Quality of sexual life after total hip arthroplasty in male patients with osteonecrosis of femoral head View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-03-25

AUTHORS

Bai-Liang Wang, De-Bo Yue, Bao Xing Liu, Wan-Shou Guo

ABSTRACT

BackgroundPatients with osteonecrosis of the femoral head (ONFH) have a severe impact on their health status, functionality and quality of life. Sexual life is an important component of the quality of life and is still a frequently neglected domain in patients with ONFH. The aims of the study were to evaluate the influence of the disease and the total hip arthroplasty (THA) surgery on quality of sexual life (QSL) in these patients.MethodsA prospective, self-controlled study was done. 247 patients of ONFH who underwent unilateral or bilateral THA were asked to complete a standardized QSL questionnaire, and the score of QSL was evaluated preoperatively and at first year follow-up of post-THA operation.ResultsThe mean age of the patient was 46.8 (range 25–60) years. 194 cases (78.5 %, 276 hips) were alcohol-induced ONFH. There is significant decrease (p = 0.026) in sexual relationship impairment on the 0–8 scale from pre-THA (5.3 ± 0.7) to post-THA (2.3 ± 0.4). There is no significant difference for effect on sexual function (p = 0.14) between pre-THA (2.3 ± 0.4) and post-THA (1.8 ± 0.3). There is significant improvement (p = 0.018) in overall sexual satisfaction degree of patients on the 1–5 scale from pre-THA (2.7 ± 0.2) to post-THA (4.7 ± 0.6), but no significant increase for sexual partner.ConclusionONFH has impaired relationships with partner and overall sexual satisfaction degree of the male patients; THA has improved significantly relationships with partner and overall sexual satisfaction degree of the male patients, but no effect on sexual function of the patients and overall sexual satisfaction degree of sexual partner. More... »

PAGES

1217-1221

References to SciGraph publications

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  • 2006-11-09. Assessment of sexual dysfunction in male patients with Ankylosing Spondylitis in RHEUMATOLOGY INTERNATIONAL
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  • 2008-06-17. The final straw: a qualitative study to explore patient decisions to undergo total hip arthroplasty in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2009-07-21. Treatment of nontraumatic osteonecrosis of the femoral head with the implantation of core decompression and concentrated autologous bone marrow containing mononuclear cells in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2007-03-15. The effect of co-morbidities on health-related quality of life in patients placed on the waiting list for total joint replacement in HEALTH AND QUALITY OF LIFE OUTCOMES
  • 2010-03-10. Relationship between psychological status and disease activity and quality of life in ankylosing spondylitis in RHEUMATOLOGY INTERNATIONAL
  • Identifiers

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    http://scigraph.springernature.com/pub.10.1007/s00590-014-1432-1

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    https://www.ncbi.nlm.nih.gov/pubmed/24664449


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        "description": "BackgroundPatients with osteonecrosis of the femoral head (ONFH) have a severe impact on their health status, functionality and quality of life. Sexual life is an important component of the quality of life and is still a frequently neglected domain in patients with ONFH. The aims of the study were to evaluate the influence of the disease and the total hip arthroplasty (THA) surgery on quality of sexual life (QSL) in these patients.MethodsA prospective, self-controlled study was done. 247 patients of ONFH who underwent unilateral or bilateral THA were asked to complete a standardized QSL questionnaire, and the score of QSL was evaluated preoperatively and at first year follow-up of post-THA operation.ResultsThe mean age of the patient was 46.8 (range 25\u201360) years. 194 cases (78.5\u00a0%, 276 hips) were alcohol-induced ONFH. There is significant decrease (p\u00a0=\u00a00.026) in sexual relationship impairment on the 0\u20138 scale from pre-THA (5.3\u00a0\u00b1\u00a00.7) to post-THA (2.3\u00a0\u00b1\u00a00.4). There is no significant difference for effect on sexual function (p\u00a0=\u00a00.14) between pre-THA (2.3\u00a0\u00b1\u00a00.4) and post-THA (1.8\u00a0\u00b1\u00a00.3). There is significant improvement (p\u00a0=\u00a00.018) in overall sexual satisfaction degree of patients on the 1\u20135 scale from pre-THA (2.7\u00a0\u00b1\u00a00.2) to post-THA (4.7\u00a0\u00b1\u00a00.6), but no significant increase for sexual partner.ConclusionONFH has impaired relationships with partner and overall sexual satisfaction degree of the male patients; THA has improved significantly relationships with partner and overall sexual satisfaction degree of the male patients, but no effect on sexual function of the patients and overall sexual satisfaction degree of sexual partner.", 
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    37 schema:description BackgroundPatients with osteonecrosis of the femoral head (ONFH) have a severe impact on their health status, functionality and quality of life. Sexual life is an important component of the quality of life and is still a frequently neglected domain in patients with ONFH. The aims of the study were to evaluate the influence of the disease and the total hip arthroplasty (THA) surgery on quality of sexual life (QSL) in these patients.MethodsA prospective, self-controlled study was done. 247 patients of ONFH who underwent unilateral or bilateral THA were asked to complete a standardized QSL questionnaire, and the score of QSL was evaluated preoperatively and at first year follow-up of post-THA operation.ResultsThe mean age of the patient was 46.8 (range 25–60) years. 194 cases (78.5 %, 276 hips) were alcohol-induced ONFH. There is significant decrease (p = 0.026) in sexual relationship impairment on the 0–8 scale from pre-THA (5.3 ± 0.7) to post-THA (2.3 ± 0.4). There is no significant difference for effect on sexual function (p = 0.14) between pre-THA (2.3 ± 0.4) and post-THA (1.8 ± 0.3). There is significant improvement (p = 0.018) in overall sexual satisfaction degree of patients on the 1–5 scale from pre-THA (2.7 ± 0.2) to post-THA (4.7 ± 0.6), but no significant increase for sexual partner.ConclusionONFH has impaired relationships with partner and overall sexual satisfaction degree of the male patients; THA has improved significantly relationships with partner and overall sexual satisfaction degree of the male patients, but no effect on sexual function of the patients and overall sexual satisfaction degree of sexual partner.
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    45 ConclusionONFH
    46 MethodsA
    47 ONFH
    48 QSL
    49 QSL questionnaire
    50 ResultsThe mean age
    51 THA
    52 age
    53 aim
    54 alcohol-induced ONFH
    55 arthroplasty
    56 arthroplasty surgery
    57 bilateral THA
    58 cases
    59 components
    60 decrease
    61 degree
    62 differences
    63 disease
    64 domain
    65 effect
    66 femoral head
    67 first year
    68 function
    69 functionality
    70 head
    71 health status
    72 hip arthroplasty
    73 hip arthroplasty surgery
    74 impact
    75 impairment
    76 important component
    77 improvement
    78 increase
    79 influence
    80 life
    81 male patients
    82 mean age
    83 operation
    84 osteonecrosis
    85 overall sexual satisfaction degree
    86 partners
    87 patients
    88 patients of ONFH
    89 post-THA operation
    90 quality
    91 quality of life
    92 questionnaire
    93 relationship
    94 relationship impairment
    95 satisfaction degree
    96 scale
    97 score of QSL
    98 scores
    99 self-controlled study
    100 severe impact
    101 sexual function
    102 sexual life
    103 sexual partners
    104 sexual relationship impairment
    105 sexual satisfaction degree
    106 significant decrease
    107 significant differences
    108 significant improvement
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    110 standardized QSL questionnaire
    111 status
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    114 total hip arthroplasty
    115 total hip arthroplasty surgery
    116 years
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