Sexual function impairment after high energy XXXX : evidence today.

@entity1 @entity130 @entity174 @entity250
PURPOSE: @entity250 has been associated with @entity174 , especially in @entity1 with concomitant urethral injuries. A critical review of the existing literature was performed focusing on the reported definitions of @entity250 , its reported incidence, the presence of related risk factors, the methods of assessing sexual function, the timing of this assessment and its management. MATERIALS AND METHODS: The PubMed   search engine was used in July 2010 to retrieve articles using the terms " @entity174 " and "sexual function" in their title or abstract, published in the English language, from 1989 onward. The references of the selected publications were also evaluated for potential relevant studies according to set selection criteria. RESULTS: Based on 23 original articles the data of 1,462 @entity1 , with a mean age of 37.7 years (range 15 to 92), were analyzed. The overall mean reported incidence of @entity250 was 35.9% in @entity1 and 39.6% in @entity1 . Various methods were applied for the evaluation of @entity250 , and were questionnaire based in 22 of the 23 studies. Important factors associated with @entity250 were age, @entity174 pattern, presence of @entity130 and injury severity score. CONCLUSIONS: Male and female @entity1 were equally affected by @entity250 following pelvic @entity130 . Limited consensus exists in the definition of @entity250 , the methods and timing of assessment, as well as its management. The existing literature offers limited evidence regarding @entity250 in females, as for both genders in the absence of urogenital initial @entity130 .
