MP29-08 FEMALE SEXUAL DYSFUNCTION AFTER PELVIC FRACTURE IS COMMON

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) I (MP29)1 Apr 2020MP29-08 FEMALE SEXUAL DYSFUNCTION AFTER PELVIC FRACTURE IS COMMON Cooper Benson, Alice Walton*, Steven Brandes, and Omer Raheem Cooper BensonCooper Benson More articles by this author , Alice Walton*Alice Walton* More articles by this author , Steven BrandesSteven Brandes More articles by this author , and Omer RaheemOmer Raheem More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000868.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Male sexual dysfunction following pelvic fracture (PF) is well described. However, female sexual dysfunction (FSD) after PF has garnered little attention in the urology literature. We sought to review and summarize the current evidence as to female PF related sexual function. METHODS: We performed a systematic review in accordance with PRISMA guidelines, including PubMed, EMBASE and MEDLINE. We included only English language manuscripts and abstracts with sufficient data for inclusion and excluding case reports We used the search terms “female sexual dysfunction AND pelvic fracture,” “sexual dysfunction AND pelvic fracture,” “female pelvic fracture AND sexual dysfunction.” A total of 178 articles were identified, of which 43 abstracts were reviewed, and of which, 21 manuscripts were reviewed. 15 met inclusion criteria for analysis. RESULTS: Among the 15 articles included in our systematic review, only 3 are from urology journals, while the remaining 11 are from gynecology, orthopedic surgery, and trauma literature. After PF, FSD is prevalent with reported rates mean 51% (17%-62%). There were 719 females including all studies, mean age 31.9 years and mean follow up after injury to assessment was 52 months. Three studies utilized the validated Female Sexual Function Index (FSFI). The other 12, used non-validated questionnaires or adapted quality of life questionnaires with specific questions regarding FSD. The reported complaints were: dyspareunia (mean 48% among 9 studies), orgasmic dysfunction (mean 44% reported in 4 studies), GU pain (mean 35% in 6 studies), decreased interest in intercourse (mean 20% in 3 studies), decreased satisfaction (mean 40% in 5 studies) and pelvic floor dysfunction (mean 57% in 2 studies) Only 2 studies addressed the lack of information and counseling regarding sexual function after PF. Furthermore, only one study addressed resolution of dysfunction in 30.4% (30/98) patients, among whom 36.4% resolved within 1 year of their injury. CONCLUSIONS: FSD after traumatic PF is not uncommon, occurs mostly in young women and can be morbid. FSD after PF is underreported in the urology literature. Thus, all female pelvic fracture patients should be screened for FSD by validated questionnaires. The current published literature offers little knowledge as to the epidemiology, evaluation, definition and potential treatments of FSD after PF. Prospective studies are needed to better understand female sexual function in trauma survivors, and the potential methods for prevention and rehabilitation, all within the context of a multidisciplinary approach. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e431-e432 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Cooper Benson More articles by this author Alice Walton* More articles by this author Steven Brandes More articles by this author Omer Raheem More articles by this author Expand All Advertisement PDF downloadLoading ...