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

Area of Science:

• Orthopedics
• Urology
• Sexual Medicine

Background:

• Pelvic ring injuries (PRI) are associated with significant functional impairments, including sexual dysfunction (SD).
• Understanding the correlation between PRI and SD is crucial for effective multidisciplinary treatment strategies.

Purpose of the Study:

• To investigate the correlations between traumatic pelvic ring injuries (PRI) and genitourinary and sexual dysfunctions (SD).
• To inform multidisciplinary treatment approaches for patients with PRI-related sexual dysfunction.

Main Methods:

• An observational, multicentric study conducted from January 2020 to 2022.
• Follow-up assessments at 3, 6, 12, and 24 months post-surgery using validated questionnaires (FSFI, IIEF, ASEX, Majeed Score, SF-12).
• Statistical analysis included T-tests, Whelc's tests, and one-way ANOVA.

Main Results:

• 76 patients (mean age 42.17 ± 15 years) were analyzed in three groups (A, B, C).
• Group A showed sexual outcomes similar to healthy individuals.
• Group B exhibited worse sexual dysfunction than Group A; no significant difference in SD was found between Group C and Group B despite longer surgery duration in Group C.

Conclusions:

• A progressive, spontaneous recovery of sexual function was observed across different pelvic ring injury groups.
• Male patients in subgroup B2 demonstrated milder sexual dysfunction compared to those in subgroup B1.