Aortoiliac operations and sexual dysfunction
J. R. Miles Jr, D. G. Miles and G. Johnson Jr
Male sexual dysfunction after aortoiliac operations can be a distressing
complication. Since previous studies dealing with this problem have not
excluded other causes of sexual dysfunction, the true incidence of this
complication has been difficult to ascertain. We assessed preoperative and
postoperative sexual function in a group of patients with no identifiable
organic or functional etiology of sexual dysfunction other than aortoiliac
operations or arterial occlusive disease. Seventy-six male patients had no
evidence of sexual dysfunction of ambiguous etiology before or after
operation. Preoperatively, 33% of patients with abdominal aortic aneurysm
and 22% of those with aortoiliac occlusive disease were functionally
impotent. Conventional dissection techniques rendered an additional 30% of
each group functionally impotent. Postoperative impotence was twice as
common in those with minor dysfunction preoperatively.
