THE VASCULAR AND NEUROGENIC FACTORS ASSOCIATED WITH ERECTILE DYSFUNCTION DUE TO PELVIC FRACTURE
Main Article Content
Keywords
Pelvic fracture, Erectile dysfunction, Penis, Vascular factors, Neurogenic factors
Abstract
Background: Pelvic fractures, accounting for 2-8% of significant skeletal trauma, result from high-energy mechanisms and pose a critical patient burden. Understanding the epidemiology and consequences, particularly on sexual function, is crucial.
Methods: A retrospective study enrolled 146 men aged 20-55 with unstable pelvic fractures. Assessments included demographic data, imaging, electrodiagnostic tests, and clinical evaluations. Erectile function was measured using the International Index of Erectile Function (IIEF-5) scale.
Results: After six months, 37.7% of participants experienced moderate-severe erectile dysfunction. Color Doppler testing showed that 73.1% had reduced penile arterial inflow, while pudendal arteriographic lesions occurred in 63.2%. Electrodiagnostic evidence of neuropathy affected 53.2% of participants. Combined vascular and neural injuries increased the odds of severe dysfunction by 4.62 times.
Conclusion: Pelvic fractures significantly contribute to erectile impairment, with vascular and neurological injuries playing substantial roles. Early multi-disciplinary interventions targeting reversible changes are crucial to prevent irreversible fibrosis. Customized approaches, including rehabilitation programs and psychosexual support, may optimize outcomes. Ongoing research should explore individualized therapies and the efficacy of preventive interventions.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Imtiaz Ali Shah
Department of Traumatic Surgery, The First Affiliated Hospital of Xinjiang Medical University China
MA Junchao
Department of Traumatic Surgery, The First Affiliated Hospital of Xinjiang Medical University China
Wuluhan Mahan
Department of Traumatic Surgery, The First Affiliated Hospital of Xinjiang Medical University China
HE Jiaqi
Department of Traumatic Surgery, The First Affiliated Hospital of Xinjiang Medical University China
HUANG Jinyong
Department of Traumatic Surgery, The First Affiliated Hospital of Xinjiang Medical University China
XIE Zengru
Department of Traumatic Surgery, The First Affiliated Hospital of Xinjiang Medical University China