroplasty (THA).
A detailed questionnaire related to sexual difficulty, frequency, position, satisfaction, stress, and concerns pre- and postoperatively was administered through an in-person interview at 1-year post-THA.
Preoperatively, 77% of patients reported difficulties in sexual activities, which reduced significantly (p < 0.0001) to 30% at the end of 1-year post-operatively. A majority of patients reported no change in the frequency (56.5%) or satisfaction with their sexual activity (54%), and moderate to severe stress (53%) related to sexual activity at 1 year postoperatively. A significantly higher percentage (p = 0.01) of female patients (63%) reported changing their coital position postoperatively due to difficulty in leg positioning when compared to male patients (37.5%). Most patients (69%) were not able to procure information on sexual activity after THA surgery. and only 17.5% of patients discussed the topic with their surgeon.
Although THA significantly reduced difficulty in sexual activity, most patients reported no change in the frequency of sexual activity or sexual satisfaction, had moderate to severe stress regarding sex, and were primarily concerned about safety of coital position and fear of dislocation at the end of 1-year postoperatively. Pre- and postoperative counselling by their surgeons will provide the patient with relevant information and help reduce anxiety and stress, improve satisfaction, and enhance the overall sexual health of the patient undergoing primary THA.
本研究旨在报告印度患者在初次全髋关节置换术（THA）1 年后结束时的性活动及相关困难和担忧的变化。
通过 THA 术后 1 年的面对面访谈，对与术前和术后性困难、频率、体位、满意度、压力和担忧相关的详细问卷进行评估。
术前，77%的患者报告存在性活动困难，术后 1 年显著减少（p < 0.0001）至 30%。大多数患者报告性活动频率（56.5%）或满意度（54%）没有变化，术后 1 年与性活动相关的中度至重度压力（53%）。与男性患者（37.5%）相比，术后因腿部定位困难而改变性交体位的女性患者（63%）比例显著更高（p = 0.01）。大多数患者（69%）无法获得 THA 手术后关于性活动的信息，只有 17.5%的患者与他们的外科医生讨论了这个话题。
尽管 THA 显著降低了性活动的困难，但大多数患者报告性活动频率或性满意度没有变化，对性有中度至重度压力，主要关注性交体位的安全性和术后 1 年脱位的恐惧。术前和术后由外科医生提供咨询将为患者提供相关信息，有助于减轻焦虑和压力，提高满意度，并增强接受初次 THA 的患者的整体性健康。
