May 1982

Elimination of Iatrogenic Impotence and Improvement of Sexual Function After Aortoiliac Revascularization

Author Affiliations

From the Division of Vascular Surgery, Department of Surgery, Abraham Lincoln School of Medicine, University of Illinois Medical Center, Chicago.

Arch Surg. 1982;117(5):544-550. doi:10.1001/archsurg.1982.01380290016004

• One hundred ten men who underwent revascularization for aortoiliac occlusive disease by either aortic reconstruction (n = 66), crossover femorofemoral bypass (n = 38), or axillofemoral bypass (n = 6) were examined with regard to preoperative and postoperative sexual function. Aortic reconstructions were performed using a nerve-sparing technique, and special emphasis was placed on preservation or improvement of pelvic blood supply. Thirty patients (27%) were impotent preoperatively and postoperatively, 67 patients (61%) had normal sexual function preoperatively and postoperatively, and 13 patients (12%) who were impotent preoperatively regained sexual function as a result of revascularization, indicating that 30% (13/43) of all patients with preoperative impotence regained sexual function. No patient with normal preoperative sexual function was impotent postoperatively. Nerve-sparing aortic dissections, attention to preservation or improvement of pelvic blood flow, and, when appropriate, extra-anatomic bypass are essential in the preservation or improvement of sexual function after aortoiliac revascularization.

(Arch Surg 1982;117:544-550)