Correlation between traumatic pelvic ring injuries and sexual dysfunctions: a multicentric retrospective study

Rovere, Giuseppe; Smakaj, Amarildo; Perna, Andrea; Mauro, Domenico De; Are, Lorenzo; Meccariello, Luigi; Fidanza, Andrea; Erasmo, Rocco; Falez, Francesco; Maccauro, Giulio; Liuzza, Francesco

doi:10.1007/s00264-023-05767-0

Cited by 6 publications

(7 citation statements)

References 27 publications

(41 reference statements)

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“…Biological, psychological, and sociocultural elements play a significant role in individuals maintaining a healthy sexual life. However, even in sexually active young patients, SDs are often overlooked, leading to depression and a decrease in quality of life [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, SD has been reported in 10–52% of men and 25–63% of women worldwide [ 13 , 14 ]. Even in sexually active young patients, post-traumatic SDs are often overlooked, leading to depression and a decrease in QoL [ 15 ]. In their study, Schulman et al demonstrated that although dyspareunia and anorgasmia are the main causes of sexual dysfunction in women after pelvic trauma, sexual dysfunction remains very high in the first weeks after fracture treatment following non-pelvic trauma [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative Study

Adaş,

Çakar,

Gürbüz

et al. 2024

Med Sci Monit

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Background Tibial fractures, common in adults, are often treated with external or internal fixation methods. While effective, external fixation (EF) can lead to sexual dysfunction (SD), especially in young patients. This study aimed to assess SD in women undergoing EF versus internal fixation for tibial fractures. Material/Methods Sexual function and frequency of monthly sexual intercourse (SI) were evaluated using the Female Sexual Function Index (FSFI) before surgery, with the fixator, after at least 6 months following fixator removal in EF group, and after achieving bone union for at least 3 months in the IF group. Results The EF group consisted of 107 (mean age 28.5 years; 19–40 years) and IF group consisted of 106 patients (mean age 32.1 years; 18–40 years). The duration of EF was an average of 4.7 months (range, 2.5–13 months). FSFI scores were significantly lower in the EF group compared to the IF group (9.33 versus 27.3, P <0.001). Also, there was no significant difference between the FSFI scores before EF and after EF was removed (34.22 versus 33.8, P =0.413). FSFI sub-group scores such as desire, arousal, lubrication, and orgasm were significantly lower in the EF group ( P <0.001). The monthly average frequency of SI before surgery and after the removal of EF was 10.2 and 9.1, respectively, while this frequency was 2.56 when EF was present ( P <0.001). Conclusions The quality and frequency of SI in women significantly deteriorate and decrease during the period of extremity fixation following tibial diaphyseal fractures treated with EF, but return to normal after removal.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative Study

Adaş,

Çakar,

Gürbüz

et al. 2024

Med Sci Monit

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“…Two studies ( 15 , 27 ) did not report neither malunion nor nerve impairment after surgery. The main limitation of TOS technique is that it requires a highly skilled surgeon specialized in the treatment of pelvic ring fractures as it is a very complicated procedure ( 35 , 36 ).…”

Section: Discussionmentioning

confidence: 99%

“…The surgical technique was then developed and improved during the years, undergoing a deep revisitation through the original idea from Schildauer et al to add to the lumbopelvic fixation an ileo-sacral screw, in the so-called "Triangular osteosynthesis" (6,7). Since then, lumbopelvic fixation and its variant, triangular fixation, became the gold standard in those cases where sacral fractures are associated to neurological deficits, persistent instability, vertical sacral fractures, lower bone quality or non-union (8)(9)(10)(11).…”

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confidence: 99%

Triangular osteosynthesis and lumbopelvic fixation as a valid surgical treatment in posterior pelvic ring lesions: a systematic review

Rovere,

De Mauro,

Smakaj

et al. 2024

Front. Surg.

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ObjectiveUnstable fractures of the sacrum often occur in patients with pelvic fractures and represent a real challenge for the orthopedic surgeon. Triangular osteosynthesis (TOS) and lumbopelvic fixation (LP) may represent a valid management option for the treatment of this condition. We present a systematic literature review about lumbopelvic fixation and triangular fixation as treatment option for unstable sacral fractures, to assess clinical and radiological outcomes after surgery and to evaluate appropriate indications and impact on the natural history of sacral fractures.MethodsThe review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. 50 articles out of 108 titles, were considered eligible for the full-text analysis. Finally, 16 studies that met inclusion criteria were included in this review.ResultsOverall, 212 patients (87 males, 58 females) with sacral fractures treated with TOS triangular fixation or LP lumbopelvic fixation were collected. The mean age was 37.6 years. Mean follow-up reported in all studies was 24.14 months.ConclusionThe results presented by the different authors, highlight the effectiveness of TOS triangular fixation and LP lumbopelvic fixation for the treatment of unstable sacral fractures associated with other pelvic fractures, in terms of function, stability, cost-effectiveness, and quality of life postoperatively.

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“…This data documented the sexual sphere as a whole, evaluated from the patient’s perspective, offering an important addition to what was previously investigated. Previous studies looking specifically at a single outcome measure when assessing the sexual damage, especially organic damages, underlined that men were more likely to suffer from erectile dysfunction [ 31 , 32 , 33 , 34 ], while women suffered from dyspareunia [ 35 ]. Harvey-Kelly et al [ 11 ] published a retrospective study in 2014 where 80 surgically treated pelvic patients filled in multidimensional questionnaires about sexual life twice, once regarding their state at follow-up and once in retrospect regarding their state before the injury.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life from Return to Work and Sport Activities to Sexual Dysfunction after Surgical Treatment of Pelvic Ring Fractures

Monteleone¹,

Feltri²,

Müller³

et al. 2023

Healthcare

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Background: Pelvic ring fractures are life-threatening injuries that have a severe impact on patients’ lives. The aim of this clinical study was to evaluate the outcome of surgical treatment in terms of Quality of Life (QoL), return to work, functional results and sport activities, and post-operative sexual dysfunction. Methods: A retrospective study with patients retrieved from a Level 1 Trauma Center was performed. Minimum patient follow-up was 12 months: QoL was evaluated with the SF-12 (Short Form Survey) questionnaire, return to work with the Workplace Activity Limitation Survey (WALS), functional outcomes and sport activities with the Harris Hip Score and Tegner activity score, respectively, and sexual function damage with a 0–10 NRS. Results: Seventy-six patients (41 males and 35 females) were enrolled, with a mean age at surgery of 56.4 years (18–89 years). Overall, their quality of life remained significantly affected, with male patients reporting worse WALS outcomes (p = 0.036), sexual damage (p = 0.001), and SF-12 Bodily Pain (p = 0.046) than females. In particular, 70.7% of men and 45.7% of women reported sexual limitations, and only 53.7% returned to their job, with 35.2% losing their job as a consequence of the pelvic ring disruption. Conclusions: An important deterioration in general health state, return to work, and sexual function was documented in patients treated surgically for pelvic trauma, especially in male patients. There are disabling secondary sequels at all levels beyond the mere functional scores, and both patients and clinicians should be aware and have the correct expectations.

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Correlation between traumatic pelvic ring injuries and sexual dysfunctions: a multicentric retrospective study

Cited by 6 publications

References 27 publications

Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative Study

Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative Study

Triangular osteosynthesis and lumbopelvic fixation as a valid surgical treatment in posterior pelvic ring lesions: a systematic review

Quality of Life from Return to Work and Sport Activities to Sexual Dysfunction after Surgical Treatment of Pelvic Ring Fractures

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