scholarly journals Do Current Pelvic Outcome Scores Identify Patient-Reported Symptoms? Long-Term Patient-Reported Genitourinary and Sexual Dysfunction in Males After Operatively Treated Pelvic Ring Injuries

2019 ◽  
Author(s):  
Graeme Nicol ◽  
Alasdair Bott ◽  
Adekoyejo Odutola ◽  
Ruth Halliday ◽  
mehool acharya ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Pelvic Ring ◽  
Pelvic Ring Injuries ◽  
Patient Reported ◽  
Outcome Scores

scholarly journals Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review

2021 ◽  
Author(s):  
Giuseppe Rovere ◽  
Andrea Perna ◽  
Luigi Meccariello ◽  
Domenico De Mauro ◽  
Alessandro Smimmo ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Pelvic Fracture ◽  
Pelvic Ring ◽  
Pelvic Fractures ◽  
Sexual Dysfunctions ◽  
Fracture Type ◽  
Ring Fracture ◽  
Male And Female ◽  
Pelvic Ring Injuries

Abstract Introduction Pelvic ring injuries, frequently caused by high energy trauma, are associated with high rates of morbidity and mortality (5–33%), often due to significant blood loss and disruption of the lumbosacral plexus, genitourinary system, and gastrointestinal system. The aim of the present study is to perform a systematic literature review on male and female sexual dysfunctions related to traumatic lesions of the pelvic ring. Methods Scopus, Cochrane Library MEDLINE via PubMed, and Embase were searched using the keywords: “Pelvic fracture,” “Pelvic Ring Fracture,” “Pelvic Ring Trauma,” “Pelvic Ring injury,” “Sexual dysfunction,” “Erectile dysfunction,” “dyspareunia,” and their MeSH terms in any possible combination. The following questions were formulated according to the PICO (population (P), intervention (I), comparison (C), and outcome (O)) scheme: Do patients suffering from pelvic fracture (P) report worse clinical outcomes (C), in terms of sexual function (O), when urological injury occurs (I)? Is the sexual function (O) influenced by the type of fracture (I)? Results After screening 268 articles by title and abstract, 77 were considered eligible for the full-text analysis. Finally 17 studies that met inclusion criteria were included in the review. Overall, 1364 patients (902 males and 462 females, M/F ratio: 1.9) suffering from pelvic fractures were collected. Discussion Pelvic fractures represent challenging entities, often concomitant with systemic injuries and subsequent morbidity. Anatomical consideration, etiology, correlation between sexual dysfunction and genitourinary lesions, or pelvic fracture type were investigated. Conclusion There are evidences in the literature that the gravity and frequency of SD are related with the pelvic ring fracture type. In fact, patients with APC, VS (according Young-Burgess), or C (according Tile) fracture pattern reported higher incidence and gravity of SD. Only a week association could be found between GUI and incidence and gravity of SD, and relationship between surgical treatment and SD. Electrophysiological tests should be routinely used in patient suffering from SD after pelvic ring injuries.

The Longitudinal Short-, Medium-, and Long-Term Functional Recovery After Unstable Pelvic Ring Injuries

2019 ◽  
Vol 33 (12) ◽  
pp. 608-613 ◽  
Author(s):  
Michael E. Neufeld ◽  
Henry M. Broekhuyse ◽  
Peter J. OʼBrien ◽  
Pierre Guy ◽  
Kelly A. Lefaivre
Keyword(s):  
Functional Recovery ◽  
Pelvic Ring ◽  
Pelvic Ring Injuries ◽  
Unstable Pelvic Ring Injuries

scholarly journals Infection after the use of INFIX in Pelvic Ring Injuries

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 46
Author(s):  
Rahul Vaidya ◽  
Karun Amar ◽  
Derrek Woodbury ◽  
Austen Washington
Keyword(s):  
Pelvic Ring ◽  
X Rays ◽  
Pelvic Fixation ◽  
Pelvic Ring Injuries ◽  
Small Series ◽  
Loss Of Reduction ◽  
Irrigation And Debridement ◽  
Radiographic Union

Introduction: The purpose of this study is to report on infection with anterior subcutaneous internal pelvic fixation (INFIX) for pelvic ring injuries and the outcomes of treatment. Methods: An IRB-approved retrospective study was performed using trauma databases of a level one and level two trauma center from 2012–2018. Infection after the INFIX procedure was diagnosed in 10 of 179 cases. Treatment included formal irrigation and debridement, removal of the hardware, and culture-specific antibiotics. Patients were followed for a minimum of 12 months. Recorded outcomes include X-rays, Majeed scores, and the presence of any loss of reduction using reduction parameters. Results: Time to detect the infection was 54.2 ± 24.3 days (range 24–90, median 56 days). Staphylococcus aureus was the most common bacteria isolated. The average follow-up was 830 ± 170 days (range 575–1088 days). All patients went on to the radiographic union. There were no recurrent infections or osteomyelitis at the latest follow-up. Patients maintained their reduction after INFIX removal (KI), and Majeed scores ranged from 72 to 96 (seven good, three excellent). Discussion: Infections after using the INFIX procedure were dealt with by irrigating and debriding the wounds, removing the INFIX with culture-specific antibiotics for 2–6 weeks. Implants were maintained for at least 25 days, and there was no loss of reduction. There were no long-term sequelae noted in this small series or the literature review included in this paper.

