Preservation of masculine sexual functions after treatment for abdominal aortic aneurysms

Preserving sexual function is an important objective in the treatment of aneurysms of the abdominal aorta in men. METHOD: Two groups of patients with normal sexual function were operated for aneurysms of the abdominal aorta. In group 1 (n = 22) a small opening in the infra-renal aorta was made for insertion of an aorto-bi-iliac prosthesis; in 4 of them, the aneurysm was not opened but simply excluded. In group 2 (n = 22), the aorta was opened longitudinally for insertion of an aorto-aortic tube. RESULTS: Sexual function was totally abolished after operation in 9% of the patients in group 1 and in 36% of those in group 2. Sexual functions were totally preserved in 50% of the patients in group 1 and in 36% of those in group 2, but the differences were not statistically significant. CONCLUSIONS: 1) It is not always possible to guarantee maintained sexual function after operation for aneurysms of the abdominal aorta and the patients should be advised thereto; 2) aortobi-iliac prostheses with limited opening of the aorta in the upper part of the aneurysm or exclusion of the aneurysm led to a higher rate of preservation than aorto-aortic tubes with total opening of the aneurysm and should be preferred in men with normal sexual function.