Ces Urol 2007, 11(2):112-114 | DOI: 10.48095/cccu2007012

Urological and sexual disorders after a severe pelvic injury

R. Grill^1,2, V. Mašková^1,2, V. Džupa^1,3, M. Fric^1,4, M. Otčenášek^1,5, V. Báča^1,6, J. Pachl⁴, M. Urban²

¹ Centrum pro integrované studium pánve 3. LF UK, Praha

² Urologická klinika 3. LF UK a FNKV, Praha-Vinohrady

³ Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha-Vinohrady

⁴ Klinika anesteziologie a resuscitace 3. LF UK a FNKV, Praha-Vinohrady

⁵ Ústav pro péči o matku a dítě, Praha-Podolí

⁶ Ústav anatomie 3. LF UK, Praha

The aim of the study is a retrospective evaluation of urological and sexual chronic sequelae in patients with a pelvic injury. The followed up group comprised 86 patients (33 women and 53 men) at the age between 16 and 89 years (women's range, 16-89 years; men's range, 17 - 87 years), the average age was 39 years (women - 41 years, men - 39 years). As compared to the fractures associated with a primary injury to the urogenital system, the incidence of urological and sexual disorders in severe pelvic injuries (Type B fractures with a diastasis of the symphysis exceeding 2.5 cm and Type C fractures according to the AO/ASIF classification) was higher and this difference was significant (p = 0.002). Results of the study have confirmed that the number and severity of both temporary and chronic sequelae of the urological and sexual nature depend on the severity of the injury to the anterior pelvic segment, rather than on the number of associated injuries to the urogenital system itself.

Keywords: pelvic injury, urological disorders, sexual disorders

Published: March 1, 2007