Evaluation of male sexual function after pelvic trauma by the international index of erectile function

Malavaud, Bernard; Mouzin, Marc; Tricoire, Jean Louis; Gamé, X.; Rischmann, P.; Sarramon, Jean‐Pierre; Puget, J.

doi:10.1016/s0090-4295(00)00492-1

Cited by 71 publications

(73 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most common complaints were of reduced arousal or less sexual desire, but erectile dysfunction was reported in 20% of males and pain in 3% of females. These findings are similar to previous studies (Table 10) reporting rates of impotence of 11% to 30% in males [18,20,24,25,34], with higher rates in studies considering only patients with urethral rupture [2,13,15,18,26,39]. Reported rates of dyspareunia range from 2% [34] to 43% [11] in females after pelvic injury (Table 11).…”

Section: Discussionsupporting

confidence: 90%

“…These findings are supported by a previous German study [28] using the Tile classification [40], which reported higher rates of sexual dysfunction in Type B1 than B2 fractures and in Type C than B2 injuries, as well as other studies showing greater instability associated with more sexual complaints and less recovery [16,28,29,34]. However, there are conflicting reports, with other studies finding no apparent relationship of pelvic fracture type and sexual dysfunction in males [25,31] or females [3,9,11]. In contrast, men with sacroiliac fractures and women with diastasis of the pubis were reportedly at higher risk of sexual dysfunction and incontinence [43], whereas women with residually displaced pubic rami fractures experienced higher rates of urinary complaints and of dyspareunia than those without displacement [11].…”

Section: Discussionsupporting

confidence: 79%

“…We recommend all patients, not just those with GUI, should be asked specifically about sexual and urinary problems. Use of a validated questionnaire for sexual dysfunction, such as the International Index of Erectile Dysfunction [37] or the Brief Sexual Function Inventory [30,31] in males and Female Sexual Function Index [36] in females, may facilitate assessing the severity and monitoring change with treatment [17,25]. The underlying causes of sexual dysfunction after pelvic trauma are related to damage to the autonomic nervous, vascular, or erectile tissues [17,18,24,28,44].…”

Section: Discussionmentioning

confidence: 99%

“…Persisting impotence is estimated to occur in approximately 42% of patients after urethral injury [18], but erectile dysfunction is now recognized in patients with no detectable GUI, with an incidence between 5% and 30% in recent studies depending on how dysfunction is assessed [18,20,24,25,43]. In females, bladder neck and urethral trauma resulting from pelvic fractures can result in urinary incontinence, pelvic organ prolapse, voiding symptoms in up to 43% of cases, and sexual dysfunction in 38% [3,6,9,32].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

High Rates of Sexual and Urinary Dysfunction After Surgically Treated Displaced Pelvic Ring Injuries

Odutola

Sabri

Halliday

et al. 2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Pelvic ring injuries may be associated with genitourinary injury (GUI) and result in urinary or sexual dysfunction. Questions/purposes We determined (1) incidence of new sexual and urinary dysfunction after surgically treated pelvic ring injuries, (2) association of sexual or urinary dysfunction to fracture type and GUI, and (3) incidence and association between new sexual and urinary dysfunction in male and female patients without GUI. Methods We retrospectively studied 151 patients by postal questionnaire after pelvic reconstruction. Presence, type, and severity of new sexual dysfunction and urinary dysfunction were related to GUI and type of pelvic fracture using the Young and Burgess classification. Minimum followup was 1 year (median, 5 years; range, 1-12 years). Results New sexual dysfunction occurred in 61 of 143 (43%) and urinary dysfunction in 61 of 150 (41%) responding patients. Neither new sexual nor urinary dysfunction was associated with sex or GUI. In patients with no GUI, new sexual dysfunction was associated with chronologic age (odds ratio [OR], 1.04/year; 95% CI, 1.01-1.07) and pelvic fracture type. Lateral compression injury was less likely to result in new sexual or urinary dysfunction compared with AP type (sexual OR, 1.73; 95% CI, 0.67-4.47; urinary OR, 2.97; 95% CI, 1.15-7.66) and vertical shear type (sexual OR, 2.60; 95% CI, 1. urinary OR, 4.6; 95% CI,). Conclusions Our data suggest new sexual and urinary dysfunction occur at relatively high rates after pelvic fracture in patients with or without GUI. We recommend early assessment and referral for specialist treatment. Level of Evidence Level III, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

High Rates of Sexual and Urinary Dysfunction After Surgically Treated Displaced Pelvic Ring Injuries

Odutola

Sabri

Halliday

et al. 2012

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…In a French study, Malvaud et al 44 analyzed EF domain scores in 76 consecutive male patients with pelvic ring fractures. Eleven of 37 patients (30%) exhibited various degrees of impaired erection (EF score 25).…”

Section: Pelvic Traumamentioning

confidence: 99%

The International Index of Erectile Function (IIEF): a state-of-the-science review

Rosen¹,

Cappelleri

Gendrano³

2002

Int J Impot Res

896

668

View full text Add to dashboard Cite

The International Index of Erectile Function (IIEF) is a widely used, multi-dimensional self-report instrument for the evaluation of male sexual function. It is has been recommended as a primary endpoint for clinical trials of erectile dysfunction (ED) and for diagnostic evaluation of ED severity. The IIEF was developed in conjunction with the clinical trial program for sildenafil, and has since been adopted as the 'gold standard' measure for efficacy assessment in clinical trials of ED. It has been linguistically validated in 32 languages and used as a primary endpoint in more than 50 clinical trials. This review summarizes early stages in the psychometric validation of the instrument, its subsequent adoption in randomized clinical trials with sildenafil and other ED therapies, and its use in classifying ED severity and prevalence. The IIEF meets psychometric criteria for test reliability and validity, has a high degree of sensitivity and specificity, and correlates well with other measures of treatment outcome. It has demonstrated consistent and robust treatment responsiveness in studies in USA, Europe and Asia, as well as in a wide range of etiological subgroups. Although only one direct comparator trial has been performed to date, the IIEF is also sensitive to therapeutic effects with treatment agents other than sildenafil. A severity classification for ED has recently been developed, in addition to a brief screening version of the instrument. This review includes the strengths as well as limitations of the IIEF, along with some potential areas for future research.

show abstract

The Use of Patient-Reported Outcome Measures in Men with Urethral Stricture Disease

Zhao

Gonzalez

2013

Advanced Male Urethral and Genital Reconstructive Surgery

View full text Add to dashboard Cite

Evaluation of male sexual function after pelvic trauma by the international index of erectile function

Cited by 71 publications

References 18 publications

High Rates of Sexual and Urinary Dysfunction After Surgically Treated Displaced Pelvic Ring Injuries

High Rates of Sexual and Urinary Dysfunction After Surgically Treated Displaced Pelvic Ring Injuries

The International Index of Erectile Function (IIEF): a state-of-the-science review

The Use of Patient-Reported Outcome Measures in Men with Urethral Stricture Disease

Contact Info

Product

Resources

About