Impairment of erectile function after elective repair of abdominal aortic aneurysm

Vascular. 2016 Feb;24(1):37-43. doi: 10.1177/1708538115577290. Epub 2015 Mar 10.

Abstract

The purpose of the present study was to compare the functional change of erectile dysfunction after endovascular repair (EVAR) and open repair (OR) of abdominal aortic aneurysm.Between April 2009 and December 2011, male patients admitted for elective treatment of an asymptomatic infrarenal abdominal aortic aneurysm were included. The erectile function was evaluated by using a validated KEED questionnaire. All patients filled out the questionnaire preoperatively and postoperatively after one year.The number of patients with an increase of erectile dysfunction was 8 (26.6%) to 16 (53.3%) in open repair group vs. 30 (42.6%) to 40 (58.8%) in endovascular aneurysm repair. There was no statistically significant difference between open repair and endovascular aneurysm repair groups in order of new incidence of erectile dysfunction (p = 0.412). The study showed an increase in the mean value of Erectile Dysfunction -Score postoperatively in both the groups as well.The present study showed an increase of erectile dysfunction postoperatively, but the difference between the two groups was not statistically significant.

Keywords: Erectile dysfunction; KEED; abdominal aortic aneurysm; endovascular repair; open repair.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Elective Surgical Procedures
  • Endovascular Procedures / adverse effects*
  • Erectile Dysfunction / diagnosis
  • Erectile Dysfunction / etiology*
  • Erectile Dysfunction / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Penile Erection*
  • Risk Factors
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome