Patient sexual function and hip replacement surgery: A survey of surgeon attitudes

Rita Th. E. Harmsen, Melianthe P. J. Nicolai, B.L. den Oudsten, Hein Putter, Tsjitske M. Haanstra, Peter A. Nolte, Barend J. Van Royen, Henk W. Elzevier

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Abstract

Purpose
To explore practises of orthopaedic surgeons (and residents) in addressing sexual function (SF) in patients before and after total hip arthroplasty (THA).
Methods
A 26-item questionnaire was sent to health professionals (n = 849); 526 (62.0%) responses were included in the analyses.
Results
About 78% of the respondents (77.5%) almost never addressed SF. The most mentioned reason was that “patients do not ask” (47.4%) followed by “I am not aware of possible needs” (38.6%). SF was even less discussed (25.9%) in elderly patients (>60 years). The beneficial effect of THA on SF was rated the highest in retired surgeons (p ≤ 0.001), in which male surgeons scored higher than female surgeons (p = 0.002). The importance of sexual dificulties (SD) in the decision to undergo surgery was rated lowest by residents (p = 0.020). Rating the risk for dislocation varied between occupations (p = 0.008) and gender (p = 0.016), female surgeons rated highest (median 5); 54.1% indicated the orthopaedic surgeon is responsible for providing information about the safe resumption of sexual activity.
Conclusions
Surgeons show little attention to SF related issues in THA patients, which seems not in accordance to patients’ needs. Addressing SF increases throughout a surgeon’s career. There were divergent views and there is no “common advice” about the safe resumption of sexual activity. The results emphasize the need for guidelines and training in order to encourage addressing SF both, before and after THA.
Original languageEnglish
Pages (from-to)2433–2445
JournalInternational Orthopaedics
Volume41
Issue number12
DOIs
Publication statusPublished - 2017

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Hip
Occupations
Surveys and Questionnaires
Orthopedic Surgeons

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Harmsen, R. T. E., Nicolai, M. P. J., den Oudsten, B. L., Putter, H., Haanstra, T. M., Nolte, P. A., ... Elzevier, H. W. (2017). Patient sexual function and hip replacement surgery: A survey of surgeon attitudes. International Orthopaedics, 41(12), 2433–2445. https://doi.org/10.1007/s00264-017-3473-7
Harmsen, Rita Th. E. ; Nicolai, Melianthe P. J. ; den Oudsten, B.L. ; Putter, Hein ; Haanstra, Tsjitske M. ; Nolte, Peter A. ; Van Royen, Barend J. ; Elzevier, Henk W. / Patient sexual function and hip replacement surgery : A survey of surgeon attitudes. In: International Orthopaedics. 2017 ; Vol. 41, No. 12. pp. 2433–2445.
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title = "Patient sexual function and hip replacement surgery: A survey of surgeon attitudes",
abstract = "PurposeTo explore practises of orthopaedic surgeons (and residents) in addressing sexual function (SF) in patients before and after total hip arthroplasty (THA).MethodsA 26-item questionnaire was sent to health professionals (n = 849); 526 (62.0{\%}) responses were included in the analyses.ResultsAbout 78{\%} of the respondents (77.5{\%}) almost never addressed SF. The most mentioned reason was that “patients do not ask” (47.4{\%}) followed by “I am not aware of possible needs” (38.6{\%}). SF was even less discussed (25.9{\%}) in elderly patients (>60 years). The beneficial effect of THA on SF was rated the highest in retired surgeons (p ≤ 0.001), in which male surgeons scored higher than female surgeons (p = 0.002). The importance of sexual dificulties (SD) in the decision to undergo surgery was rated lowest by residents (p = 0.020). Rating the risk for dislocation varied between occupations (p = 0.008) and gender (p = 0.016), female surgeons rated highest (median 5); 54.1{\%} indicated the orthopaedic surgeon is responsible for providing information about the safe resumption of sexual activity.ConclusionsSurgeons show little attention to SF related issues in THA patients, which seems not in accordance to patients’ needs. Addressing SF increases throughout a surgeon’s career. There were divergent views and there is no “common advice” about the safe resumption of sexual activity. The results emphasize the need for guidelines and training in order to encourage addressing SF both, before and after THA.",
author = "Harmsen, {Rita Th. E.} and Nicolai, {Melianthe P. J.} and {den Oudsten}, B.L. and Hein Putter and Haanstra, {Tsjitske M.} and Nolte, {Peter A.} and {Van Royen}, {Barend J.} and Elzevier, {Henk W.}",
year = "2017",
doi = "10.1007/s00264-017-3473-7",
language = "English",
volume = "41",
pages = "2433–2445",
journal = "International Orthopaedics",
issn = "0341-2695",
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Harmsen, RTE, Nicolai, MPJ, den Oudsten, BL, Putter, H, Haanstra, TM, Nolte, PA, Van Royen, BJ & Elzevier, HW 2017, 'Patient sexual function and hip replacement surgery: A survey of surgeon attitudes', International Orthopaedics, vol. 41, no. 12, pp. 2433–2445. https://doi.org/10.1007/s00264-017-3473-7

