Abstract
Aortoiliac occlusive disease (AIOD) can occur anywhere from the distal abdominal aorta to the common femoral arteries. Patients with AIOD may be asymptomatic or may have intermittent claudication or critical limb ischemia. ED in the young males may be the first symptom of aortoiliac disease. The aims of this study were to determine the outcome of ED in patients who underwent aortoiliac surgery and evaluate the effect of revascularization upon erectile function (EF) by using the international index of EF questionnaire and color duplex Doppler ultrasonography. A total of 60 patients under 65-year-old age eligible for elective repair of AIOD s were included in this study. The patients were randomly divided into two equal groups. The first group (group A) patients were operated by minimally invasive retroperitoneal approach (RPA) and the second group (group B) patients were operated by transperitoneal approach (TPA) to the aorta. The quality of sexual function scale was evaluated preoperatively and at 6 months postoperatively. Surgical revascularization when appropriate, symptomatic AIOD and ED are often improved. As a result of our study, RPA to the aorta is superior to TPA because of recovering with the higher systolic velocity values of penile Doppler in ED cases.
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References
Koca O, Calışkan S, Mİ Oztürk, Güneş M, Kılıçoğlu G, Karaman MI . Vasculogenic erectile dysfunction and metabolic syndrome. J Sex Med 2010; 7: 3997–4002.
Magee R . Sexual functions after aortic surgery. ANZ J Surg 2003; 73: 572–576.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A . The international index of erectile function (IIEF) a multidimensional scale for assessment of erectile dysfunction. Urology 1997; 49: 822–830.
Blander DS, Sánchez-Ortiz RF, Broderick GA . Sex inventories: can questionnaires replace erectile dysfunction testing? Urology 1999; 54: 719–723.
Salonia A, Castagna G, Saccà A, Ferrari M, Capitanio U, Castiglione F et al. Is erectile dysfunction a reliable proxy of general male health status? The case for the International Index of Erectile Function-Erectile Function domain. J Sex Med 2012; 9: 2708–2715.
Teh HS, Lin MB, Tsou IY, Khoo TK, Lim PH, Ng FC et al. Penile colour duplex ultrasonography as a screening tool for venogenic erectile dysfunction. Ann Acad Med Singapore 2002; 31: 165–169.
Liao SL, Luthra M, Rogers KM . Leriche syndrome. J Am Coll Cardiol 2009; 54: 19.
Brewster DC . Clinical and anatomical considerations for surgery in aortoiliac disease and results of surgical treatment. Circulation 1991; 83: I42–I52.
Criqui MH, Vargas V, Denenberg JO, Ho E, Allison M, Langer RD et al. Ethnicity and peripheral arterial disease: the San Diego Population Study. Circulation 2005; 112: 2703–2707.
Ewane KA, Lin HC, Wang R . Should patients with erectile dysfunction be evaluated for cardiovascular disease? Asian J Androl 2012; 14: 138–144.
Mulhall JP, Levine LA, Jünemann KP . Erection hardness: a unifying factor for defining response in the treatment of erectile dysfunction. Urology 2006; 68 (Supp l): 17–25.
Kalko Y, Ugurlucan M, Basaran M, Nargileci E, Banach M, Alpagut U et al. Comparison of transperitoneal and retroperitoneal approaches in abdominal aortic surgery. Acta Chir Belg 2008; 108: 557–562.
Krotovskii GS, Ellanskii MM, Mamedov DM, Zabel'skaia TF, Uchkin IG . The prognosis of the efficacy of revascularization of the penile corpora cavernosa in the surgical treatment of Leriche's syndrome. Grud Serdechnososudistaia Khir 1992; 9: 39–42.
van Schaik J, van Baalen JM, Visser MJ, DeRuiter MC . Nerve-preserving aortoiliac reconstruction surgery: anatomical study and surgical approach. J Vasc Surg 2001; 33: 983–989.
Cormio L, Edgren J, Lepäntalo M, Lindfors O, Nisén H, Saarinen O et al. Aortofemoral surgery and sexual function. Eur J Vasc Endovasc Surg 1996; 11: 453–457.
Barć P, Dorobisz A, Skóra J, Jakubaszko J, Szyber P . Erection disorders after implantation of aorto-bifemoral prosthesis. Polim Med 1999; 29: 21–26.
Flanigan DP, Schuler JJ, Keifer T, Schwartz JA, Lim LT . Elimination of iatrogenic impotence and improvement of sexual function after aortoiliac revascularization. Arch Surg 1982; 117: 544–550.
Lee ES, Kor DJ, Kuskowski MA . Santilli SM. Incidence of erectile dysfunction after open abdominal aortic aneurysm repair. Ann Vasc Surg 2000; 14: 13–19.
Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL et al. American Association for Vascular Surgery/Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines. ACC/AHA Guidelines for the Management of Patients with Peripheral Arterial Disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Associations for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (writing committee to develop guidelines for the management of patients with peripheral arterial disease) summary of recommendations. J Vasc IntervRadiol 2006; 17: 1383–1397.
Sixt S, Alawied AK, Rastan A, Schwarzwälder U, Kleim M, Noory E et al. Acute and long-term outcome of endovascular therapy for aortoiliac occlusive lesions stratified according to the TASC classification: a single-center experience. J Endovasc Ther 2008; 15: 408–416.
Mamedov DM, Ellanskii MM, Zabel'skaia TF, Gerasimov VB, Uchkin IG . The risk prediction of erectile failure developing after the reconstruction of the aortoiliac segment. Grud Serdechnososudistaia Khir 1993; 2: 32–34.
Karkos CD, Wood A, Bruce IA, Karkos PD, Baguneid MS, Lambert ME . Erectile dysfunction after open versus angioplasty aortoiliac procedures: a questionnaire survey. Vasc Endovascular Surg 2004; 38: 157–165.
King R, Juenemann KP, Levinson IP, Stecher VJ, Creanga DL . Correlations between increased erection hardness and improvements in emotional well-being and satisfaction outcomes in men treated with sildenafil citrate for erectile dysfunction. Int J Impot Res 2007; 19: 398–406.
O'Donnell AB, Araujo AB, Goldstein I, McKinlay JB . The validity of a single-question self-report of erectile dysfunction. Results from the Massachusetts Male Aging Study. J Gen Intern Med 2005; 20: 515–519.
Akkus E, Kadioglu A, Esen A, Doran S, Ergen A, Anafarta K et al. Turkish Erectile Dysfunction Prevalence Study Group. Prevalence and correlates of erectile dysfunction in Turkey: a population-based study. Eur Urol 2002; 41: 298–304.
Borges LL, Torricelli FC, Ebaid GX, Lucon AM, Srougi M . Urological complication following aortoiliac graft: case report and review of the literature. Sao Paulo Med J 2010; 128: 174–176.
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Verim, L., Kalko, Y. Relationship between the two surgical access of aortoiliac occlusive disease and recovery of ED. Int J Impot Res 27, 54–58 (2015). https://doi.org/10.1038/ijir.2014.31
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DOI: https://doi.org/10.1038/ijir.2014.31
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