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Doctor insights on: Erection Recovering Pelvis Fracture Urethra

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Why am I having trouble getting an erection after recovering from a pelvis fracture and torn urethra?

Why am I having trouble getting an erection after recovering from a  pelvis fracture and torn urethra?

Nerve&artery injury: Injury to the urethra is usually associated with severe pelvic trauma in males. The results of such an injury can have enduring consequences that include stricture, impotence, and incontinence. Impotence has an incidence of 13% to 30% in patients with pelvic fracture and urethral distraction injury treated with early catheter placement (without pelvic-suprapubic exploration). These patients presumably had less-severe urethral disruption. Impotence was much higher (48%–72%) in a group of patients who ultimately required open repair and likely had more-severe, complete urethral distraction. Secondary damage to the penile parasympathetic nerves (cavernosal nerves lateral to the prostatomembranous urethra behind the symphysis) and arterial insufficiency are believed to account for impotence in these injuries. Disruption of the pubis is the most likely cause of impotence in this injury. The severe injuries that lead to posterior urethral injuries can also damage the delicate nerves that run alongside the urethra deep within the body and provide the signal to the penis to become erect for sexual activity. Approximately 50% of men who have urethral injuries from pelvic fractures will have some degree of erectile dysfunction once they recover. This may range from very mild to complete erectile dysfunction, but several treatment options do exist. Erectile dysfunction caused by the surgery to repair the urethra (rather than the injury itself) is uncommon. ...Read more

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Dr. Andrew Seibert
9 doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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How long will it take a diabetic to recover from a fractured pelvis?

How long will it take a diabetic to recover from a fractured pelvis?

If your glucose: Is well-controlled, you should heal the same as anyone else. It will depend upon the type and severity of the fracture, and what had to be done to repair it. Best check w/your surgeon. ...Read more

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If mild htn, recovered from ischcva+pelvic fracture, is asst lvng or nrsinghome best option if spirited+ambulating+decision-making+ social @ 'only' 92?

If mild htn, recovered from ischcva+pelvic fracture, is asst lvng or nrsinghome best option if spirited+ambulating+decision-making+ social @ 'only' 92?

Either could work.: It depends on what you need now. Does it look like you need permanent long term care or short term care? How mobile are you? Many people like being a nursing home that specializes in physical rehabilitation as their services are excellent and they often go back to their home. Assisted living arrangements are great for long term especially if you can find one close to friends. ...Read more

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How much would a small hairline fracture on the pelvis hurt?

Depends: This is completely dependent on the individuals pain threshhold. Some people complain about a slpinter and others can walk on a broken leg - its all dependent on the individual. ...Read more

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Why does my leg have shakes or muscle spasms since I fractured that pelvis?

Why does my leg have shakes or muscle spasms since I fractured that pelvis?

Lack of use/injury: Either disuse atrophy with fasciculations or nerve compression/injury are most likely responsible. Ask your physician. Swelling of injured nerves may resolve with decreased spasms. Physcial therapy with building up of "lost" muscle may also help. ...Read more

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Inability to walk since fractured pelvis. What future in 82 yr old?

Inability to walk since fractured pelvis. What future in 82 yr old?

It is possible to : When fracture healed but it take lnger time if the patient was wallking before the fracture. ...Read more

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I walked a lot daily from retirement till 89 when widowed. Then at 92 i fractured pelvis. Do i need dexa?

See your doctor: There are many things to consider when assessing and treating low energy (i am assuming this; you did not say) fractures. Start with your primary provider. You could also get an opinion from an osteoporosis specialist. Not all fractures come from osteoporosis, so i would start with your primary since she or he should know your whole medical history. ...Read more

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I have a fractured pelvis, should I be in bed all day? 1st day out of hospital, it hurts to walk and stand, car crash. Should I try walking

I have a fractured pelvis, should I be in bed all day? 1st day out of hospital, it hurts to walk and stand, car crash. Should I try walking

Pelvis fractures: There are essentially 2 different types of pelvis fractures, stable and unstable. Unstable fractures require surgery and would beidentified prior to hospital discharge. Stable pelvic fractures do not require surgery. While it will be painful to weight bear and move around, this is advised. Staying in bed and remaining inactive will increase risk of blood clots and other complications ...Read more

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I can't have a natural childbirth because of the plate across my pelvis (due to a fracture) can I get the plate removed? it has been 8 months.

I can't have a natural childbirth because of the plate across my pelvis (due to a fracture) can I get the plate removed? it has been 8 months.

This is a question 4: Ur surgeon 2 answer. If U become pregnant, as the fetus grows, & U R close 2 delivery date, X-rays can B done 2 C if there's cephalo-pelvic disproportionate measurements. Meaning is the head 2 large 2 fit thru the pelvic opening. Since there is a plate, the public symphysis can't spread. If U have a small baby U will B able 2 deliver naturally. ...Read more

Urethra (Definition)

The canal through which urine exits the bladder, discharging the urine externally. In men, it is about 20-cm long with a membranous, prostatic, bulbar, and pendulous segments ending at the glans penis; it gives passage to the spermatic fluid as well as urine. In the female, the urethra is about 4 cm long & in close relation with the anterior ...Read more


Dr. Jeffrey Wint
1,469 doctors shared insights

Broken Bone (Definition)

A bone fracture is a condition in which there is a break in the bone. It can be caused by a high force injury or it may result from a previous medical condition that involves weakening of the bone. Common symptoms include severe pain, swelling of the surrounding ...Read more