From: Does total hip replacement affect sexual quality of life?
Study | Quality level | Physical-Functional Outcomes of SQoL (n in study) | Psychosocial outcomes of SQoL (n in study) | Postoperative n (%) | p value |
---|---|---|---|---|---|
Todd, et al. 1973 [23] | L | Relief SD: Females (n 32/37)a: Complete Considerable Slight Nil | Â | 4 (13Â %) 12 (38Â %) 6 (19Â %) 10 (31Â %) | - |
 |  | Relief SD: Males (n 22/23)b Complete Considerable Slight Nil |  | 6 (27 %) 5 (23 %) 2 (9 %) 9 (41 %) | - |
 |  | (n 60) | Need for more advice | 34 (57 %) |  |
Stern, et al. 1991 [22] | L | SF: Time to resume (n75/86): 1–2 months ≤1 month ≥2 months Females = males |  | ᅟ 41(55 %) 8 (11 %) 26 (34 %) males sooner | ᅟ ᅟ ᅟ <0.01 |
 |  | (n 64) | Need for more advice | 57 (89 %) |  |
 |  |  | Argument to undergo THR: | 15 (20 %) |  |
Laffosse, et al. 2008 [26] | L | SF: Coital Frequency (n130/135) Increased: Unchanged: Decreased: | Â | 24 (18,5Â %) 91 (70Â %) 15 (11,5Â %) | Â |
 |  | Increased, more women than men |  |  | 0.02 |
 |  |  | Not able to obtain information | 110 (83 %) |  |
 |  |  | Argument to undergo THR: | 21 (18,5 %) |  |
 |  | SF: Resuming time (n 135) Females (n 58) Males (n 77) Never having resumed again | ᅟ (n77) | 66,5 days (4–365) 87 days (4–365) 54 days (5–210) 3 (2 %) | ᅟ 0.0005 |
Wall, et al. 2011 [24] | L | Overall effect on SA (n 53/86): Much better Better No Change Worse Much worse | Â | 44 (81Â %) 9 (17Â %) 0 0 0 | Â |
 |  |  | Concerns partner: (Fear hurting spouse) | 7/54 (12 %) |  |
Yoon, et al. 2013 [13] | L | Time to resume SA: (n 64/64) | Â | 6,19Â months (3weeks - 48months) | Â |
 |  | Difficulty with leg positioning (females more than males) |  | 25 (39 %) | 0.045 # |
 |  | Changing Sexual Positions (more frequently for patients with diff. leg positioning) |  | 26 (40,6 %) | <0.01 |
 |  | - Muscle weakness (Males n 6) |  | 11 (17,2 %) |  |
 |  |  | Not able to obtain information | 51/62 (80 %) |  |
 |  |  | Concerns - Fear of dislocations Males Females | 33 (51,6 %) 23/45 (51 %) 10/19 (53 %) |  |
 |  |  | Effect on relationship (males): Lack of understanding spouse | ᅟ 3 (4,7 %) |  |
 |  |  | Effect on satisfaction: - Same - Increase - Less | ᅟ 44 (68,8 %) 15 (23,4 %) 5 (7,9 %) |  |
 |  |  | Satisfaction correlated to stress | ≤stress =  ≥satisfaction | 0.03 |
Nunley, et al. 2015 [15] | M | SA since surgery (n 791)c No Sexual Activity (due to operative hip) | Â | 708 (89,5Â %) 10 (1,3Â %) | # 0.0061 Odds 1.953 |
 |  | Sex Frequency: - Less: - Same: - More: |  | n 694 31 (4,5 %) 361 (52 %) 302 (43,5 %) | # ‘less’ <0.0001 Odds 0.130 # ‘More’ <0.001 Odds 3.422 |
 |  | If ‘more’ caused by: - less pain - greater mobility - less apprehension |  | ᅟ 294 (98 %) 288 (95,4 %) 224 (74,5 %) |  |
 |  |  | Sex quality compared to 1 month prior surgery - Worse: - Same: - Better: | (n 697) ' 13 (2,2 %) 195 (28 %) 487 (69,9 %) | # ‘Better’ <0.0001 Odds 10.596 |
 |  |  | If ‘better’ caused by: - less pain - greater mobility | ᅟ 481 (98,8 %) 458 (94,2 %) |  |
 |  |  | -less apprehension | 310 (64,2 %) |  |
 |  |  | Concerns at least one episode Felt hip slipping-out during SA (instability) | ᅟ 22 (3,1 %) |  |
 |  |  | Had to limit SA due to operation | 81 (11,6 %) | # <0.0016 Odds 3.150 |
Klit, et al. 2015 [25] | L | Time to resume SA (n 136) ≤ 8 weeks > 8 weeks |  | ᅟ 55/83 (66 %) 10/83 (12 %) |  |
 |  | Sexual Frequency: females |  | 12 % increase 38 % better abilities sexual praxis |  |
84Â % of them experienced associated increased ROM, decreased pain and fear | |||||
 |  | Sexual Frequency: males |  | No changes |  |
 |  | Erectile dysfunction: males |  | 3/68 (4 %) |  |