The comparison of micturation, sexual and defecation disorders in women in active age after pelvic fractures type B and C
Abstract
The objective of this work is to present results obtained in a three-year study focussed on micturition, defecation and sexual disorders in women of active age. The monitored set consisted of 33 female patients treated in 2004-2009 for unstable pelvic fracture (B-type or C-type according to AO classification).
Anamnestic data were obtained based on UIQ. UDI and PISQ12 questionnaires.
The occurrence of urologic problems was higher in the B-type fracture patients (84% vs. 50%), however, afflictions were more severe in the C-type fracture patients. Intestinal problems were more frequent in the C-type fracture patients (75% vs. 52%) and they were also more severe.
Also sexual problems were more frequent in the C-type fracture patients (75% vs. 40%), although according to individual answers it was not possible to state that their sexual life was unequivocally worse. The analysis of comparison of micturition, sexual and defecation problems in patients one year after the unstable pelvic fracture showed in some respects higher problems in the patients who had suffered the C-type fracture.
However, more important are the following observations, generally related to unstable pelvic fracture patients: j. The occurrence of micturition, sexual and defecation problems was unexpectedly high; 2.
Without active examination by a traumatologist during the after-treatment "minor" problems may escape his/her attention and may negatively affect life of each individual patient in the longer run; 3. A targeted method of detection of problems by means of questionnaires could lead to their disclosure; 4.
A urologist, urogynaecologist, sexologist and proctologist have an indisputable place in the treatment of women who suffered a severe pelvic trauma.