Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Relationship between the two surgical access of aortoiliac occlusive disease and recovery of ED

International Journal of Impotence Research volume 27, pages 54–58 (2015)Cite this article

Subjects

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.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. 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.

    Article  Google Scholar 

  2. Magee R . Sexual functions after aortic surgery. ANZ J Surg 2003; 73: 572–576.

    Article  Google Scholar 

  3. 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.

    Article  CAS  Google Scholar 

  4. Blander DS, Sánchez-Ortiz RF, Broderick GA . Sex inventories: can questionnaires replace erectile dysfunction testing? Urology 1999; 54: 719–723.

    Article  CAS  Google Scholar 

  5. 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.

    Article  Google Scholar 

  6. 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.

    CAS  PubMed  Google Scholar 

  7. Liao SL, Luthra M, Rogers KM . Leriche syndrome. J Am Coll Cardiol 2009; 54: 19.

    Article  Google Scholar 

  8. Brewster DC . Clinical and anatomical considerations for surgery in aortoiliac disease and results of surgical treatment. Circulation 1991; 83: I42–I52.

    CAS  PubMed  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. Ewane KA, Lin HC, Wang R . Should patients with erectile dysfunction be evaluated for cardiovascular disease? Asian J Androl 2012; 14: 138–144.

    Article  Google Scholar 

  11. 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.

    Article  Google Scholar 

  12. 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.

    Article  CAS  Google Scholar 

  13. 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.

    Google Scholar 

  14. 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.

    Article  CAS  Google Scholar 

  15. 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.

    Article  CAS  Google Scholar 

  16. Barć P, Dorobisz A, Skóra J, Jakubaszko J, Szyber P . Erection disorders after implantation of aorto-bifemoral prosthesis. Polim Med 1999; 29: 21–26.

    PubMed  Google Scholar 

  17. 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.

    Article  CAS  Google Scholar 

  18. 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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  20. 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.

    Article  Google Scholar 

  21. 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.

    Google Scholar 

  22. 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.

    Article  Google Scholar 

  23. 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.

    Article  CAS  Google Scholar 

  24. 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.

    Article  Google Scholar 

  25. 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.

    Article  Google Scholar 

  26. 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.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey

    L Verim

  2. Department of Cardiovascular Surgery, Bahcelievler School of Medicine, Kemerburgaz University Medical Park, Istanbul, Turkey

    Y Kalko

Authors
  1. L Verim
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Y Kalko
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to L Verim.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijir.2014.31

This article is cited by

Search

Advanced search

Quick links