Introduction:

Pelvic floor fractures in males are relatively uncommon but can result from severe trauma to the pelvic region. The pelvic floor is a complex network of muscles, ligaments, and connective tissues that provide support to the pelvic organs, including the bladder, rectum, and prostate. Fractures in this area can lead to a range of symptoms, complications, and challenges. In this article, Dr Ashu Consul, Orthopaedic in Dwarka, explains the symptoms, problems, and treatment options for pelvic floor fractures in males.

I. Causes and Risk Factors:

Pelvic floor fractures typically occur due to high-impact accidents, such as motor vehicle collisions, falls from heights, or sports-related injuries. The most common risk factors include:

1. Motor Vehicle Accidents: Collisions involving cars, motorcycles, or bicycles can exert immense force on the pelvic region during the impact.
2. Falls: A fall from a significant height can lead to a fracture of the pelvic floor.
3. Sports Injuries: Participating in contact sports or activities with a high risk of falling can increase the likelihood of sustaining a pelvic fracture.
4. Industrial Accidents: Workers in construction, mining, and other hazardous professions may be at increased risk due to potential workplace accidents.

II. Symptoms of Pelvic Floor Fracture:

A. Acute Symptoms:

1. Severe Pain: Immediate and intense pain in the pelvic region is a common symptom of a pelvic floor fracture.
2. Difficulty Walking: The pain and instability may make it challenging to bear weight on the affected leg or walk.
3. Bruising and Swelling: Swelling and bruising around the pelvic area may be evident, particularly in the groin or hip region.
4. Inability to Stand or Sit Comfortably: The fracture can make it uncomfortable to assume certain positions, such as sitting or standing.

B. Delayed-Onset Symptoms:

1. Urinary Problems: Fractures may cause damage to the bladder, leading to difficulty urinating or blood in the urine.
2. Bowel Issues: In some cases, fractures can affect the rectum, causing constipation, pain during bowel movements, or rectal bleeding.
3. Sexual Dysfunction: Pelvic floor fractures may impact sexual function and lead to erectile dysfunction or pain during intercourse, says sexologist in Delhi.
4. Nerve Damage: Nerves in the pelvic region may sustain injury, resulting in sensations of tingling, numbness, or weakness in the legs.

III. Complications and Problems:

A. Chronic Pain: Some individuals may experience persistent pain in the pelvic area even after the fracture has healed.

B. Urinary and Bowel Incontinence: In severe cases, damage to the pelvic floor muscles can result in involuntary leakage of urine or feces.

C. Erectile Dysfunction: Nerve damage or disruption of blood flow to the penis can lead to difficulties in achieving or maintaining an erection.

D. Infections: Fractures that penetrate the skin may create an open wound, increasing the risk of infection.

IV. Diagnosis:

1. Physical Examination: An orthopaedic in Delhi will assess the patient’s symptoms, perform a physical examination, and check for tenderness or bruising in the pelvic region.
2. Imaging Studies: X-rays, CT scans, or MRI scans can confirm the presence and extent of the fracture.
3. Urinalysis: A urine test can help identify any signs of kidney or bladder injury.

V. Treatment Options:

A. Conservative Treatment:

1. Rest: Adequate rest is crucial to allow the fracture to heal properly.
2. Pain Management: Pain medications may be prescribed by orthopaedic doctor in Delhi to alleviate discomfort.
3. Assistive Devices: Crutches or a walker can help reduce pressure on the pelvic area while walking.

B. Surgical Treatment:

1. Internal Fixation: In severe fractures, surgical intervention may be necessary to realign and stabilize the pelvic bones using metal plates, screws, or rods.
2. Nerve Repair: Surgery may be required to repair damaged nerves if there is evidence of neurological deficits.

VI. Rehabilitation:

Physical therapy is essential for pelvic floor fracture recovery. Physiotherapist in Dwarka guides patient to focus on strengthening the pelvic floor muscles, improving mobility, and preventing complications like urinary incontinence or erectile dysfunction.

Conclusion:

Pelvic floor fractures in males can result from high-impact accidents and may cause a range of symptoms, complications, and challenges. Early diagnosis and appropriate treatment, including conservative management or surgery, can promote effective healing and reduce long-term problems. Rehabilitation plays a crucial role in restoring function and quality of life for those recovering from pelvic floor fractures. Understanding the symptoms, problems, and treatment options associated with these fractures is essential for both patients and the best orthopaedic in Dwarka to facilitate better outcomes.