[Sexual function and aortoiliac reconstructive surgery].
In this study of 52 patients aged between 32 and 60 years, maintenance or restoration of sexual function during aorto-iliac surgery represented a usually non-priority but certainly desirable objective. Aspects studied were: place of crossed bypass and of endarterectomy-type of aorto-prosthesis anastomosis: end-to-end or end-to-side - routine or non-routine reimplantation of a hypogastric artery. Results in this series showed a lack of advantage from the sexual point of view for end-to-side over end-to-end surgery; hypogastric reimplantation offers a supplementary guarantee of efficacy but should not be performed routinely; crossed bypass operations are certainly interesting solutions in young patients. Endarterectomy should not be rejected as a matter of principle but with respect to sexual function its indications should be reserved for cases not requiring extensive dissection of arterial axes.
Langeron
P
P
Service de chirurgie A, Centre Hospitalier St Philibert, Lomme.
Mikati
A
A
Mussche
E
E
D000328:Adult; D001012:Aorta, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004691:Endarterectomy / Q000009:adverse effects*; D007172:Erectile Dysfunction / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques
Fonction sexuelle et chirurgie restauratrice aorto-iliaque.