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Published on: July 7, 2013
Erectile function after open or endovascular abdominal aortic aneurysm repair
E S Xenos1, S L Stevens, M B Freeman
1Department of Surgery, University of Tennessee, Knoxville, TN 37920, USA. exenos@mc.utmck.edu
Annals of Vascular Surgery
|September 26, 2003
Summary
Endovascular repair of abdominal aortic aneurysms (AAA) preserves sexual function better than open repair. Open AAA repair significantly impairs erectile and orgasmic function, while endovascular repair does not.
Area of Science:
- Vascular Surgery
- Urology
- Sexual Medicine
Background:
- Open abdominal aortic aneurysm (AAA) repair can negatively impact male sexual function due to nerve damage and altered blood flow.
- Endovascular aneurysm repair (EVAR) avoids dissection near the iliac bifurcation, potentially reducing sexual dysfunction incidence compared to open repair.
Purpose of the Study:
- To compare the incidence of sexual dysfunction in men following open versus endovascular abdominal aortic aneurysm repair.
- To determine if EVAR is associated with a lower incidence of sexual dysfunction compared to open AAA repair.
Main Methods:
- Retrospective study analyzing sexual function using a modified International Index of Erectile Function Questionnaire.
- Questionnaires assessed sexual function (erectile, orgasmic, satisfaction) before and 3 months after open or endovascular AAA repair.
- Statistical analysis included chi-square, Wilcoxon's signed ranks test, and logistic regression (p < 0.05 significant).
Main Results:
- Open AAA repair significantly worsened erectile function (p=0.002) and orgasmic function (p=0.001).
- Endovascular aneurysm repair showed no significant decrease in erectile (p=0.057) or orgasmic function (p=0.068).
- Impaired erectile function was significantly associated with open aneurysm repair (p=0.036), independent of age or diabetes.
Conclusions:
- Endovascular aneurysm repair is associated with significantly less impairment of erectile and orgasmic function compared to open repair.
- Preservation of sexual function should be a key consideration for sexually active males undergoing abdominal aortic aneurysm repair.
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