Rita Th E Harmsen1,2,3, Melianthe P J Nicolai4, Brenda L Den Oudsten5, Hein Putter6, Tsjitske M Haanstra7, Peter A Nolte8, Barend J Van Royen7, Henk Elzevier4. 1. Department of Orthopaedic Surgery, VU University Medical Center, De Boelelaan 1117, 1081 BT, Amsterdam, The Netherlands. Orthofit1@icloud.com. 2. Department of Urology, University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, Netherlands. Orthofit1@icloud.com. 3. Department of Orthopaedic Surgery, Albinusdreef 2, 2333ZA, Leiden, The Netherlands. Orthofit1@icloud.com. 4. Department of Urology, University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, Netherlands. 5. Department of Medical and Clinical Psychology, University Center of Research on Psychological and Somatic Disorders (CoRPS), Warandelaan 2, 5037 AB, Tilburg, The Netherlands. 6. Department of Medical Statistics, University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands. 7. Department of Orthopaedic Surgery, VU University Medical Center, De Boelelaan 1117, 1081 BT, Amsterdam, The Netherlands. 8. Department of Orthopaedic Surgery, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.
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.
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.
Authors: E M Krouwel; J H Hagen; M P J Nicolai; A L Vahrmeijer; H Putter; R C M Pelger; H W Elzevier Journal: Eur J Surg Oncol Date: 2015-06-30 Impact factor: 4.424
Authors: Esmée M Krouwel; Melianthe P Nicolai; Gerard J van der Wielen; Hein Putter; Augustinus D G Krol; Rob C M Pelger; Luca Incrocci; Henk Willem Elzevier Journal: J Sex Med Date: 2015-09 Impact factor: 3.802
Authors: Eleonore M L Birkhoff; Esmée M Krouwel; Melianthe P J Nicolai; Bert-Jan de Boer; Jack J Beck; Hein Putter; Rob C M Pelger; Henk W Elzevier Journal: Eur J Gen Pract Date: 2016-01-22 Impact factor: 1.904
Authors: Gaby F van Ek; Esmée M Krouwel; Melianthe P Nicolai; Hanneke Bouwsma; Jan Ringers; Hein Putter; Rob C M Pelger; Henk W Elzevier Journal: J Sex Med Date: 2015-12-03 Impact factor: 3.802
Authors: Rita Th E Harmsen; Tsjitske M Haanstra; Inger N Sierevelt; Elise P Jansma; Peter A Nolte; Melianthe P J Nicolai; Peter D H Wall; Barend J Van Royen Journal: BMC Musculoskelet Disord Date: 2016-05-04 Impact factor: 2.362
Authors: Rita Th E Harmsen; Tsjitske M Haanstra; Brenda L Den Oudsten; Hein Putter; Henk W Elzevier; Maaike G J Gademan; Rob G H H Nelissen Journal: Clin Orthop Relat Res Date: 2020-09 Impact factor: 4.755
Authors: Rieky E Dikmans; Esmée M Krouwel; Mahsa Ghasemi; Tim C van de Grift; Mark-Bram Bouman; Marco J P F Ritt; Henk W Elzevier; Margriet G Mullender Journal: Eur J Plast Surg Date: 2018-08-18
Authors: Rita T E Harmsen; Brenda L den Oudsten; Hein Putter; Claudia S Leichtenberg; Henk W Elzevier; Rob G H H Nelissen Journal: JB JS Open Access Date: 2018-10-04