Sexual function following elective endovascular surgery for abdominal aortic aneurysm

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.