Coronary artery bypass surgery and sexual function
Article Sidebar
Main Article Content
Abstract
Objectives:To evaluate the influences of coronary artery by-pass surgery(CABS) on sexual function(SF) and the comorbidities on the impact of CABS on SF.
Methods:The data of 112 patients who underwent CABS and interviewed by full form of IIEF questionnaire before and 6 months after CABS were retrospectively evaluated. We specifically analyzed and compared the preoperative and postoperative(PAP) IIEF questionnaire(IQ) results to determine the influences of CABS on SF. Furthermore, we separately analyzed the same PAP data in diabetic, hypertensive and both diabetic and hypertensive subgroups and compared the data in each group to find possible influences of the comorbidities on the impact of CABS on SF.
Results:The mean age was 61,7±9,1. The number of patients without erectile dysfunction(ED) increased from 3(%2.6) to 7(%6.2), with severe and moderate ED decreased from 85(%75.9) to 33(%29.4), with mild ED increased from 24(%21.4) to 72(%64.2) after CABS, which revealed the severity of ED declined in overall and ED completely improved in some patients after CABS. The total IIEF, erectile function(EF), intercourse satisfaction, orgasmic function and sexual desire scores significantly increased after CABS(P=0,000). Although OS(Overall Satisfaction) had an increase, no statistically significant alteration was found(P= 0,04). The SF most improved in both diabetic and hypertensive group, it was least affected in diabetic group.
Conclusions:CABS had positive impacts on EF and almost all domains of SF. While the lonely presence of diabetes did not significantly affect the impact of CABS on SF, the SF most improved in both diabetic and hypertensive cases after CABS.
Downloads
Article Details
References
Lukkarinen H, Lukkarinen O. Sexual satisfaction among patients after coronary bypass surgery or percutaneous transluminal angioplasty: Eight-year follow-up. Heart Lung. 2007;36:262-269.
Kim ED, Owen RC1, White GS, Elkelany OO, Rahnema CD. Endovascular treatment of vasculogenic erectile dysfunction. Asian Journal of Andrology 2015;17:40-43
Foroutan SK, Rajabi M. Erectile dysfunction in men with angiographically documented coronary artery disease. Urology. 2007; 4: 28–32,
Schwarz ER, Kapur V, Bionat S, et al. The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure. International Journal of Impotence Research. 2008; 20: 85–91,
Kendirci M, Nowfar S, Hellstrom WJG. The impact of vascular risk factors on erectile function, Drugs of Today. 2005; 41; 1: 65–74
Jackson G. The metabolic syndrome and erectile dysfunction: multiple vascular risk factors and hypogonadism, European Urology, 2006; 50( 3): 426–427.
Montorsi P, Ravagnani PM, Galli S et al. Association between erectile dysfunction and coronary artery disease. Role of coronary clinical presentation and extent of coronary vessels involvement: the COBRA trial, European Heart Journal, 2006; 27(22): 2632–2639.
Mohamed OA, Bennett CJ, Roaiah MF, Helmy T, Mahran A, Hamed HA. The impact of on-pump coronary artery bypass surgery vs. off-pump coronary artery bypass surgery on sexual function. J Sex Med 2009;6:1081–1089
Schmitz C, Weinreich S, Schneider R et al. Offpump versus on-pump coronary artery bypass: Can OPCAB reduce neurologic injury? Heart Surg Forum. 2003; 6:127–30.
Gueglio G, Chamas G, Ruda Vega P, Garcia Merletti P, Domenech A, Damia O. Erectile function after myocardial revascularization surgery. Analysis of 30 cases. Arch Esp Urol. 2002;55:57–62.
Hizli F, Isler B, Gunes Z, Ozatik MA, Berkmen F. What is the best predictor of postoperative erectile function in patients who will undergo coronary artery bypass surgery? Int Urol Nephrol. 2007;39:909–912
MacVary KT. Sexual Dysfunction. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Larry Jameson J, et al. Harrison’s Principles of Internal Medicine. 17th Ed. New York: McGraw Hill. 2008; 296.
Bulcroft K, O’Connor M. The importance of the dating relationships on quality of life for older persons. Family Relations J Appl Family Child Studies. 1986; 35(3):197-401.
Buvat J, Buvat-Herbaut M, Lamaire A, Marcolin G, Quittelier E. Recent developments in the clinical assessment and diagnosis of erectile dysfunction. Annu Rev Sex Res. 1990;1:265-299
ZiabakhshTabary S, Mokhtari-Esbuie F, Fazli M. Evaluations of erectile dysfunction before and after on-pump coronary artery bypass graft surgery. Caspian J Intern Med 2014; 5(4): 209-212
Grahan I. Rehabilitation of the Patient with Coronary Heart Disease. In: Fuster V, ORourke RA, Walsh RA, Poole- Wilson P. Hurst’s The Heart. 12th Ed. New York: Mc Graw Hill; 2007:1543.
Braun M, Wassner G, Klotz T et al. Epidemiology of erectile dysfunction: results of the ‘‘Cologne Male Survey’’. Int J Impot Res. 2000; 12: 305–311.
Schwartz BG, Kloner RA How to save a life during a clinic visit for erectile dysfunction by modifying cardiovascular risk factors. Int J Impot Res. 2009; 21: 327-335.
Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. “Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study,” J Urol. 1994;151:54–61.
Pournaghash-Tehrani S, Etemadi S. ED and quality of life in CABG patients: an intervention study using PRECEDE-PROCEED educational program. Int J Impot Res. 2014 Jan;26(1):16-9.
Heaton JP, Evans H, Adams MA, Smith K, Morales A. Coronary arteries bypass graft surgery and its impact on erectile function: A preliminary prospective study. Int J Impot Res;1996;8:35–9.
Debusk R, Drory Y, Goldstein I, et al. Management of sexual dysfunction in patients with cardiovascular disease: recommendations of The Princeton Consensus Panel. Am J Cardiol. 2000;86:175-181.
Bernardo A. Sexuality in patients with coronary disease and heart failure. Herz. 2001; 26: 353-359.
Gerber RE, Vita JA, Ganz P, Wager CG, Araujo AB, Rosen RC, Kupelian V. Association of peripheral microvascular dysfunction and erectile dysfunction. J Urol. 2015;193(2):612-7.
Parazzini F, Menchini Fabris F, Bortolotti A et al. Frequency and determinants of erectile dysfunction in Italy. Eur Urol. 2000;37:43–49
Chew KK, Earle CM, Stuckey BGA et al. Erectile dysfunction in general medicine practice: prevalence and clinical correlates. Int J Impot Res. 2000;12:41–45
Feldman HA, Johannes CB, Derby CA et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts Male Aging Study. Prev Med. 2000;30:328–338
Ledda A Cigarette smoking, hypertension and erectile dysfunction. Curr Med Res Opin. 2000;16:13-16
Moore CS, Grant MD, Zink TA et al. Erectile dysfunction, vascular risk, and cognitive performance in late middle age. Psychol Aging. 2014 Mar;29(1):163-72