Background Erectile Dysfunction (ED) is one of the main long-term complications in male patients with unstable pelvic fractures. However, its mechanism is unclear. Exploring the relationship between injury factors, fracture types, surgical factors and ED is important for early identification and intervention.
Objective To analyze the correlated factors for erectile dysfunction in men with surgically treated unstable pelvic fractures.
Methods A retrospective analysis was conducted on male patients with surgically treated unstable pelvic fractures at the First Medical Center of Chinese PLA General Hospital from January 2010 to December 2022. Univariate and multivariate logistic regression analysis were conducted to examine the impact of 10 factors on erectile dysfunction (ED) in men with surgically treated unstable pelvic fractures, including age of injury, trauma mechanism, Young-Burgess classification, fracture types, external genital injury, pubic symphysis diastasis, urethral injury, Injury Severity Score (ISS), surgical approach, and fixation hardware.
Results Among 112 male patients with unstable pelvic fractures, 49 (43.75%) developed ED after surgery. Multivariate logistic regression analysis indicated that urethral injury (OR=3.765, P=0.003) and pubic symphysis diastasis (OR=8.059, P=0.014) were independent correlated factors for ED after surgically treated unstable pelvic fractures in men.
Conclusion Urethral injury and pubic symphysis diastasis are important factors for the development of ED after surgically treated unstable pelvic fractures in men. It is essential to collaborate with urologist in formulating a treatment plan for the early detection and intervention of ED.
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