Table 4.
Postoperative outcomes of SQoL
| 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 |
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: |
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 |
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 |
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 |
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) |
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 |
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 | ||||
| 84 % of them experienced associated increased ROM, decreased pain and fear | |||||
| Sexual Frequency: males | No changes | ||||
| Erectile dysfunction: males | 3/68 (4 %) |
SD Sexual Dysfunction, SF Sexual Function, SA Sexual Activity
a adjusted for 5 = ‘No reply’
b adjusted for 1 = ‘No reply’
c within the past year #Comparison of SA, Quality and Frequency between THR and Control cohort with Odds ratios