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Sexual dysfunction following traumatic pelvic fracture.

Niels V Johnsen1, Eliza Cohn, Tascha Johnson

  • 1From the Department of Urology (N.V.J.), Vanderbilt University Medical Center, Nashville, Tennessee; Harborview Injury Prevention and Research Center (N.V.J., E.C., T.J., M.S.V., F.P.R., M.M.), Department of Anesthesiology and Pain Medicine (M.S.V.), Department of Pediatrics (F.P.R.), and School of Social Work (M.M.), University of Washington, Seattle, Washington.

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Men experiencing sexual dysfunction after pelvic fractures report significant impacts on relationships and self-image. Improved healthcare communication and expectation setting are crucial for better trauma survivorship care.

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Area of Science:

  • Trauma surgery
  • Urology
  • Psychology

Background:

  • Sexual dysfunction (SD) is common in men after traumatic pelvic fracture.
  • Understanding the patient experience of SD post-injury is limited.
  • Optimizing healthcare interactions for patient-centered trauma survivorship is key.

Purpose of the Study:

  • To explore the personal and interpersonal impacts of SD in men post-pelvic injury.
  • To understand how healthcare interactions can be improved for trauma survivors.
  • To enhance patient-centered care for men with sexual health concerns after pelvic trauma.

Main Methods:

  • Conducted 15 semistructured interviews with men reporting SD after pelvic fracture.
  • Utilized a web-based qualitative analysis platform for transcribed interviews.
  • Performed inductive thematic analysis to identify key patient experiences.

Main Results:

  • Five themes emerged: impact on self-image/relationships, unclear care pathways, provider priority mismatches, information gaps, and expectation setting.
  • Men desired improved communication and information on potential adverse effects.
  • Setting realistic expectations was vital for post-trauma recovery.

Conclusions:

  • Men's sexual health experiences post-pelvic trauma are shaped by healthcare interactions.
  • Valuing sexual health within survivorship care is essential.
  • Integrating findings into patient-centered programs can improve outcomes.