Résumé
Introduction
Jusqu’à 40 % d’hommes et de femmes déclarent une altération de leur qualité de vie sexuelle au décours d’une fracture pelvienne [1]. Plusieurs facteurs en sont responsables, notamment une lésion neurologique, végétative et/ou somatique ou une lésion vasculaire. Les complications hémorragiques de ces traumatismes peuvent d’ailleurs être dramatiques à la phase initiale et l’embolisation artérielle hypogastrique peut constituer un geste salvateur en cas de constatation d’un hématome rétropéritonéal [2–4].
Objet
À partir d’un cas clinique complexe de fracture pelvienne, déterminer si l’embolisation hypogastrique est susceptible de favoriser des séquelles fonctionnelles pelvipérinéales à distance, notamment sexuelles.
Abstract
Introduction
Up to 40% of men and women complain of an alteration in the quality of their sex life during recovery from a pelvic fracture [1]. Several factors may be involved, including autonomic and/or somatic neurological lesions and the effects of a vascular lesion. Moreover, haemorrhagic complications of the trauma may be severe in the initial phase and embolisation of the internal iliac artery can be employed as a measure to halt further haemorrhage when retroperitoneal haematoma is detected [2–4].
Objective
To describe a complex clinical case of pelvic fracture and to examine whether internal iliac embolisation is likely to lead to long-term pelvic and perineal consequences, particularly in sexual function.
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Le Fort, M., Perrouin-Verbe, B., Dubois, C. et al. Traumatisme du bassin et embolisation artérielle hypogastrique bilatérale : à partir d’un cas de dysfonction érectile. Pelv Perineol 5, 105–109 (2010). https://doi.org/10.1007/s11608-010-0305-2
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DOI: https://doi.org/10.1007/s11608-010-0305-2