Résumé

Introduction: Total hip arthroplasty (THA) significantly improves the functional prognosis of patients suffering from chronic hip pain. The aim of the study was to assess the impact of THA on the sexual activity of patients. Methodology: The study was cross-sectional and covered a period of two years (December 2021 – December 2023). Patients of both sexes who were sexually active and who gave their consent to participate in the study were included. It involved 114 patients who underwent primary THA via an anterolateral approach (N=114) for chronic hip pain. The mean age was 47 years [18–65], and the sex ratio was 1.1. An anonymous questionnaire was administered at six months post-operatively, reporting pre- and post-operative sexual activity. Results: The participation rate was 89.5%. The frequency of preoperative sexual intercourse was less than three times per month in 94 patients (82.4%) compared to 43 patients (37.7%) postoperatively. All patients reported difficulties with sexual activity preoperatively, compared to only 22 patients (19.30%) who reported minimal difficulties after THA. All sexually active patients resumed sexual activity after THA. The mean number of weeks before resuming sexual activity was nine (9), with extremes of three (3) weeks and 18 weeks. Men resumed sexual activity earlier than women. Only 18.4% (n=21) of patients reported receiving information from the healthcare team about resuming sexual activity after total hip arthroplasty. Conclusion: Total hip arthroplasty improves patients’ sexual activity.

Mot-clés :

Sexual Activity; Total Hip Arthroplasty; Anterolateral Approach