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Table 4 Postoperative outcomes of SQoL

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

 

4 (13 %)

12 (38 %)

6 (19 %)

10 (31 %)

-

  

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

 

á…Ÿ

41(55 %)

8 (11 %)

26 (34 %)

males sooner

á…Ÿ

á…Ÿ

á…Ÿ

<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:

 

24 (18,5 %)

91 (70 %)

15 (11,5 %)

 
  

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

á…Ÿ

(n77)

66,5 days (4–365)

87 days (4–365)

54 days (5–210)

3 (2 %)

á…Ÿ

0.0005

Wall, et al. 2011 [24]

L

Overall effect on SA (n 53/86):

Much better

Better

No Change

Worse

Much worse

 

44 (81 %)

9 (17 %)

0

0

0

 
   

Concerns partner: (Fear hurting spouse)

7/54 (12 %)

 

Yoon, et al. 2013 [13]

L

Time to resume SA: (n 64/64)

 

6,19 months (3weeks - 48months)

 
  

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

á…Ÿ

3 (4,7 %)

 
   

Effect on satisfaction:

- Same

- Increase

- Less

á…Ÿ

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)

 

708 (89,5 %)

10 (1,3 %)

# 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

 

á…Ÿ

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

á…Ÿ

481 (98,8 %)

458 (94,2 %)

 
   

-less apprehension

310 (64,2 %)

 
   

Concerns at least one episode

Felt hip slipping-out during SA (instability)

á…Ÿ

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

 

á…Ÿ

55/83 (66 %)

10/83 (12 %)

 
  

Sexual Frequency: females

 

12 % increase 38 % better abilities sexual praxis

 

84 % of them experienced associated increased ROM, decreased pain and fear

  

Sexual Frequency: males

 

No changes

 
  

Erectile dysfunction: males

 

3/68 (4 %)

 
  1. SD Sexual Dysfunction, SF Sexual Function, SA Sexual Activity
  2. a adjusted for 5 = ‘No reply’
  3. b adjusted for 1 = ‘No reply’
  4. c within the past year #Comparison of SA, Quality and Frequency between THR and Control cohort with Odds ratios