Aorto-femoral reconstruction and sexual function: A prospective study
| Autor: | J Duchateau, G Beyens, André Nevelsteen, R. Suy |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Male
medicine.medical_specialty Aortic Diseases Aortoiliac occlusive disease Arterial Occlusive Diseases Femoral artery Anastomosis Iliac Artery Pelvis Postoperative Complications Erectile Dysfunction Blood vessel prosthesis medicine.artery medicine Humans Aorta Abdominal Prospective Studies Prospective cohort study Polyethylene Terephthalates business.industry Penile Erection Middle Aged medicine.disease Blood Vessel Prosthesis Surgery Femoral Artery Stenosis medicine.anatomical_structure Regional Blood Flow Cardiology and Cardiovascular Medicine Sexual function business |
| Zdroj: | European Journal of Vascular Surgery. 4:247-251 |
| ISSN: | 0950-821X |
| DOI: | 10.1016/s0950-821x(05)80202-6 |
| Popis: | The influence of aorto-femoral (AF) Dacron reconstruction on sexual function and pelvic circulation was studied prospectively in 62 male patients with aorto-iliac occlusive disease. Erectile function remained unchanged in 77%. Improvement or deterioration was seen in 11.3% and 20.5% of the cases respectively. Impotence occurred in only one patient (6%) with normal function preoperatively but in 31% of those presenting with impaired erection. Pelvic circulation, as reflected by the penile brachial index (PBI), was not affected in 74%, increased in 11% and decreased in 15% of the reconstructions. Pelvic circulation was at least preserved in 90% after an end-to-side proximal anastomosis and in 82% after an end-to-end anastomosis. Since fluctuations in sexual function could be related to changes in PBI in only 36% of the cases it is concluded that sexual disorders after AF surgery are due to a combination of disturbed pelvic haemodynamics and interruption of the preaortic autonomic plexus. Patients with impaired erectile function are especially at risk of a deterioration and the possibilities of restoring erectile function in patients with aorto-iliac stenosis by isolated AF reconstruction are limited. |
| Databáze: | OpenAIRE |
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