High prevalence of erectile dysfunction in young male patients after intramedullary femoral nailing

To evaluate, given the central role of the pudendal nerves in erection, the impact of potential infraclinical lesions on male sexual function. After intramedullary femoral fixation, countertraction on the fracture table has sporadically been involved in pudendal neurapraxia. Patients with tibial fra...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2005-03, Vol.65 (3), p.559-563
Main Authors: Mallet, Richard, Tricoire, Jean-Louis, Rischmann, Pascal, Sarramon, Jean Pierre, Puget, Jean, Malavaud, Bernard
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Bone Nails
Cross-Sectional Studies
Erectile Dysfunction - epidemiology
Erectile Dysfunction - etiology
Femoral Fractures - surgery
Fracture Fixation, Intramedullary - adverse effects
Humans
Male
Medical sciences
Nephrology. Urinary tract diseases
Prevalence
Surveys and Questionnaires
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Summary:To evaluate, given the central role of the pudendal nerves in erection, the impact of potential infraclinical lesions on male sexual function. After intramedullary femoral fixation, countertraction on the fracture table has sporadically been involved in pudendal neurapraxia. Patients with tibial fractures served as controls. A total of 168 patients treated for femoral or tibial shaft fractures by intramedullary nailing were mailed the International Index of Erectile Function questionnaire, which addresses all aspects of male sexual function and permits grading of the severity of erectile dysfunction (ED). Univariate and multivariate analyses were conducted to test for factors associated with ED. Of the 168 patients, 101 (60.1%) returned the questionnaire. A greater proportion of ED was observed in sexually active patients after femoral fracture than after tibial fracture (40.5% versus 12.5%, P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2004.10.002