Sexual Activity before and after Total Hip ArthroplastySiham Zahi1*, Laila Mahir1, Jalal Tounsi2, Fatima Lmidmani1, Mohammed Rafai2, Mohammed Rahmi2, Abdelhaque E1 Garch2 and El Fatimi A1
- *Corresponding Author:
- Siham Zahi
Department of Physical and Rehabilitation Medicine
Ibn Rochd Hospital, Casablanca, Morocco
E-mail: [email protected]; [email protected]
Received date: March 28, 2016; Accepted date: April 06, 2017; Published date: April 13, 2017
Citation: Zahi S, Mahir L, Tounsi J, Lmidmani F, Rafai M, et al. (2017) Sexual Activity before and after Total Hip Arthroplasty. Physiother Rehabil 2:136.
Copyright: © 2017 Zahi S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Sexual life is an important component of the quality of life. However, it is frequently neglected aspect in patients with hip osteoarthritis. The aims of the study were to evaluate the influence of the total hip replacement (THR) surgery on the quality of sexual life (QSL). Methods: a retrospective study using an anonymous questionnaire administered to 270 patients in a face-to-face interview at physical medicine and rehabilitation department. Results: The mean age when sexual difficulties began was 45 years (range: 21-63) two years after hip pain occurred. Sexual difficulties were considered severe to major by 19% of patients. The main causes of sexual difficulties were pain, then joint stiffness. Patients with the most pronounced and early sexual repercussions were young women with hip dysplasia. In patient’s opinion, the implementation of THR improves sexual relations. The frequency of intercourse was increased after THR significantly more frequently in women than in men, due to a change in coital position. Only 17% of patients had information about sexual activity before/after THR. Conclusion: Sexual difficulties should not be marginalized, but should be assessed before and after surgery. It is the role of a multidisciplinary team: surgeon, physiatrist and physiotherapist as they should provide clear information.