Sexual function after aortic surgery

Few patients were given or understood any preoperative information concerning the risk and possibility of a negative impact on their sexual function following surgical interventions. This was especially reported by patients in the EVAR group. Following the operation, the reported sexual interest and ability was decreased among patients in both groups. When only those patients who had reported some form of interest in sexual activity before the intervention were analyzed, a small significant impairment in quality of erection and achieving ejaculation could be found during the one year follow-up in the EVAR group.

show abstract

“…1 It can be a consequence of abdominal aortic aneurysms (AAA). 2 Erectile dysfunction can also be a complication after open repair of AAA.…”

mentioning

confidence: 99%

Prospective follow-up of sexual function after elective repair of abdominal aortic aneurysms using open and endovascular techniques

Pettersson

Mattsson

Bergbom

2009

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Incisional hernia is a largely avoidable late complication of an abdominal incision, but has been reported in up to 30% of the patients [55,56]. Erectile dysfunction and impotence are less serious, but potentially distressing complications in men [57].…”

Section: Complications Of Open Surgical Repairmentioning

confidence: 99%

Screening, Diagnosis and Advances in Aortic Aneurysm Surgery

Daly¹,

Torella²,

Ashleigh

et al. 2004

Gerontology

View full text Add to dashboard Cite

Background: Aortic aneurysms are common in the elderly and a frequent cause of sudden death. As elective aneurysm repair has a mortality drastically lower than that associated with rupture, the emphasis must be on early detection and repair free from complications. Recent advances include ultrasound screening for asymptomatic abdominal aortic aneurysm (AAA) and clinical trials on the size of AAA that require repair. Pre-operative assessment, management of cardiac risk, autologous blood transfusion strategies, and endovascular stent graft technology to avoid major open surgery are all issues to be addressed. Methods: Following a computerized Medline search for publications on the detection and treatment of abdominal and thoracic aortic aneurysm, the publications identified were then read and the references within those publications examined for further publications on this topic. We have reviewed these publications without attempting a meta-analysis. Results: Randomized population studies have addressed ultrasound screening for AAA. Attendance for screening was good and AAA detection inexpensive. Screening men from 65 years reduces the mortality from rupture and is cost-effective. Open thoracic and abdominal aneurysm repair has a mortality of around 8%, with myocardial infarction being a frequent cause of death. Pre-operative reduction of cardiac risk by cardiac investigations and β-blockade may reduce this mortality. Autologous transfusion techniques such as acute normovolaemic haemodilution and interoperative cell salvage reduce the need for allogeneic blood and the complications associated with open surgery. Minimally invasive endovascular repair is now possible for 40% of the AAA and an increasing proportion of thoracic aneurysms. Conclusions: The combination of screening, reduced pre-operative risk, and new minimally invasive techniques extends aortic aneurysm treatment into an increasingly elderly population. The combination of these techniques will reduce mortality from ruptured aortic aneurysm in the elderly and also reduce the stress associated with aneurysm surgery.

show abstract

Relationship between the two surgical access of aortoiliac occlusive disease and recovery of ED

Verim

Kalko

2014

Int J Impot Res

View full text Add to dashboard Cite

Aortoiliac occlusive disease (AIOD) can occur anywhere from the distal abdominal aorta to the common femoral arteries. Patients with AIOD may be asymptomatic or may have intermittent claudication or critical limb ischemia. ED in the young males may be the first symptom of aortoiliac disease. The aims of this study were to determine the outcome of ED in patients who underwent aortoiliac surgery and evaluate the effect of revascularization upon erectile function (EF) by using the international index of EF questionnaire and color duplex Doppler ultrasonography. A total of 60 patients under 65-year-old age eligible for elective repair of AIOD s were included in this study. The patients were randomly divided into two equal groups. The first group (group A) patients were operated by minimally invasive retroperitoneal approach (RPA) and the second group (group B) patients were operated by transperitoneal approach (TPA) to the aorta. The quality of sexual function scale was evaluated preoperatively and at 6 months postoperatively. Surgical revascularization when appropriate, symptomatic AIOD and ED are often improved. As a result of our study, RPA to the aorta is superior to TPA because of recovering with the higher systolic velocity values of penile Doppler in ED cases.

show abstract

Sexual function after aortic surgery

Abstract: Aortic surgery carries a risk of diminution in sexual function as a consequence of the operation. It is the duty of the surgeon to warn patients of this risk when seeking informed consent.

Cited by 3 publications

References 13 publications

Prospective follow-up of sexual function after elective repair of abdominal aortic aneurysms using open and endovascular techniques

Prospective follow-up of sexual function after elective repair of abdominal aortic aneurysms using open and endovascular techniques

Screening, Diagnosis and Advances in Aortic Aneurysm Surgery

Relationship between the two surgical access of aortoiliac occlusive disease and recovery of ED

Contact Info

Product

Resources

About