择期血管内或手助腹腔镜腹主动脉瘤修复术后的性功能障碍。

Sexual dysfunction after elective endovascular or hand-assisted laparoscopic abdominal aneurysm repair.

机构信息

Department of Surgery, Transplantation and Advanced Technologies, Vascular Surgery and Organ Transplant Unit, University Hospital of Catania, Via Santa Sofia, 86, 96123 Catania, Italy.

出版信息

Eur J Vasc Endovasc Surg. 2010 Jul;40(1):71-5. doi: 10.1016/j.ejvs.2010.03.007. Epub 2010 Apr 18.

DOI:10.1016/j.ejvs.2010.03.007

PMID:20403714

Abstract

OBJECTIVE

To evaluate the incidence of sexual dysfunction and retrograde ejaculation after elective endovascular aneurysm repair (EVAR) and hand-assisted laparoscopic surgery (HALS) for abdominal aortic aneurysm (AAA).

METHODS

A total of 100 patients eligible for elective repair of infrarenal AAAs were randomised in two groups: EVAR and HALS. The quality of sexual function was evaluated using the International Index of Erectile Function (IIEF), a 15-item questionnaire. Patients completed the IIEF preoperatively and at 12 months. The incidence of retrograde ejaculation was also evaluated.

RESULTS

One- and 12-month mortality rates were zero. Three patients in the EVAR group (6%) and two patients in the HALS group (4%) reported an erectile dysfunction (p = NS). The quality of sexual function at 1 year was similar in both groups: total score of 66 in the EVAR group versus 68 in the HALS group (p = 0.66). Retrograde ejaculation was detected in three cases in the HALS group versus no case in the EVAR group.

CONCLUSIONS

The HALS technique could be a minimally invasive alternative for sexually active males unsuitable for EVAR repair.

摘要

目的

评估择期血管内腹主动脉瘤修复术（EVAR）和手助腹腔镜手术（HALS）治疗腹主动脉瘤（AAA）后性功能障碍和逆行射精的发生率。

方法

将 100 名符合择期肾下 AAA 修复条件的患者随机分为两组：EVAR 和 HALS。使用国际勃起功能指数（IIEF），即 15 项问卷评估性功能质量。患者在术前和 12 个月时完成 IIEF。还评估了逆行射精的发生率。

结果

1 个月和 12 个月的死亡率均为零。EVAR 组中有 3 名患者（6%）和 HALS 组中有 2 名患者（4%）报告存在勃起功能障碍（p=NS）。两组患者在 1 年时的性功能质量相似：EVAR 组的总分为 66 分，HALS 组为 68 分（p=0.66）。HALS 组中有 3 例发生逆行射精，EVAR 组中无逆行射精。