[Potency disorders following aorto-bifemoral bypass prosthesis].
The sexual potency of 170 patients treated for obstructions of the pelvic arteries by implantation of an aortobifemoral dacron graft was investigated 2--4 years after the operation. About half of these patients reported preoperative sexual disorder. Postoperatively, 60% of those capable of cohabitation prior to the operation developed either new or further sexual dysfunction. A lasting normalization of potency was reported by 12 patients, a transitory improvement by 4 others. Avoiding damage to the preaortal sympathetic plexus led to a decrease in the rate of isolated disorder in ejaculation from 15% to 1%, but not, however, to a lower frequency of potency disturbance in general. The evaluation of 142 informative preoperative angiograms showed a clear dependence of preoperative potency on the orthograde perfusion of the internal iliac artery. Similarly, the postoperative changes in potency correlated with the angiographically expected improvement or worsening of the interna-poerfusion by retrograde blood flow. It therefore seems possible to decrease the occurrence of postoperative potency disorders by the additional revascularization of the internal iliac artery in certain patients.
D000328:Adult; D000367:Age Factors; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D007172:Erectile Dysfunction / Q000209:etiology* / Q000523:psychology; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged
Potenzstörungen nach aortobifemoralem Prothesen-Bypass.