Sexual Function After Aorto-lliac Srugery

Abstract

Patients undergoing aorto-iliac operations frequently suffer severe physical and psychological problems as a consequence of postoperative sexual disability. In an attempt to reduce this symptom complex, careful preoperative and postoperative evaluations were performed on 20 patients undergoing such procedures. Their average age was 64 years. Patients were divided into groups distinguished by type of operative procedure and extent of sexual function, then carefully evaluated for changes related to technical aspects of the vascular reconstruction. Data were accumulated pertaining to preoperative and postoperative frequency of sexual intercouse, ability to achieve and maintain an erection, occurrence of retrograde ejaculation, and other symptoms of genitourinary dysfunction. Significant and disabling sexual dysfunction, found to occur after routine abdominal aneurysmectomy, aorto-femoral bypass grafting, and aorto-iliac endarterectomy, is believed to be related to type of operation and technical aspects of the procedure. The incidence of postoperative retrograde ejaculation and impotence was significant.

Vascular complications of exposure for anterior lumbar interbody fusion

“…In some reports from the 1970s, the rate of erectile dysfunction was as high as 50%. 14 As the technique for exposure became more refined, that rate has come down to 0% to 22.5% in contemporary publications. 2,8,12,13,[15][16][17][18] The rate of retrograde ejaculation in our study was 4.3%, which is within the range described in the literature.…”

“…1,2,5,6,[11][12][13] Finally, there is also a risk of retrograde ejaculation which ranges from 0% to 50%. 2,8,[12][13][14][15][16][17][18] The purpose of this study is to examine our institution's experience with ALIF and to report the incidence of vascular morbidity and its relation to preoperative risk factors.…”

The International Index of Erectile Function (IIEF): a state-of-the-science review

“…47,48 One recent study in a Veteran's Administration hospital in the USA assessed IIEF scores in a sample of 68 male patients following aortic surgery. 49 To evaluate the effects of surgery retrospectively, investigators asked patients to complete each question on the basis of their recall of performance prior to surgery compared with their current performance.…”

Long-term Results of Endarterectomy, Anatomic Bypass and Extraanatomic Bypass for Aortoiliac Occlusive Disease

“…19,20 Because the hypogastic plexus is located on the left side of the aortic bifurcation, an endarterectomy of the left common iliac artery tends to cause ejaculation disturbance, as was experienced in one of our patients. 19,20 Because the hypogastic plexus is located on the left side of the aortic bifurcation, an endarterectomy of the left common iliac artery tends to cause ejaculation disturbance, as was experienced in one of our patients.…”