The incidence of erectile dysfunction after pelvic fracture urethral injury: A systematic review and meta-analysis.

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Pelvic fracture urethral injury (PFUI) is associated with a high risk of erectile dysfunction (ED). The effect of the type of posterior urethral disruption repair on erectile function has not been clearly established. We systematically reviewed and conducted a meta-analysis of the proportion of patients with ED at (i) baseline after pelvic fracture with PFUI, (ii) after immediate primary realignment, and (iii) after delayed urethroplasty.

Related collections

Most cited references 41

Record: found
Abstract: not found
Article: not found

Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

David Moher, Alessandro Liberati, Jennifer Tetzlaff … (2009)

0 comments Cited 7175 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction.

R Rosen, A. Riley, G. Wagner … (1997)

To develop a brief, reliable, self-administered measure of erectile function that is cross-culturally valid and psychometrically sound, with the sensitivity and specificity for detecting treatment-related changes in patients with erectile dysfunction. Relevant domains of sexual function across various cultures were identified via a literature search of existing questionnaires and interviews of male patients with erectile dysfunction and of their partners. An initial questionnaire was administered to patients with erectile dysfunction, with results reviewed by an international panel of experts. Following linguistic validation in 10 languages, the final 15-item questionnaire, the international index of Erectile Function (IIEF), was examined for sensitivity, specificity, reliability (internal consistency and test-retest repeatability), and construct (concurrent, convergent, and discriminant) validity. A principal components analysis identified five factors (that is, erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction) with eigenvalues greater than 1.0. A high degree of internal consistency was observed for each of the five domains and for the total scale (Cronbach's alpha values of 0.73 and higher and 0.91 and higher, respectively) in the populations studied. Test-retest repeatability correlation coefficients for the five domain scores were highly significant. The IIEF demonstrated adequate construct validity, and all five domains showed a high degree of sensitivity and specificity to the effects of treatment. Significant (P values = 0.0001) changes between baseline and post-treatment scores were observed across all five domains in the treatment responder cohort, but not in the treatment nonresponder cohort. The IIEF addresses the relevant domains of male sexual function (that is, erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction), is psychometrically sound, and has been linguistically validated in 10 languages. This questionnaire is readily self-administered in research or clinical settings. The IIEF demonstrates the sensitivity and specificity for detecting treatment-related changes in patients with erectile dysfunction.

0 comments Cited 567 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

SIU/ICUD Consultation On Urethral Strictures: Epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, strictures, and pelvic fracture urethral disruption injuries.

Jerilyn M Latini, Jack McAninch, Steven Brandes … (2014)

This committee reviewed and evaluated published data, and recommended standardized terminology relating to the epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, urethral strictures, and pelvic fracture urethral disruption injuries, as well as their surgical management. A literature search using Medline, PubMed (U.S. National Library of Medicine and the National Institutes of Health), Embase, online acronym databases, and abstracts from scientific meetings was performed from 1980-2010. Articles were evaluated using the Levels of Evidence adapted by the International Consultation on Urological Diseases (ICUD) from the Oxford Centre for Evidence-Based Medicine. Recommendations were based on the level of evidence and discussed among the committee to reach a consensus. There is expert opinion to support standards regarding the epidemiology, anatomy, and nomenclature of urethral stenoses, urethral strictures, and pelvic fracture urethral disruption injuries. There is level 3 evidence regarding the epidemiology and etiology of urethral stenoses, urethral strictures, and pelvic fracture urethral injuries. The literature regarding the epidemiology, anatomy, and nomenclature of urethral stenoses, urethral strictures, and pelvic fracture urethral disruption injuries are sparse and generally of a low level of evidence. The proposed ICUD system does not readily apply to these areas. Further research is needed so that stronger levels of evidence can be developed leading to recommendations regarding the accuracy of the data. To improve future research and promote effective scientific progress and communication, a standardized nomenclature and anatomy regarding the urethra and urethral surgery is detailed herein.

0 comments Cited 42 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (iso-abbrev): Arab J Urol

Title: Arab journal of urology

Publisher: Elsevier BV

ISSN: 2090-598X

ISSN (Print): 2090-598X

Publication date (Electronic): Mar 2015

Volume: 13

Issue: 1

Affiliations

[1 ] Department of Urology, University of California, San Francisco, CA, USA.

[2 ] Department of Urology, University of Washington, Seattle, WA, USA.

Article

Publisher Item ID: S2090-598X(14)00094-1

DOI: 10.1016/j.aju.2014.09.004

PMC ID: 4435659

PubMed ID: 26019983

SO-VID: bc3a3830-6e7e-4987-9ce0-145c2959fa8b

History

Keywords: ED, erectile dysfunction,Erectile dysfunction,Meta-analysis,IIEF, International Index of Erectile Function,Systematic review,Urethral disruption,Pelvic fracture,PFUI, pelvic fracture urethral injury

Data availability:

Keywords: ED, erectile dysfunction, Erectile dysfunction, Meta-analysis, IIEF, International Index of Erectile Function, Systematic review, Urethral disruption, Pelvic fracture, PFUI, pelvic fracture urethral injury

The incidence of erectile dysfunction after pelvic fracture urethral injury: A systematic review and meta-analysis.

Read this article at

Abstract

Related collections

Fracture and Structural Integrity

Most cited references 41

Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction.

SIU/ICUD Consultation On Urethral Strictures: Epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, strictures, and pelvic fracture urethral disruption injuries.

Author and article information

Journal

Affiliations

Article

History

Comments

Comment on this article

Similar content 576

Cited by 14

Most referenced authors 939