| Abstrakt: |
We aimed to investigate the changes in International Index of Erectile Function-5 (IIEF-5) scores before and after the procedures in patients who underwent coronary artery bypass graft surgery (CABG) or coronary stent implantation due to coronary artery disease (CAD). This prospective study included male patients who underwent 31 CABG and 47 coronary stent implantations. The patient's age, height, weight, smoking history, records of previous interventions, beta-blocker usage, comorbidities (diabetes mellitus (DM), hypertension (HT), hyperlipemia (HL)), and nocturnal penile tumescence (NPT) data were recorded. Patients were asked to fill out the Turkish-validated IIEF-5 form regarding their sexual lives six months before the procedure and during the 6-month post-procedure follow-up. Demographic data, ß-blocker usage, and pre-and post-procedural IIEF-5 score changes of patients who underwent CABG and coronary stent implantation were compared through univariate analysis (UVA). There were no statistically significant distinctions found between the two groups concerning body mass index (BMI), current smoking, DM, HL, HT, NPT, and ß-blocker use. The difference in IIEF-5 score before and after treatment was not statistically significantly different between the two groups. In UVA, it was found that age and DM were associated with an IIEF-5 score decrease. In multivariate regression analysis (MVA), Age and DM were found to be predictors of IIEF-5 score decline (OR=1.02, 95% CI=1.01-1.04, p=0.001 and OR=1.56, 95% CI=1.15-2.04, p<0.001). We observed that the negative impact on sexual function in CAD treatment is more attributable to factors such as age and DM rather than treatment choice. [ABSTRACT FROM AUTHOR] |
