AI Article Synopsis
- A study examined 110 men who underwent revascularization for aortoiliac occlusive disease, using methods like aortic reconstruction, crossover femorofemoral bypass, and axillofemoral bypass.
- Preoperative and postoperative sexual function was assessed, revealing that 27% of men remained impotent, 61% maintained normal function, and 12% regained sexual function after surgery.
- The findings suggest that nerve-sparing techniques and careful attention to pelvic blood flow are crucial for preserving or improving sexual function following these procedures.
Article Abstract
One hundred ten men who underwent revascularization for aortoiliac occlusive disease by either aortic reconstruction (n = 66), crossover femorofemoral bypass (n = 38), or axillofemoral bypass (n = 6) were examined with regard to preoperative and postoperative sexual function. Aortic reconstructions were performed using a nerve-sparing technique, and special emphasis was placed on preservation or improvement of pelvic blood supply. Thirty patients (27%) were impotent preoperatively and postoperatively, 67 patients (61%) had normal sexual function preoperatively and postoperatively, and 13 patients (12%) who were impotent preoperatively regained sexual function as a result of revascularization, indicating that 30% (13/43) of all patients with preoperative impotence regained sexual function. No patient with normal preoperative sexual function was impotent postoperatively. Nerve-sparing aortic dissections, attention to preservation or improvement of pelvic blood flow, and, when appropriate, extra-anatomic bypass are essential in the preservation or improvement of sexual function after aortoiliac revascularization.
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| http://dx.doi.org/10.1001/archsurg.1982.01380290016004 | DOI Listing |
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