T. Nordentoft et al., Changes in sexual behavior after orthopedic replacement of hip or knee in elderly males - a prospective study, INT J IMPOT, 12(3), 2000, pp. 143-146
The aim of this study was to investigate two questions: Does arthroplastic
surgery affect the patient's status as being. sexually active; and if patie
nts are sexually active, does surgery affect their erectile function? The s
tudy was designed prospectively and the patients filled in a questionnaire
concerning sexuality and erectile function before and 6 months after allopl
astic hip- or knee surgery. Ninety-nine males were included, mean age 70.6
y. The results demonstrate that 17% of patients lost a sexual activity that
they had preoperatively, and no one regained sexual activity after surgery
, A correlation between increasing age and risk of losing sexual activity w
as demonstrated. 26.1% lost a normal erectile function they had preoperativ
ely, while 6.7% regained normal erections. A similar correlation between in
creasing age and increased risk was demonstrated. From this study of elderl
y males undergoing orthopaedic alloplastic surgery it is concluded that the
risk of losing sexual activity and erectile capability is increased after
surgery, and especially in the group where sexual functions are already imp
aired.