Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds, United Kingdom.
J Urol. 2011 Jun;185(6):2027-34. doi: 10.1016/j.juro.2011.01.076. Epub 2011 Apr 15.
Sexual dysfunction has been associated with pelvic fractures, especially in patients with concomitant urethral injuries. A critical review of the existing literature was performed focusing on the reported definitions of sexual dysfunction, its reported incidence, the presence of related risk factors, the methods of assessing sexual function, the timing of this assessment and its management.
The PubMed® search engine was used in July 2010 to retrieve articles using the terms "pelvic fracture" and "sexual function" in their title or abstract, published in the English language, from 1989 onward. The references of the selected publications were also evaluated for potential relevant studies according to set selection criteria.
Based on 23 original articles the data of 1,462 patients, with a mean age of 37.7 years (range 15 to 92), were analyzed. The overall mean reported incidence of sexual dysfunction was 35.9% in men and 39.6% in women. Various methods were applied for the evaluation of sexual dysfunction, and were questionnaire based in 22 of the 23 studies. Important factors associated with sexual dysfunction were age, pelvic fracture pattern, presence of urogenital injury and injury severity score.
Male and female patients were equally affected by sexual dysfunction following pelvic blunt trauma. Limited consensus exists in the definition of sexual dysfunction, the methods and timing of assessment, as well as its management. The existing literature offers limited evidence regarding sexual dysfunction in females, as for both genders in the absence of urogenital initial trauma.
性机能障碍与骨盆骨折有关，尤其是在伴有尿道损伤的患者中。对现有文献进行了批判性回顾，重点关注报告的性机能障碍定义、其报告的发生率、相关危险因素的存在、性功能评估方法、评估时间及其管理。
2010 年 7 月，使用 PubMed®搜索引擎，根据设定的选择标准，使用标题或摘要中含有“骨盆骨折”和“性功能”的术语，检索 1989 年以来发表的英文文章。还评估了所选出版物的参考文献，以寻找可能的相关研究。
基于 23 篇原始文章，对 1462 名患者的数据进行了分析，平均年龄为 37.7 岁（范围 15 至 92 岁）。男性总体报告的性功能障碍发生率为 35.9%，女性为 39.6%。性功能障碍的评估方法多种多样，23 项研究中有 22 项采用问卷调查。与性功能障碍相关的重要因素包括年龄、骨盆骨折类型、存在泌尿生殖系统损伤和损伤严重程度评分。
男性和女性患者在骨盆钝性创伤后同样受到性机能障碍的影响。在性机能障碍的定义、评估方法和时间以及管理方面，存在着有限的共识。对于女性，以及对于两种性别在没有泌尿生殖系统初始创伤的情况下，现有文献提供的关于性机能障碍的证据有限。
