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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۴، صفحات ۲۶۲-۲۶۸
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عنوان انگلیسی Pain, Pattern and Polytrauma – Predictors of Sexual Dysfunction in Pelvic Fractures: A Retrospective Multicenter Analysis
چکیده انگلیسی مقاله Objectives: In the local and cultural setting of high trauma rates and a reserved outlook on sexual function, this study examines the incidence and underlying factors of sexual dysfunction (SD) following pelvic fractures.Methods: A Multi-center retrospective cohort analysis performed in two general hospitals and one tertiary orthopedic center with collection between 2017 and 2019. Consecutive patients with pelvic fractures between January 2017 and February 2019 were followed up at 18-24 months to screen for new-onset SD using the International Index of Erectile Function-5 (IIEF-5) and Female-Sexual-Function-Index-6 (FSFI-6). Additional variables include age, sex, Young-Burgess classification, urogenital injury, injury severity score, persisting pain, sacroiliac disruption, intervention and if sexual health was discussed or patient referred for sexual healthcare.Results: One-hundred and sixty-five patients (n = 165) were included, (83%) male, (16%) female with a mean age of 35.1 years (Range 18-55). Fracture patterns included lateral compression (LC) (51.5%), anteroposterior compression (APC) (27.7%), and vertical shear (VS) (20.6%). The urogenital injury occurred in 10.3%. The mean IIEF-5 and FSFI-6 scores were 20.8 and 24.7 in males and females, respectively. A total of 40 males (29%) scored below the 21 cut-off scores for SD, while only one female (3.7%) scored below the corresponding score of 19. Of all participants reporting sexual dysfunction, 56% discussed sexual health with their providers, while 46% of these patients were referred for further management. Significant predictive factors for SD using a multivariate logistic regression model include increasing age (OR-1.093, p = 0.006), APC III (OR 88.887, p = 0.006), VS (OR-15.607, p = 0.020), persisting pain (OR 3.600, p = 0.021) and increasing injury severity score (OR 1.184, p < 0.001).Conclusion: SD is common among pelvic fractures, and risk factors include APC or VS type fractures, increasing age, increasing injury severity score, and persisting pain. Providers should ensure patients are screened for SD and referred appropriately as patients may not willingly disclose underlying symptoms. Level of evidence: III 
کلیدواژه‌های انگلیسی مقاله outcomes, Pelvic Fractures, Sexual health, Trauma, Urogenital Injury
نویسندگان مقاله | Ali Lari
Alrazi Orthopedic Hospital, Alsabah medical region, Kuwait


| Ali Jarragh
Jaber Alahmed Alsabah Hospital, South Surra, Kuwait


| Mohammad Alherz
Farwaniya Hospital, Farwaniya Governorate, Kuwait


| Abdullah AlNouria
Alrazi Orthopedic Hospital, Alsabah medical region, Kuwait


| Mohammed Qasem
Alrazi Orthopedic Hospital, Alsabah medical region, Kuwait


| Alia Khaja
Alrazi Orthopedic Hospital, Alsabah medical region, Kuwait


| Owayed Almutairi
Alsalam International Hospital, Bneid Al Gar, Kuwait
نشانی اینترنتی https://abjs.mums.ac.ir/article_21966.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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