Sexual dysfunction as a symptom of arteriosclerosis and a complication to reconstruction of the aorto-iliac segment.
68 males were studied retrospectively after reconstructive surgery on the aorto-iliac segment with regard to sexual function pre- and postoperatively. The parameters used to evaluate the sexual dysfunctions were: penile-brachial-index (PBI), urethral pressure profile, rectal-urethral-temperature-gradient (RUTG), and urinary flow. Furthermore, in all patients a preoperative arteriogram was available and all patients were carefully interviewed on their sexual functions before and after surgery. It is concluded that PBI is a good parameter of the perfusion pressure of the internal iliac artery, which is a significant factor for erectile function. The urethral pressure profile has no relation to erectile function, but the results indicate that peroperative damage of the sympathetic nerves do have a significant influence on retrograde ejaculation postoperatively.
Fredberg
U
U
Department of Thoracic and Cardiovascular Surgery, Aarhus Kommunehospital, Denmark.
Mouritzen
C
C
D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D001161:Arteriosclerosis / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000098:blood supply / Q000503:physiopathology; D011183:Postoperative Complications; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000503:physiopathology