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Male sexual dysfunction after pelvic fracture
Michael Metze1, Andreas H Tiemann, Christoph Josten
1Universitätsklinikum Leipzig, Zentrum für Chirurgie, Klinik für Unfall- und Wiederherstellungs- und plastische Chirurgie, Leipzig, Germany. michael.metze@web.de
The Journal of Trauma
|August 19, 2007
Summary
Major pelvic trauma significantly impacts male sexual function, with 61% of patients reporting issues like erectile dysfunction (ED). Specific injury patterns, such as posterior ring disruptions, increase the risk of persistent sexual problems.
Area of Science:
- Urology
- Trauma Surgery
- Sexual Medicine
Background:
- Pelvic fractures can lead to various male sexual dysfunctions.
- Assessing the full spectrum of sexual health issues post-trauma is crucial.
Purpose of the Study:
- To evaluate multiple aspects of male sexual function following traumatic pelvic fractures.
- To identify injury patterns associated with sexual dysfunction.
Main Methods:
- Cross-sectional retrospective study of 77 male patients with pelvic fractures.
- Standardized clinical examination, interviews, and the International Index of Erectile Function (IIEF) questionnaire.
- Pelvic injury classification using Tile's system.
Main Results:
- 61% of patients reported sexual function limitations.
- 19% experienced persistent erectile dysfunction (ED), confirmed by IIEF scores.
- Ruptured symphysis linked to temporary ED; distraction injuries and posterior ring disruptions associated with more severe/persistent issues.
Conclusions:
- Major pelvic trauma significantly impairs male sexual function.
- The IIEF provides objective ED assessment and aids in identifying patients needing further evaluation.
- Understanding injury patterns can predict and manage sexual dysfunction risks.
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