scholarly journals Radiation Dose to the Penile Structures and Patient‐Reported Sexual Dysfunction in Long‐Term Prostate Cancer Survivors

2015 ◽  
Vol 12 (12) ◽  
pp. 2388-2397 ◽  
Author(s):  
Maria Thor ◽  
Caroline E. Olsson ◽  
Jung Hun Oh ◽  
David Alsadius ◽  
Niclas Pettersson ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Sexual Dysfunction ◽  
Radiation Dose ◽  
Cancer Survivors ◽  
Prostate Cancer Survivors ◽  
Patient Reported

Survivorship after lower gastrointestinal cancer: Patient reported outcomes and planning for care.

2017 ◽  
Vol 35 (4_suppl) ◽  
pp. 695-695
Author(s):  
Melissa Frick ◽  
Carolyn Vachani ◽  
Margaret K. Hampshire ◽  
Christina Bach ◽  
Karen Arnold-Korzeniowski ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Cancer Survivors ◽  
Anal Cancer ◽  
Patient Reported Outcomes ◽  
Long Term Effects ◽  
Gi Cancer ◽  
Patient Reported ◽  
Radiation Induced

695 Background: There is significant need for quality follow-up care to optimize long-term outcomes for the growing population of lower gastrointestinal (GI) cancer survivors. Patient-reported outcomes (PROs) provide valuable information regarding late- and long-term effects. Methods: Using a convenience sample from 1,129 colon, rectal and anal cancer survivors (n=792, 218, and 119, respectively) who utilized an Internet-based survivorship care plan (SCP) tool, we examined patient-reported demographics, treatment, and toxicity data. Responses from a follow-up survey were reviewed. Results: Median age of diagnosis was 51 years and median current age was 54 years. 81% of respondents were Caucasian and 58% were female. The most commonly reported late- and long-term effects for all survivors were neuropathy (65%), fatigue (56%), cognitive changes (49%), changes in GI function (43%), sexual dysfunction (22% in males, 43% in females), and radiation-induced dermatologic effects including changes in color/texture of skin (39%) and loss of flexibility in radiated areas (31%). The prevalence of these effects varied with length of time since treatment and treatment modality. Anal cancer patients reported a high prevalence of sexual dysfunction and radiation-induced dermatologic effects. Over 87% of users reported satisfaction levels of "good" to "excellent" using this tool, and 69% reported they intend to share SCP with their healthcare team. Conclusions: For lower GI cancer survivors, it is feasible to obtain PROs from an Internet-based survivorship tool. Survivors report a wide spectrum of late- and long-term side effects, which can be used to inform counseling at time of diagnosis, as well as help anticipate and respond to disease- and treatment-related sequelae during follow-up. We are among the first to report on PROs in anal cancer survivors. Further investigation on the impact of SCPs on healthcare communication and use is needed.

scholarly journals A Method of Using a Pelvic C-Clamp for Intraoperative Reduction of a Zone 3 Sacral Fracture

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Daniel H. Wiznia ◽  
Nishwant Swami ◽  
Chang-Yeon Kim ◽  
Michael P. Leslie
Keyword(s):  
Closed Reduction ◽  
Pelvic Ring ◽  
Sacral Fracture ◽  
Pelvic Ring Injury ◽  
Open Book ◽  
Long Term Outcomes ◽  
Pelvic Ring Injuries ◽  
Emergency Stabilization ◽  
Reduction Methods

It is challenging to properly reduce pelvic ring injuries that involve a zone 3 sacral fracture. Several open and closed reduction methods have been described. Percutaneous reductions are challenging, and improper reductions can have poor long-term outcomes. The pelvic C-clamp is a tool designed to provide emergency stabilization to patients suffering from c-type pelvic ring injuries. We describe a case in which a patient’s open book pelvic ring injury with a zone three sacral fracture is reduced intraoperatively with the use of a pelvic C-clamp and stabilized with transsacral screws.

