Presentation Abstract

Session: P001-P110-Adult Reconstruction Hip Posters
Date/Time: Tuesday, Mar 19, 2013, 8:00 AM - 5:30 PM
Posters occur Tuesday through Saturday.
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Location McCormick Place, Academy Hall B
Presentation Number: Poster P023
Posterboard Number: P023
Title: Sexual Function Improves Significantly After Primary Total Hip and Knee Arthroplasty: A Prospective Study
Classification: +Other (Hip)
Keywords: Outcomes
Author(s): Parthiv A. Rathod, MD, Flushing, New York
Ajit J. Deshmukh, MD, New York, New York
Amar S. Ranawat, MD, New York, New York
Jose A. Rodriguez, MD, New York, New York
Abstract: INTRODUCTION: Osteoarthritis (OA) of the hip and the knee has been found to affect sexual activity. We designed a prospective study to evaluate the influence of total hip arthroplasty (THA) and total knee arthroplasty (TKA) on the physical and psychological aspects of sexuality of patients.
METHODS: Between February 2009 and May 2011, patients under 70 years of age scheduled for primary THA or TKA for OA were invited to anonymously participate in this study. All patients were recruited from the practices of two arthroplasty surgeons (at the same institution) by mailing two questionnaires and a cover letter. Patients were instructed to mail back the pre-operative questionnaire prior to surgery and the post-operative questionnaire at six months and one year after surgery. An anonymous code was used to link responses.
RESULTS: Out of 392 consecutive patients, 147 enrolled in the study by returning preoperative questionnaires. A total of 116 of them returned postoperative questionnaires. Sixty-five returned both six month and one year questionnaires. The mean age of patients was 57.7 years (35-70) with 69 males and 78 females. A total of 67% of patients reported physical problems with sexual activity (pain 67%, stiffness 36%, reduced libido 49%, inability to attain proper position 14%), and 91% reported psychological issues (general well-being 91%, sexual self-image 53%). Postoperatively, 42% patients reported an improvement in libido, 36% reported increased intercourse duration, 41% reported increased intercourse frequency, 84% had improvement in general well-being and 55% had improved sexual self-image. Some 16% patients reported their replacement surgery to adversely affect sexual function (fear of damaging replaced joint, 10%).
CONCLUSION: In 90% patients, THA or TKA improved overall sexual function with higher rate of improvement after THA than TKA. After THA, higher number of females reported improvement in sexual activity than males. Sexual function needs to be included in routine evaluation of patients after THA and TKA.

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