(iv) Pelvic fractures and genitourinary injuries

The association between pelvic fractures and genitourinary injuries, particularly bladder ruptures and posterior urethral tears, is well known. Sexual dysfunction (erectile dysfunction and dyspareunia) is also becoming a well-recognised frequent sequela of pelvic fractures. The management of combined genitourinary injuries and pelvic fractures is controversial, as there is evidence that the acute management of urethral tears may have a profound effect on future sexual function and continence. Currently, a trend exists toward more aggressive treatment of the bony injuries, genitourinary injuries, and sexual dysfunction with the hope of improving overall long-term functional outcomes.