{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:26:41Z","timestamp":1780406801291,"version":"3.54.1"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Female sexual dysfunction (FSD) after pelvic fracture (PFx) has garnered little attention in the urology literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To review and summarize the current evidence regarding female PFx-related sexual function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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. We used the search terms \u201cfemale sexual dysfunction AND pelvic fracture,\u201d \u201csexual dysfunction AND pelvic fracture,\u201d and \u201cfemale pelvic fracture AND sexual dysfunction.\u201d A total of 177 articles were identified; 41 abstracts were reviewed; of which, 19 manuscripts were reviewed. Fifteen met inclusion criteria for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes<\/jats:title><jats:p>The main outcome measures of this study are rates and types of female sexual dysfunction after pelvic fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>FSD is prevalent after PFx, with reported rates between 25% and 62%. Three studies used the validated Female Sexual Function Index. The other 12 used non-validated questionnaires or adapted quality-of-life questionnaires with specific questions regarding FSD. The most common complaints include difficulty with intercourse, dyspareunia, orgasmic dysfunction, genitourinary pain, decreased interest in intercourse, decreased satisfaction with intercourse, and pelvic floor dysfunction. Only 1 study addressed resolution of dysfunction (30 of 98 patients [30.4%]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>FSD is prevalent and an under-recognized sequela of pelvic fracture. This requires future prospective study to better characterize sexual dysfunction and identify effective treatments in trauma survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strength and Limitations<\/jats:title><jats:p>To Increase awareness of FSD after pelvic trauma and the impact on the quality of life in trauma survivors. The current literature is limited by a lack of standardized assessment of FSD, limited follow-up, and minimal discussion of treatment options, in addition to the inherent bias of retrospective studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>FSD after traumatic PFx is not uncommon, occurs mostly in young women, and can be morbid. FSD after PFx is underreported in the urology literature. Thus, all female PFx patients should be screened for FSD by validated questionnaires. The published literature offers little knowledge as to the epidemiology, evaluation, definition, and potential treatments of FSD after PFx. 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.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2020.12.014","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T18:04:31Z","timestamp":1613412271000},"page":"467-473","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Female Sexual Dysfunction After Pelvic Fracture: A Comprehensive Review of the Literature"],"prefix":"10.1093","volume":"18","author":[{"given":"Alice B.","family":"Walton","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine, Department of Urology , New Orleans, LA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel Z.","family":"Leinwand","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Urology , New Orleans, LA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Raheem","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Urology , New Orleans, LA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne J.G.","family":"Hellstrom","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Urology , New Orleans, LA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven B.","family":"Brandes","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, Department of Urology , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cooper R.","family":"Benson","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine, Department of Urology , New Orleans, LA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,13]]},"reference":[{"key":"2023041407090259200_","first-page":"349","article-title":"Management strategy of vascular injuries associated with pelvic fractures","volume":"33","author":"Klein","year":"1992","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"2023041407090259200_","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1097\/TA.0b013e3182ab0cde","article-title":"Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: trends and in-hospital mortality","volume":"76","author":"Yoshihara","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"2023041407090259200_","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.amjsurg.2015.08.038","article-title":"Patients with pelvic fractures from blunt trauma. 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