Urogenital disorders after pelvic ring injuries.
BACKGROUND
The close anatomical relationship between the skeletal and connective systems of the pelvis, neurological, and vascular structures and pelvic organs are predisposing factors for structural and functional damages of the urogenital system.


METHODS
We performed PUBMED and MEDLINE search using terms "pelvic ring trauma/disruption, bladder injury, urethral injury, sexual dysfunction".


RESULTS
The probability of damage of the pelvic organs increases along with the degree of disturbance of integrity of the pelvic ring. The most important risk factor of urogenital injuries is the rupture of the symphyseal joint. Patients with lesions of the urogenital system have a higher risk of mortality compared with patients without lesions of the urogenital system. Sexual dysfunctions along with urinary incontinence are a common consequence of the pelvic fracture in men and women.


CONCLUSIONS
Injuries of the urogenital organs during pelvic ring fractures have an important negative prognostic value in terms of morbidity and quality of life. A prerequisite for a successful therapeutic outcome in case of pelvic fractures with disturbance of pelvic ring integrity is cooperation of orthopedists and urologists, with possible early diagnosis and treatment of injuries of the urogenital organs.
Department of Orthopedic Surgery Moscow City Hospital, Moscow, Russian Federation.
Atom A
AA
Ter-Grigorian
Department of Urology Moscow State University of Medicine and Dentistry, Moscow, Russian Federation.
George R
GR
Kasyan
Department of Urology Moscow State University of Medicine and Dentistry, Moscow, Russian Federation.
Dmitry Y
DY
Pushkar
bladder injury; pelvic ring rupture; pelvic trauma; urethral injury