After pelvic fracture urethral injury on sexual function.docVIP

 PAGE \* MERGEFORMAT 9 After pelvic fracture urethral injury on sexual function 【Keywords】 pelvic fracture urethral injury after sexual function Impotence is a pelvic fracture and posterior urethral injuries after one of the complications. The reported incidence of 2.5% ~ 5.0%. Authors from March 1990 to October 2007, after pelvic fracture treated 68 patients with urethral injury, of which 36 cases of long-term follow-up occurred 14 cases of impotence, now report on the results as follows. A clinical data The group of 36 patients, aged from 12 to 62 years, an average of 34 years old, both photo pelvis plain film, including butterfly fracture in 16 cases, 8 cases of pairs of straight fracture, simple fracture of the pubic bone in 5 cases, pubic symphysis separation of four cases, other types of fracture in 3 cases. 26 cases of complete posterior urethral rupture, in part fracture in 10 cases. Emergency urethral realignment increases traction in 23 cases, line cystostomy, Ⅱ period of urethral scar resection, end to end anastomosis in 10 cases, the urethra into the plus traction sets in 1 case, simple indwelling catheterization in 2 cases. 16 cases of urethral stricture after the formation of the above-mentioned treatment, just regular urethral dilation in 9 cases, transurethral incision scar in 5 cases, open surgery in 2 cases. 2 follow-up results Patients are given a long-term follow-up, an average of 8.2 years. 5 cases of minor injury when the (12 ~ 16 years), follow up found no erectile dysfunction, of whom 30 cases of sexual function were normal pre-injury after injury occurred after the initial 15 cases of impotence treatment (including 2 cases of traumatic sexual function recovery after two years normal), 1 case was the initial deal with sexual functioning properly due to urethral stricture occurred after open surgery erectile dysfunction, impotence occurred in 14 cases, accounting for 38%. 3 Discussion