title: Impairment of erectile function after elective repair of abdominal aortic aneurysm.
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.
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Cologne, Germany mir.majd@uk-koeln.de.
authors.forename: P
authors.initials: P
authors.lastname: Majd
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Cologne, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Ahmad
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Cologne, Germany.
authors.forename: Th
authors.initials: T
authors.lastname: Luebke
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Cologne, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Gawenda
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Cologne, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Brunkwall
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D017558:Elective Surgical Procedures; D057510:Endovascular Procedures / Q000009:adverse effects*; D007172:Erectile Dysfunction / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
keywords: Erectile dysfunction; KEED; abdominal aortic aneurysm; endovascular repair; open repair