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Sexual function following elective endovascular surgery for abdominal aortic aneurysm.

Johan Nilsson1, Joakim Nordanstig2, Per Skoog2

  • 1Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Department of Hybrid and Interventional Surgery, Vascular Surgery Unit, Sahlgrenska University Hospital, Sweden.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|March 12, 2026
PubMed
Summary

Endovascular aortic repair for abdominal aortic aneurysms impacts sexual function, with many patients unaware of the risks. Post-procedure, men experienced decreased sexual interest but improved overall sexual health, while women reported low sexual interest and orgasm ability.

Keywords:
Endovascular aneurysm repairEndovascular repairFemale sexual functionMale sexual functionSexual dysfunctionSexual function

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Area of Science:

  • Vascular Surgery
  • Sexual Health Research
  • Patient-Reported Outcomes

Background:

  • Abdominal aortic aneurysm (AAA) repair is a common procedure.
  • Sexual function is an important aspect of quality of life.
  • The impact of endovascular aortic repair (EVAR) on sexual function is not well understood.

Purpose of the Study:

  • To assess the perceived sexual function in patients with AAA before and one year after elective EVAR.
  • To compare sexual function outcomes between male and female patients.

Main Methods:

  • A descriptive quantitative study using the Male Sexual Function-4 questionnaire and additional sexual function items.
  • Data collected from a sub-study within a prospective randomized clinical trial.
  • Statistical analysis included descriptive statistics and Friedman's test.

Main Results:

  • 88% of male patients received no information about potential sexual function risks before EVAR.
  • Male patients reported decreased sexual interest and ejaculation ability but improved global sexual health post-EVAR.
  • Female patients showed low interest in sex and reduced ability to achieve orgasm after EVAR compared to baseline.

Conclusions:

  • EVAR significantly impacts sexual health and function in AAA patients.
  • Patients are often uninformed about procedure-related sexual risks, highlighting a need for better patient education.
  • Improved clinician communication is essential for ensuring informed consent regarding sexual health outcomes.