Aorto-femoral reconstruction and sexual function: A prospective study

Mortality and complications after aortic bifurcated bypass procedures for chronic aortoiliac occlusive disease

“…14 Finally, some known complications, such as colitis, cholecystitis, gastric bleeding events, impotence, spinal cord ischemia, and ureteral injuries, are not routinely notified in the Registry and are therefore under-reported. [15][16][17] Thus, only severe complications necessitating laparotomy, surgical revision, or medical treatment were registered in our Registry, and this may explain why other studies report a higher incidence.…”

Neurologic Complications of Aortic Disease and Surgery

“…Disturbances in erection, however, do occur, possibly because of sympathetic dysfunction, a reduction in blood flow to the internal pudendal artery and penis, or cavernovenous leakage. 51 In this study, however, no special attempt was made to improve blood flow in the internal iliac artery during surgery, so that it is unclear whether a different operative approach 56 Their results indicated that preservation of the hypogastric plexus appeared to be more important for maintenance of normal erection and ejaculation than was preservation of blood flow in the internal iliac arteries ( Table 2-4).…”

“…1,[51][52][53][54][55] Female sexual function has not been as well studied in these circumstances, although it seems to be affected to a similar degree as in men. 1,[51][52][53][54][55] Female sexual function has not been as well studied in these circumstances, although it seems to be affected to a similar degree as in men.…”

“…2-11), most preoperative and postoperative sexual disturbances occur with disease of this portion of the aorta, and most involve ejaculation ( Table 2-3). 51,52 To determine whether blood flow or sympathetic function was more important in this regard, Ohshiro and Kosaki examined the outcome of (1) terminal aortic operations either done traditionally or designed to spare the superior hypogastric plexus and (2) operations that did or did not preserve blood flow in the internal iliac arteries. 2-11) and usually are not affected by aortic disease or surgery.…”

“…Abdominal aneurysms may result in sexual dysfunction, compressive neuropathies, 1,[42][43][44][45][51][52][53] or, rarely, spinal cord ischemic syndromes, including intermittent claudication, asymmetric paraparesis, and paraplegia 62 ; descending thoracic aneurysms may produce spinal cord ischemia, and aortic arch aneurysms may result in cerebral ischemia or recurrent laryngeal nerve dysfunction. Abdominal aneurysms may result in sexual dysfunction, compressive neuropathies, 1,[42][43][44][45][51][52][53] or, rarely, spinal cord ischemic syndromes, including intermittent claudication, asymmetric paraparesis, and paraplegia 62 ; descending thoracic aneurysms may produce spinal cord ischemia, and aortic arch aneurysms may result in cerebral ischemia or recurrent laryngeal nerve dysfunction.…”