Male Sexual Function after Bilateral Internal Iliac Artery Embolization for Pelvic Fracture

Ramirez, Jesus I; Velmahos, George C.; Best, Charles R.; Chan, Linda S.; Δημητριάδης, Δημήτριος

doi:10.1097/01.ta.0000120287.04574.78

Cited by 67 publications

(25 citation statements)

References 27 publications

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“…He reported no ED. Similarly, even bilateral iliac artery embolization did not seem to cause lasting negative effects, 44 but arterial supply can rely on accessory penile arteries. 45,46 Furthermore, blunt perineal trauma may lead to veno-occlusive dysfunction.…”

Section: Discussionmentioning

confidence: 95%

Male Sexual Dysfunction After Pelvic Fracture

Metze

Tiemann

Josten

2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Section: Discussionmentioning

confidence: 95%

Male Sexual Dysfunction After Pelvic Fracture

Metze

Tiemann

Josten

2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…13,14) Although Borg et al 6) have developed a questionnaire including sexual life for patients with an acetabular fracture, they only described the degree of discomfort in sexual life, and they did not present the status of sexual activity after an acetabular fracture. Whereas our questionnaire was developed to document the changes in sexual activity before and after an acetabular fracture, and to investigate the patient concerns related to sexual activity.…”

Section: Discussionmentioning

confidence: 99%

Sexual Activity at 1 Year after Acetabular Fracture

2017

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Purpose: Change in sexual activity after acetabular fracture has not been elucidated to date. Hence, the purpose of this study was to reveal: (1) how acetabular fracture affects the status of sexual activity; (2) how acetabular fracture affects patient satisfaction about sexual activity; and (3) what are the concerns of patients regarding sexual activity. Materials and Methods:Between January 2014 and December 2014, a self-reported questionnaire was conducted with patients who had been sexually active before the treatment for acetabular fracture. Out of the nineteen patients who participated in the questionnaire, twelve men and three women were included for final analysis; patients who were treated conservatively were excluded.Results: All patients had hip pain (mean visual analogue scale score, 2.9; range, 1-7) at 1 year after the trauma. Fourteen patients (93.3%, 14/15) resumed sexual activity within 1 year (mean, 3.9 months; range, 2-6 months). After excluding one patient who did not recover to allow sexual activity, the frequency of sex was decreased in 11 patients (78.6%, 11/14). Sexual satisfaction was decreased in seven patients (46.7%, 7/15). Old age was associated with decreased sexual satisfaction. Conclusion:Half of the patients showed a decreased satisfaction from sexual activity after acetabular fracture, with hip pain being the most common problem. Although our study was a small, single-center study, it provides information regarding sexual activity of patients after acetabular fracture.

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“…While a few case reports of ischemic complications of bilateral internal iliac artery embolization exist, major complications following therapeutic or prophylactic angioembolization are rare (Christopher J. Dente, David V. Feliciano ,2008;gracias, v. reilly, p. mckenny, m. velmahos, g ,2009;Ramirez, et al, 2004;Velmahos, et al, 2002). Re-bleeding, or continued hemorrhage following therapeutic angioembolization is rare, occurring in about 7% of cases (Boufi, et al, 2011;Gourlay, et al, 2005 Good outcomes with the placement of covered stent grafts across external and common iliac artery injuries (Figure 10) have been described, however these have been small series (Boufi, et al, 2011;Shah, et al, 2003;Starnes&Arthurs.…”

Section: Iliacmentioning

confidence: 99%