Types of dysfunction:
(1) erectile dysfunction
(2) ejaculatory dysfunction
(3) sensory loss over the genital region
(4) pain and/or restricted range of motion during sexual activity (page 397)
Risk factors for long term dysfunction:
(1) significant urethral injury
(2) Tile Type B fracture with distraction injury or Type C (Tile 1988 classification of pelvic fractures, Chapter 29)
(3) significant nerve damage (typically associated with posterior ring disruption)
(4) fracture of transverse process of the fifth lumbar vertebra (page 397)
Risk factors for short-term dysfunction:
(1) ruptured symphysis
(2) Type A fracture or Type B with compression
The International Index of Erectile Function (IIEF) was found to be useful to screen patients after pelvic fracture and to identify those who need a more complete evaluation.
Additional factors that might contribute to sexual dysfunction after pelvic fracture (page 399):
(1) economic difficulties from loss of job
(2) depression, anxiety, post-traumatic stress disorder
(3) chronic pain
(4) spinal cord injury
(5) head injury
(6) nailing of femoral fracture
