背景:髋关节异常患者关于性活动和功能的信息有限,特别是股骨髋臼撞击(FAI),拉布拉尔的眼泪,髋关节发育不良,手术干预前后。
目的:这篇综述的目的是综合有关FAI患者性活动和功能的现有文献,拉布拉尔的眼泪,和/或髋关节发育不良之前和之后他们各自的手术。
方法:我们执行了严格的,对包括PubMed在内的多个数据库进行全面搜索,EMBASE,CINAHL,和WebofScience。系统地使用主题词和包括医学主题词的关键术语的搜索字符串来搜索这些数据库。参考列表由额外的审阅者审阅,以减少偏见。
结果:在搜索过程中共发现726篇文章,缩小到22篇文章,其中包括至少1个与性功能有关的髋关节异常,性疼痛,或性活动。FAI,拉布拉尔的眼泪,髋关节发育不良会影响性活动,功能,和定位,矫正手术通常会改善这些指标。手术改善外阴痛,阴蒂痛,和一些患者的阴囊疼痛症状,尽管关节镜检查导致一些暂时性阴部神经功能障碍。
结论:这篇综述可能是外科医生的重要资源,医疗保健提供者,研究人员,物理治疗师,和患者了解臀部和性功能之间的关系,弥合骨科学科之间的差距,盆底生理学,和性健康。髋关节解剖结构影响性活动,功能,和定位以及一些患者的外阴痛和阴囊疼痛症状,对于有此类投诉的患者,应考虑由合格的髋关节专家进行全面的髋关节评估。
There is limited information on sexual activity and functioning for patients with hip abnormalities, specifically femoroacetabular impingement (FAI), labral tears, and hip dysplasia, before and after surgical interventions.
The aim of this
review was to synthesize the existing literature on sexual activity and functioning for patients with FAI, labral tears, and/or hip dysplasia before and after their respective surgeries.
We performed a rigorous, comprehensive search on multiple databases including PubMed, EMBASE, CINAHL, and Web of Science. Subject headings and a search string of key terms including Medical Subject Headings were used systematically to search these databases. The reference list was reviewed with an additional reviewer to reduce bias.
A total of 726 articles were found during the search, which were narrowed down to 22 articles that included at least 1 hip abnormality in relation to sexual functioning, sexual pain, or sexual activity. FAI, labral tears, and hip dysplasia can affect sexual activity, functioning, and positioning, and corrective surgery generally improves these metrics. Surgery improved vulvodynia, clitorodynia, and scrotal pain symptoms for some patients, though arthroscopy resulted in some instances of temporary pudendal nerve dysfunction.
This
review may serve as an important resource for surgeons, healthcare providers, researchers, physical therapists, and patients to understand the relationship between the hips and sexual functioning, and to bridge the gaps among the disciplines of orthopedics, pelvic floor physiology, and sexual health. Hip anatomy impacts sexual activity, functioning, and positioning as well as vulvodynia and scrotal pain symptoms for some patients, and a comprehensive hip evaluation by a qualified hip specialist should be considered for patients with such complaints.