# Management of Neglected Pubic Symphysis Diastasis and Sacroiliac Joint Disruption With Erectile Dysfunction in Polytrauma: A Case Report

## TL;DR

A young adult with pelvic injuries and erectile dysfunction regained sexual function after surgical treatment of his neglected pelvic fractures.

## Contribution

This case report highlights the successful management of erectile dysfunction through surgical correction of neglected pelvic injuries.

## Key findings

- Surgical management of pubic symphysis diastasis and sacroiliac joint disruption led to recovery of erectile function.
- Neglected pelvic injuries can result in sexual dysfunction, which may be reversible with appropriate treatment.
- Pelvic trauma in polytrauma patients can lead to long-term disabilities if not promptly addressed.

## Abstract

Pelvic fractures are the most common among patients sustaining high-energy trauma. They are associated with high morbidity and mortality rates, often because of high blood loss and injury to the lumbosacral plexus, genitourinary system, and gastrointestinal system. The age, complexity of the pelvic fracture, and pubic symphysis diastasis would represent risk factors for erectile dysfunction after major and neglected pelvic injuries; the neglected pelvic ring injuries could cause disabilities that manifest with symptoms like pain, lower limb length discrepancy, standing or sitting imbalance and even sexual dysfunction. Herein, we report a case of a young adult who sustained polytrauma and was diagnosed with neglected pubic symphysis diastasis, sacroiliac joint disruption, and erectile dysfunction. The patient regained erectile function after the surgical management of pubic symphysis diastasis and sacroiliac joint disruption.