The long-term clinical outcome after pelvic ring injuries

2013 ◽  
Vol 95-B (4) ◽  
pp. 548-553 ◽  
Author(s):  
T. Dienstknecht ◽  
R. Pfeifer ◽  
K. Horst ◽  
R. M. Sellei ◽  
A. Berner ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Pelvic Ring ◽  
Pelvic Ring Injuries

scholarly journals Patient-Reported Bladder, Bowel, and Sexual Function After Cauda Equina Syndrome Secondary to a Herniated Lumbar Intervertebral Disc

2020 ◽  
Vol 26 (4) ◽  
pp. 290-303
Author(s):  
Jordan Lam ◽  
Ruth-Mary deSouza ◽  
Jonathan Laycock ◽  
Duranka Perera ◽  
Charlotte Burford ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Dysfunction ◽  
Intervertebral Disc ◽  
Sexual Function ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Bladder Function ◽  
Patient Reported

Background: Cauda equina syndrome (CES) is rare neurosurgical emergency requiring emergent surgical decompression to prevent bladder, bowel, and sexual dysfunction that can have significant impact on quality of life. There is a paucity of data relating to the prevalence of these long-term complications. Objective: The aim of this observational study was to evaluate the long-term prevalence of CES-related bladder, bowel, and sexual dysfunction and impact on quality of life to inform service provision. Methods: Participants were selected through coding of operative records of patients who underwent lumbar decompression for CES secondary to a herniated intervertebral disc at two large UK neurosurgical departments between 2011 and 2015 inclusive. A telephone-based survey including both validated and modified tools was used to collect data pertaining to bladder, bowel, and sexual function and impact on quality of life both before development of CES and at the time of the survey, at least 1 year postoperatively. Results: Of 135 patients contacted, 71 (42 male, 29 female) responded. Post-CES compared to pre-CES, there was higher prevalence and significant intrarespondent deterioration of bowel dysfunction, bladder dysfunction, perception of bladder function, sexual function, effect of back pain on sex life, and activities of daily living/quality of life (p < .0001 for all). Significant differences in individual questions pre-CES versus post-CES were also found. Conclusion: We show high prevalence of long-term bowel, bladder, and sexual dysfunction post-CES, with functional and psychosocial consequences. Our results demonstrate the need for preoperative information and subsequent screening and long-term multidisciplinary support for these complications.

scholarly journals Short-term Complications, Reoperations, and Radiographic Outcomes of the Infinity Total Ankle Arthroplasty

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0041
Author(s):  
Guilherme Saito ◽  
Austin Sanders ◽  
Cesar de Cesar Netto ◽  
Martin O’Malley ◽  
Scott Ellis ◽  
...  
Keyword(s):  
Patient Reported Outcomes ◽  
Clinical Results ◽  
Total Ankle Arthroplasty ◽  
Ankle Arthroplasty ◽  
Radiographic Outcomes ◽  
Implant Positioning ◽  
Patient Reported ◽  
Outcome Scores

Category: Ankle Arthritis Introduction/Purpose: With the increasing use of total ankle arthroplasty (TAA), new implants with varied configurations are being developed every year. This study aims to provide the early complications, reoperations and radiographic and clinical outcomes of the Infinity TAA. To date, clinical results of this novel fixed-bearing implant have not been published. Methods: A retrospective analysis of 64 consecutive ankles that underwent a primary Infinity TAA from July 2014 to April 2016 was performed. Patients had an average follow-up of 24.5 (range, 18-39) months. Medical records were reviewed to determine the incidence of complications, reoperations and revisions. Radiographic outcomes included preoperative and postoperative tibiotalar alignment, tibial implant positioning, the presence of periprosthetic radiolucency and cysts, and evidence of subsidence or loosening. Additionally, patient-reported outcomes were analyzed with the Foot and Ankle Outcome Score (FAOS) preoperatively and 1-year postoperatively. Results: Survivorship of the implant was 95.3%. Fourteen ankles (21.8%) presented a total of 17 complications (Table 1). A total of 12 reoperations were necessary in 11 ankles (17.1%). Revision surgery was indicated for 3 ankles (4.7%) due to isolated subsidence of the tibial implant in 2 cases and due to subsidence of both the tibial and talar components in 1 case. Tibiotalar coronal deformity was significantly improved after surgery (P < .0001) and maintained during latest follow-up (P = .81). Periprosthetic radiolucent lines were observed around the tibial component in 20 ankles (31%) and around the talar component in 2 ankles (3.1%). A tibial cyst was observed in 1 ankle (1.5%). Outcome scores were significantly improved for all FAOS components analyzed (P < .0001). Conclusion: Most complications observed in the study were minor and successfully treated with a single reoperation procedure or nonoperatively. Failures and radiographic abnormalities were most commonly related to the tibial implant. Further studies with longer follow-up are needed to evaluate the survivorship of the tibial implant in the long-term.

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