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  1. Effect of trauma and pelvic fracture on female genitourinary, sexual, and reproductive function.

    Article - En anglais

    Objectives/Hypothesis 

    To evaluate the impact of a pelvic fracture on a woman's physical, sexual, and reproductive functioning.

    Design 

    Retrospective review.

    Setting 

    Level one trauma center.

    Patients 

    Two groups of female multitrauma patients : those with pelvic fractures (subjects) and those with extremity fractures but no pelvic fracture (controls).

    Main Outcome Measurements 

    Of the 302 women eligible for participation in this study, 255 (80% ; 123 subjects, 118 controls) were interviewed by blinded professional interviewers regarding genitourinary symptoms, sexual function, and reproductive history.

    Results 

    Urinary complaints occurred significantly more frequently in subjects than in controls (21 versus 7%, respectively ; p=0.003), in subjects with residual pelvic fracture displacement = 5 mm than in those without displacement (33 versus 14%, respectively ; p=0.018), and in subjects with residual lateral (60%) or vertical (67%) displacement than in those with medially displaced fractures (21.4%) (p=0.04).

    Although both groups reported increased rates of cesarean section, this increase was statistically significant only in the subject group : 14.5% preinjury versus 48% pastinjury (p<0.0001).

    Adjusting for previous cesarean sections, cesarean section was significantly more frequent in subjects with fractures initially displaced = 5mm (80%) than in those with fractures initially displaced<5mm (15%) (p=0.02). (...)

    Mots-clés Pascal : Fracture, Os bassin, Femelle, Epidémiologie, Prévalence, Complication, Long terme, Symptomatologie, Appareil urinaire, Appareil génital femelle, Sexualité, Reproduction, Adulte, Homme, Ceinture pelvienne, Système ostéoarticulaire pathologie, Traumatisme, Pelvis pathologie

    Mots-clés Pascal anglais : Fracture, Pelvis bone, Female, Epidemiology, Prevalence, Complication, Long term, Symptomatology, Urinary system, Female genital system, Sexuality, Reproduction, Adult, Human, Pelvic girdle, Diseases of the osteoarticular system, Trauma, Pelvis pathology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0197473

    Code Inist : 002B16H. Création : 21/05/1997.