Erectile dysfunction following pelvic fracture

A research report submitted to the Faculty of Health Sciences at the University of the Witwatersrand in partial fulfillment of the requirements for the qualifications of MMed (Urology) 2017Background: Erectile dysfunction is one of the most important sequelae of pelvic fractures and may be transient or permanent. It can range from weak erections to severe sexual dysfunctions. Importantly, erectile dysfunction is more prevalent when the pelvic fracture is associated with urethral injury. Methods: This was a retrospective study of patient records, with a prospective questionnaire arm for patients admitted to the hospitals with a pelvic fracture between 01/07/2011 to 30/04/2015. The electronic databases of the Orthopedic Department at Helen Joseph Hospital and the Male Sexual Dysfunction Clinic at Charlotte Maxeke Johannesburg Academic Hospital were accessed for patients' contact details, by using the name and hospital number of each patient. Each patient was contacted telephonically with an open speaker in a presence of a witness/translator. The information sheet was read to the patient before the telephonic consent was obtained. After consent was obtained, patients were asked to verbally complete the International Index of Erectile Function score questionnaire. Results A total of 53 patients participated in the study, of which (43.4%) reported erectile dysfunction. The majority of patients indicated a recovery of erectile function between 2 8 | P a g e to 8 months after the injury. Most were found to still suffer from other forms of sexual impairment like orgasmic dysfunction and sexual satisfaction. However, sexual desire seemed to be preserved. Patients with sexual dysfunction were more likely to have had a urethral injury as well as a more severe fracture. Conclusions In our sample of 53 patients almost half reported sexual dysfunction after a pelvic fracture. Importantly, patients with urethral damage and a severe pelvic fracture should be followed up, as the risk of sexual dysfunction is high in these particular patients.MT201

Frequency of Erectile Dysfunction Following Pelvic Fracture Among Patients Admitted to Two Wits Teaching Hospitals, South Africa

Background: Erectile dysfunction that can range from weak to severe is one of the most important sequelae of pelvic fractures and may be transient or permanent. Importantly, erectile dysfunction is more prevalent when the pelvic fracture is associated with urethral injury. This study aimed to evaluate the frequency of erectile dysfunction post pelvic fracture and determine the frequency of spontaneous recovery of erectile function within the first six months from the time of injury in a South African sample population. Materials and Methods: This study was a cross-sectional study of records of patients who were admitted to the Orthopedic Department at Helen Joseph Academic Hospital and the Male Sexual Dysfunction Clinic at Charlotte Maxeke Johannesburg Academic Hospital, in Johannesburg, South Africa, with a pelvic fracture between July 1, 2011 and April 30, 2015. Results: A total of 53 patients aged between 18 and 80 years (mean: 7.57 ± SD3.45) meeting the study-inclusion criteria participated in the study, of which 50.9% had a B2 type pelvic fracture and 20% had a C type fracture. Of the 53 patients, 43.4% reported erectile dysfunction. The majority (88%) of patients indicated a recovery of erectile function between 2 and 8 months after the injury. However, 86% of those patients were stillsuffering from other forms of sexual impairment like orgasmic dysfunction and lack of sexual satisfaction. Interestingly, sexual desire seemed to be preserved. Patients with sexual dysfunction were more likely to have had a urethral injury as well as a more severe fracture. Conclusions: In our sample of 53 patients, almost half (43.4%) reported sexual dysfunction after a pelvic fracture. Importantly, patients with a severe pelvic fracture and urethral damage should be followed-up after surgery, as the risk of long-term sexual dysfunction is increased in these particular patients

Frequency of Erectile Dysfunction Following Pelvic Fracture Among Patients Admitted to Two Wits Teaching Hospitals, South Africa

Background: Erectile dysfunction that can range from weak to severe is one of the most important sequelae of pelvic fractures and may be transient or permanent. Importantly, erectile dysfunction is more prevalent when the pelvic fracture is associated with urethral injury. This study aimed to evaluate the frequency of erectile dysfunction post pelvic fracture and determine the frequency of spontaneous recovery of erectile function within the first six months from the time of injury in a South African sample population. Materials and Methods: This study was a cross-sectional study of records of patients who were admitted to the Orthopedic Department at Helen Joseph Academic Hospital and the Male Sexual Dysfunction Clinic at Charlotte Maxeke Johannesburg Academic Hospital, in Johannesburg, South Africa, with a pelvic fracture between July 1, 2011 and April 30, 2015. Results: A total of 53 patients aged between 18 and 80 years (mean: 7.57 ± SD3.45) meeting the study-inclusion criteria participated in the study, of which 50.9% had a B2 type pelvic fracture and 20% had a C type fracture. Of the 53 patients, 43.4% reported erectile dysfunction. The majority (88%) of patients indicated a recovery of erectile function between 2 and 8 months after the injury. However, 86% of those patients were stillsuffering from other forms of sexual impairment like orgasmic dysfunction and lack of sexual satisfaction. Interestingly, sexual desire seemed to be preserved. Patients with sexual dysfunction were more likely to have had a urethral injury as well as a more severe fracture. Conclusions: In our sample of 53 patients, almost half (43.4%) reported sexual dysfunction after a pelvic fracture. Importantly, patients with a severe pelvic fracture and urethral damage should be followed-up after surgery, as the risk of long-term sexual dysfunction is increased in these particular patients