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Fifty-one male patients with prior pelvic fracture completed a Brief Sexual Function Inventory questionnaire (BSFI) 2 years postinjury. Responses were compared to those of 53 men with ankle fractures. Patients with pelvic fracture scored significantly worse than patients with ankle fracture. Patients with pelvic fracture scored poorly on sex drive, erection, ejaculation, and satisfaction with sex life. Older patients had significantly worse sex function scores than younger patients. Sexual dysfunction is common after pelvic fracture, and many facets of sex life are affected. The BSFI was well accepted, and is a useful screening tool for identifying patients with sexual dysfunction.