Pelvic fractures are high-energy injuries, mostly occurring in traffic injuries and fall from height injuries. Advances in emergency medicine and trauma care have reduced the mortality rate of pelvic fractures, but field deaths due to pelvic fractures are still as high as 4%. Even when pelvic fractures are managed promptly, there are still many late complications, such as chronic pain, claudication, and sexual and urinary dysfunction. The genitourinary system (bladder, urethra, vagina, uterus, and prostate), lumbar spine, and sacral plexus nerves are damaged in conjunction with pelvic fractures due to their proximity to the pelvic bone, but the resulting late complications of pelvic fractures, such as sexual function, have not been adequately studied. To understand sexual function and quality of life in patients with pelvic fractures, Katherine F. Harvey-Kelly in the United Kingdom conducted a multiscale questionnaire, the results of which were published in the January 2014 issue of JOT. The population surveyed was patients aged 18-65 years at the time of pelvic fracture, one year after undergoing pelvic surgery. Exclusion criteria: previous genitourinary disorders prior to the pelvic fracture, presence of other diseases affecting the study, and inability to perform bed activities or rehabilitation exercises. Eighty patients participated in the study, including 48 males and 32 females, with a mean age of 44.1 years. 62.5% of the patients had road traffic injuries and 52.5% had lateral compression pelvic fractures as the mechanism of fracture. The questionnaire was administered at an average of 36 months (12-96 months) post-injury. The authors hypothesized that sexual dysfunction in pelvic fractures is more prevalent in men and that the severity of sexual dysfunction is closely related to the severity of the pelvic fracture, the trauma severity score (ISS), and the degree of concomitant genitourinary injury. Patients’ basic information, mechanism of injury, type of fracture (according to Young’s pelvic typing), trauma severity score ISS, comorbid injuries, and treatment were counted. All patients completed two (pre-injury and current) quality of life and sexual function surveys. Sexual function was assessed using the International Index of Erectile Function (IIEF) and the Female Sexual Function Index (FSFI) for men and women, respectively. Patients’ health-related quality of life was assessed using the European EuroQol5 Dimensional Living Scale (EQ5D). In addition to the sexual function questionnaire, patients were asked whether they noticed any changes in sexual function after the injury, whether they felt anxious about having sex after the injury, and details of medications such as painkillers that patients took regularly after the injury. Male sexual dysfunction was defined as an IIEF score of ≤30 on all 5 questionnaires (erectile function, orgasmic function, sexual desire, satisfaction with intercourse, and overall satisfaction). Female sexual dysfunction was defined as a score of ≤25.5 on the 6 items of the FSFI scale (sexual desire, arousal, lubrication, orgasm, satisfaction, and pain). The results of the statistical analysis showed that the quality of life and sexual function were significantly reduced after the occurrence of pelvic fracture. 43.8% of male patients and 52.1% of female patients experienced sexual dysfunction. Regression analysis revealed that urethral injury and open surgery were independent influences on sexual dysfunction. There was also a correlation between trauma severity score and sexual dysfunction. Gender, abdominal injury, pelvic fracture severity, pain, and sexual dysfunction were independent influences on decreased quality of life. Based on the study, the authors concluded that sexual function was significantly reduced in both female and male pelvic fracture patients, whose quality of life was also significantly reduced by postoperative questionnaires. Sexual dysfunction is an independent influencing factor in the decrease of quality of life in pelvic fracture patients. To improve and enhance the quality of life and sexual function in pelvic fracture patients, a multidisciplinary combination of treatments including urology and gynecology is needed.