Men with pelvic ring fractures commonly experience urinary, sexual dysfunction
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According to presented results, men with traumatic pelvic ring fractures are at increased risk for urinary and sexual dysfunction.
“The close anatomical relation between the pelvic ring and urogenital organs mean that these organs are at high risk of injury following pelvic fractures,” Elisa Wylleman, MBBS, BSc (Hons), said in her presentation at the Orthopaedic Trauma Association Annual Meeting.
In their retrospective cross-sectional cohort study, Wylleman and colleagues at King’s College London identified 93 men who were treated for pelvic ring fractures between 2015 and 2019. Researchers then administered a questionnaire designed to assess urinary and sexual dysfunction. They also administered the International Index of Erectile Function-5 questionnaire, which is designed to diagnose post-injury erectile dysfunction (ED).
Of the 93 patients included in the study, 30.1% sustained a urological injury after pelvic fracture. According to the abstract, Wylleman and colleagues also found patients with pelvic fractures caused by anterior posterior compression (APC) were at higher risk of urological injury compared with patients with lateral compression fractures (relative risk: 2.37). Of the 26 patients who completed both questionnaires, 69.2% reported urological symptoms; 73% reported sexual dysfunction; and 38.5% were diagnosed with post-injury ED.
“Many barriers still exist to receiving care, including stigma and lacking discussions during the recovery process,” Wylleman said. Patients with APC fractures need special attention as they carry the highest risk for urological or sexual dysfunction after injury, she added.
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