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European Journal of Trauma and Emergency Surgery

Published in:

01-02-2017 | Original Article

Sexual dysfunction of male, after pelvic fracture

Authors: C. Copuroglu, B. Yilmaz, S. Yilmaz, M. Ozcan, M. Ciftdemir, E. Copuroglu

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2017

Abstract

Purpose

Pelvic fractures are usually the result of high-energy trauma, and sexual dysfunction after a pelvic fracture is an often complication. Though organic pathologies can be the reason for sexual disorders, psychological factors following a trauma may also be linked to sexual problems. We aimed to evaluate the frequency of sexual dysfunction after pelvic fractures, and help these patients with their usually undisclosed sexual problems, and offer them support.

Materials and methods

During a 4-year period, between June 2008 and May 2012, 40 male patients (out of 57) with a mean age of 42.6 years (range 18–65 years) were evaluated retrospectively. Patients having organic pathologies (vascular, neural, and urogenital system pathologies) were excluded from the study. Patients were requested to complete the Arizona Sexual Experience Scale (ASEX), which is a 5-item self-evaluation scale. According to the results of the questionnaire, patients needing supportive treatment were referred to the psychiatry department.

Results

Twenty-two patients (55 %) scored 10 points or less in the ASEX questionnaire (normal). Eighteen patients (45 %) had 11 points or more (can be problematic). Four of these 18 patients had a score of 19 points or more (needing psychiatric evaluation). Patients with a score of ≥19 points, for any one item with a score of 5 or 6 points, or any three or more items with a score of 4 points were considered to have a high probability of sexual dysfunction after psychiatric evaluation.

Conclusion

The frequency of sexual dysfunction in pelvic fractured patients was tested, and the need for investigating sexual disorders is stressed. This study attracts attention to sexual dysfunction after pelvic fractures and the necessity of referring these patients to the related clinics, for treatment.

Level of evidence

Retrospective case series.

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Title: Sexual dysfunction of male, after pelvic fracture
Authors: C. Copuroglu
B. Yilmaz
S. Yilmaz
M. Ozcan
M. Ciftdemir
E. Copuroglu
Publication date: 01-02-2017
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2017
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-015-0603-z

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Sexual dysfunction of male, after pelvic fracture

Abstract

Purpose

Materials and methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

Level of evidence

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