Male Sexual Dysfunction After Pelvic Fracture

Metze, Michael; Tiemann, A.; Josten, Christoph

doi:10.1097/01.ta.0000241145.02748.df

Cited by 61 publications

(67 citation statements)

References 50 publications

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“…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]. Delays in assessment and treatment of erectile dysfunction may result in irreversible morphologic and functional changes to the erectile tissue and venoocclusive mechanism with less satisfactory outcome [17,18,28,44]. We found a correlation between patient-reported subjective severity of sexual and urinary dysfunction, supporting the view that psychologic and emotional issues also may be important [17].…”

Section: Discussionsupporting

confidence: 63%

“…However, our findings were LC type injury was least likely and VS type most likely to result in sexual dysfunction, with similar findings for urinary dysfunction. 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].…”

Section: Discussionsupporting

confidence: 50%

“…Spontaneous recovery of sexual function is unlikely after 12 to 18 months after injury, and early referral of all affected patients for specialist urologic assessment and treatment is recommended [17,18,28,44]. I ejaculate a long time after I have achieved orgasm…”

Section: Discussionmentioning

confidence: 99%

“…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]. Delays in assessment and treatment of erectile dysfunction may result in irreversible morphologic and functional changes to the erectile tissue and venoocclusive mechanism with less satisfactory outcome [17,18,28,44].…”

Section: Discussionmentioning

confidence: 99%

“…First, it was retrospective with a wide range of followup times. A minimum interval of 1 year after injury was used to allow for spontaneous recovery of sexual function [17,18,28], but the longer followup period may have included genitourinary problems unrelated to the injury. Second, we used selected questions from the Sexual Functioning Questionnaire [39], validated in the United Kingdom, but did not use a compiled score for severity.…”

Section: Discussionmentioning

confidence: 99%

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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

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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.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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

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Understanding sexual health concerns in women after traumatic pelvic fracture

Gambrah

Hagedorn

Dmochowski

et al. 2022

Neurourology and Urodynamics

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Introduction: While there is a well-known association between pelvic fracture and sexual dysfunction, few studies discuss the treatment patterns and utilization of healthcare services following injury. Those that do exist pertain to men. How women experience sexual dysfunction after traumatic injury and how they navigate the healthcare system is currently not well documented in the literature. This study aims to understand the prevalence and spectrum of sexual health issues in women after pelvic fracture, and to highlight barriers associated with accessing care for these concerns.Materials and Methods: Women admitted and treated for traumatic pelvic fractures at a single Level 1 trauma center over a 6-year period were invited to participate in an electronic cross-sectional survey. Sexual health issues and care-seeking behaviors around sexual health were assessed. Inverse probability weighting based on available common data points in the registry was utilized to adjust for nonresponse bias. All data presented are of weighted data unless otherwise specified.Results: Of the 780 potential subjects, 98 women responded to the survey (12.6% crude response rate). With weighting, 71% of responders were white and 42% had private insurance, with a mean age at the time of injury of 42.2 years (SD 22.4) and median time since the injury of 45 months (interquartile range: 30.0, 57.4). 49.5% stated that sexual function was important to very important to their quality of life, with an additional 25.3% reporting it was moderately important. Of responders, 59.0% (95% confidence interval: 47.1%-71.0%) reported de novo postinjury sexual dysfunction. Specific complaints included dyspareunia (37.1%), difficulty with sexual satisfaction (34.4%), difficulty with sexual desire (31.3%), difficulty with orgasm (26.0%), and genital pain (17.8%). Of those with postinjury sexual dysfunction, 30.4% of women reported spontaneous resolution without treatment. An additional 15.4% indicated that they have continued concerns and desire treatment. Only 11.6% of women stated they had received treatment, all patients with access to insurance. Of those with postinjury sexual dysfunction, 60.8% had sexual health discussions with providers, 83.3%

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

Zhao

Gonzalez

2013

Advanced Male Urethral and Genital Reconstructive Surgery

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Male Sexual Dysfunction After Pelvic Fracture

Cited by 61 publications

References 50 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

Understanding sexual health concerns in women after traumatic pelvic fracture

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

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