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Published on: September 15, 2023
Evaluations of erectile dysfunction before and after on-pump coronary artery bypass graft surgery
Shervin ZiabakhshTabary1, Farzad Mokhtari-Esbuie2, Mehran Fazli3
1Cardiac Surgery Department , Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Insights
Coronary artery bypass graft (CABG) surgery positively impacts erectile dysfunction (ED) in patients with coronary artery disease (CAD). This study found improvements in ED after on-pump CABG, suggesting a beneficial effect on sexual health.
Area of Science:
- Cardiovascular Surgery
- Urology
- Sexual Health
Background:
- Erectile dysfunction (ED) is prevalent in cardiovascular disease (CVD) patients.
- ED is a recognized complication following coronary artery bypass graft (CABG) surgery.
- This study investigated ED status in coronary artery disease (CAD) patients pre- and post-CABG.
Purpose of the Study:
- To evaluate the impact of on-pump CABG on erectile function in male patients with CAD.
- To assess changes in the severity of erectile dysfunction before and after CABG surgery.
Main Methods:
- Prospective cohort study of male patients undergoing elective on-pump CABG.
- Data collected using the International Index of Erectile Function (IIEF-5) questionnaire at baseline and 6 months post-surgery.
- ED severity categorized as normal, mild to moderate, or moderate to severe based on IIEF scores.
Main Results:
- 426 male patients participated; mean age 58.69 years.
- Significant improvement in mean IIEF-5 scores post-CABG (13.95±5.44 vs. 14.20±5.69, P=0.001).
- A shift in ED severity distribution was observed 6 months post-surgery (P=0.01).
Conclusions:
- On-pump CABG surgery demonstrates a positive effect on improving erectile function.
- The findings suggest CABG may benefit sexual health in patients with CAD.
- Further research can explore mechanisms and long-term effects.
Background:
Erectile dysfunction (ED) is common in cardiovascular disease (CVD) and indicates a complication of coronary artery bypass graft surgery (CABG). This study was designed to evaluate the status of erectile dysfunction in patients with CAD before and after CABG surgery.
Methods:
We designed a prospective cohort study on male patients candidates for elective on-pump CABG between June 2006 to October 2012 in 3 hospitals in Sari, Iran (Fatemeh Zahra, Shafa and Nime-Shaban Hospitals). Patient's primary data were collected based on the International Index of Erectile Function questionnaire (IIEF-5) at baseline 6 months after surgery. The severity of dysfunction was categorized as, normal, mild to moderate and moderate to severe based on IIEF score.
Results:
Four hundred twenty-six male patients with mean age of 58.69±12.49 years participated in this study. 166 patients had DM (38.96%) 230 patients had hypertension (54%). 307 patients had three-vessel impairment (72.07%) and 119 patients with one or two vessel impairment (27.93%). The 15.02%, 18.07%, 23%, 31.92% and 11.97%, at baseline changed to 16.90%, 19.95%, 23.71%, 32.22% and 8.21%, at endpoint (P=0.01). Also, the mean±SD of IIEF-5 score before and after surgery was 13.95±5.44 and 14.20±5.69, respectively (P=0.001).
Conclusion:
The result of our study shows that on-pump CABG surgery has a positive effect on the improvement of erectile dysfunction 6 months after surgery.
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