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- Title
Pelvic floor dysfunction one year post-pelvic trauma: an observational pilot study.
- Authors
McConnell, Carly L.; Hawkins, Stephanie M.; Granger, Catherine L.; Bower, Wendy F.
- Abstract
The aim of this study was to determine the prevalence of long-term bladder, bowel and sexual dysfunction in pelvic trauma patients, and to identify any unmet need for screening for pelvic dysfunction and intervention in the rehabilitation period. This cross-sectional observational study included 48 participants admitted to a tertiary trauma hospital with at least one conservatively or surgically managed pelvic fracture. The Australian Pelvic Floor Questionnaire was used to assess the prevalence of bladder, bowel and sexual dysfunction in women and to detect bladder and bowel dysfunction in males. The International Index of Erectile Function questionnaire was selected to assess sexual dysfunction in males. Potentially eligible patients were asked to complete two copies of the questionnaires based on their pre-injury pelvic floor status and current post-recovery level of function. Consent was implied if the questionnaires were completed and returned. The mean age of respondents was 54 years; 63% were male. Mean time post-injury was 13 months for females and 12 months for males. Overall Australian Pelvic Floor Questionnaire scores were significantly higher for women one year post-fracture, but not for men. Similarly, scores in both the bladder and bowel domains were significantly higher one year post-injury in women only. A significant reduction in sexual function was reported in both men and women at one year post-fracture. Pelvic floor dysfunction is prevalent in the female pelvic trauma population one year post-injury. The feasibility of a screening process and targeted interventions to rehabilitate the pelvic floor musculature is therefore warranted.
- Subjects
AUSTRALIA; BLADDER diseases; FEMALE reproductive organ diseases; MALE reproductive organ diseases; INTESTINAL diseases; SCIENTIFIC observation; PELVIC fractures; POSTOPERATIVE period; QUESTIONNAIRES; T-test (Statistics); PILOT projects; SEXUAL dysfunction; CROSS-sectional method; DATA analysis software; PELVIC floor injuries; DESCRIPTIVE statistics; TERTIARY care
- Publication
Australian & New Zealand Continence Journal, 2020, Vol 26, Issue 4, p99
- ISSN
1448-0131
- Publication type
Article
- DOI
10.33235/anzcj.26.4.98-102