Patient sexual function and hip replacement surgery : A survey of surgeon attitudes. / Harmsen, Rita Th. E.; Nicolai, Melianthe P. J.; den Oudsten, B.L.; Putter, Hein; Haanstra, Tsjitske M.; Nolte, Peter A.; Van Royen, Barend J.; Elzevier, Henk W.

In: International Orthopaedics, Vol. 41, No. 12, 2017, p. 2433–2445.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Patient sexual function and hip replacement surgery

T2 - A survey of surgeon attitudes

AU - Harmsen, Rita Th. E.

AU - Nicolai, Melianthe P. J.

AU - den Oudsten, B.L.

AU - Putter, Hein

AU - Haanstra, Tsjitske M.

AU - Nolte, Peter A.

AU - Van Royen, Barend J.

AU - Elzevier, Henk W.

PY - 2017

Y1 - 2017

N2 - PurposeTo explore practises of orthopaedic surgeons (and residents) in addressing sexual function (SF) in patients before and after total hip arthroplasty (THA).MethodsA 26-item questionnaire was sent to health professionals (n = 849); 526 (62.0%) responses were included in the analyses.ResultsAbout 78% of the respondents (77.5%) almost never addressed SF. The most mentioned reason was that “patients do not ask” (47.4%) followed by “I am not aware of possible needs” (38.6%). SF was even less discussed (25.9%) in elderly patients (>60 years). The beneficial effect of THA on SF was rated the highest in retired surgeons (p ≤ 0.001), in which male surgeons scored higher than female surgeons (p = 0.002). The importance of sexual dificulties (SD) in the decision to undergo surgery was rated lowest by residents (p = 0.020). Rating the risk for dislocation varied between occupations (p = 0.008) and gender (p = 0.016), female surgeons rated highest (median 5); 54.1% indicated the orthopaedic surgeon is responsible for providing information about the safe resumption of sexual activity.ConclusionsSurgeons show little attention to SF related issues in THA patients, which seems not in accordance to patients’ needs. Addressing SF increases throughout a surgeon’s career. There were divergent views and there is no “common advice” about the safe resumption of sexual activity. The results emphasize the need for guidelines and training in order to encourage addressing SF both, before and after THA.

AB - PurposeTo explore practises of orthopaedic surgeons (and residents) in addressing sexual function (SF) in patients before and after total hip arthroplasty (THA).MethodsA 26-item questionnaire was sent to health professionals (n = 849); 526 (62.0%) responses were included in the analyses.ResultsAbout 78% of the respondents (77.5%) almost never addressed SF. The most mentioned reason was that “patients do not ask” (47.4%) followed by “I am not aware of possible needs” (38.6%). SF was even less discussed (25.9%) in elderly patients (>60 years). The beneficial effect of THA on SF was rated the highest in retired surgeons (p ≤ 0.001), in which male surgeons scored higher than female surgeons (p = 0.002). The importance of sexual dificulties (SD) in the decision to undergo surgery was rated lowest by residents (p = 0.020). Rating the risk for dislocation varied between occupations (p = 0.008) and gender (p = 0.016), female surgeons rated highest (median 5); 54.1% indicated the orthopaedic surgeon is responsible for providing information about the safe resumption of sexual activity.ConclusionsSurgeons show little attention to SF related issues in THA patients, which seems not in accordance to patients’ needs. Addressing SF increases throughout a surgeon’s career. There were divergent views and there is no “common advice” about the safe resumption of sexual activity. The results emphasize the need for guidelines and training in order to encourage addressing SF both, before and after THA.

U2 - 10.1007/s00264-017-3473-7

DO - 10.1007/s00264-017-3473-7

M3 - Article

VL - 41

SP - 2433

EP - 2445

JO - International Orthopaedics

JF - International Orthopaedics

SN - 0341-2695

IS - 12

ER -