|Genital and Sexual Function in Women With The History Of Pelvic Fracture|
|Alireza Sadeghpour1, Hossein Aslani1, Reza Torab2, Zahra Fardyazar2, Mohamamd Amin Rezazadeh Saatlou3|
|1Department of Orthopedic, Shohada Hospital, Tabriz University of Medical sciences, Tabriz, Iran
2Women's Reproductive Health Research Center, Tabriz University of Medical sciences, Tabriz, Iran
3Tuberculosis and Lung Disease Research Center, Tabriz University of Medical sciences, Tabriz, Iran
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Keywords : Female pelvic fracture, Genital complication, Sexual problem
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Objectives: Pelvic fractures in women significantly disrupt urogenital organs, which may cause urinary, genital and sexual problems. Our objective was to assess the incidence and correlation of genital and sexual complications in different kind of pelvic fracture in reproductive ages women.
Material and Methods: In this cross sectional study between 2013 and 2017a total 180 women patients with pelvic ring fractures refers to shohada teaching hospital, Tabriz, Iran.102 women were selected based on inclusion criteria’s. 11 patients discontinued follow up.Among 91 remind patient, pelvic fracture type, genital and sexual organs function and the mode of delivery after trauma were recorded with the patient's questionnaire and physical examination. The average follow-up was 12 months.
Result: The mean age was 28.38 ± 6.0 years. Frequency of APC, Acetabulum, Combined, LC, and VS types of fracture were 54%, 24%, 7.6%, 7.6% and 4.3% cases, respectively. 28 women (25.2%) reported symptoms of pelvic floor dysfunction; pelvic pain 16, dysmenorrhea 9,vaginal prolapse feeling 8, pelvic organ prolapsed 1 cases, Only 6 patients of 18 birth (33%) had cesarean section due to complications of pelvic fracture. 21 women described problems during sexual intercourse, dyspareunia 12, Coital incontinences 3, anorgasmia 4, reduced the frequency of intercourse 15 cases. The frequency of pelvic floor dysfunction symptoms and sexual problem was high in combined and VS type of fractures.
Conclusion: Frequency in APC type fracture was higher than other types but genital and sexual complications was higher in VS and combined type of fracture. Pelvic pain and dyspareunia were most common complication between this patient.
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