Pre and Postoperative Sexual Dysfunction in Patients with Leriche Syndrome—A Prospective Pilot Study

Michał Tkocz, Anna Brzęk, Mateusz Marcinek, Violetta Skrzypulec-Plinta and Damian Ziaja
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Michał Tkocz: Department of Urology, FMS in Katowice, Medical University of Silesia, 40-055 Katowice, Poland
Anna Brzęk: Department of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland
Mateusz Marcinek: Department of Urology, FMS in Katowice, Medical University of Silesia, 40-055 Katowice, Poland
Violetta Skrzypulec-Plinta: Department of Women’s Health, School of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland
Damian Ziaja: Department of Physiotherapy, School of Health Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland

IJERPH, 2022, vol. 19, issue 5, 1-9

Abstract: Background : Recovery of normal arterial inflow in the lower limbs after Leriche’s syndrome surgery does not always improve erection. This study assesses the effects of Leriche syndrome on erectile and ejaculatory dysfunction in patients awaiting surgical treatment and the impact of treatment used on sexual dysfunctions. Methods : 35 men with Leriche syndrome aged 61.3 years (SD = 7.74) were assessed for erectile dysfunction. The patients were classified into three groups: aortofemoral bypass (group 1); stenting of the iliac artery (group 2) and aortobifemoral bypass (group 3). The patients were qualified for surgery based on the TASC II guidelines. Follow-up was done 3 months after treatment. Results : The mean preoperative IIEF-5 score was 14. 69 (+/− 5.30), with better preoperative scores obtained by 54.3% of patients. A total of 51.4% and 48.6% of patients, respectively, reported normal erection enabling satisfactory penetration and normal ejaculation before treatment. After surgical treatment, satisfactory erection was reported by 60% of all surgically treated patients, whereas the presence of ejaculation was reported by only 14.2% of patients. Conclusions: The IIEF-5 score is a tool for careful assessment of vascular erectile dysfunctions, it allows for the evaluation of erectile dysfunctions in relation to atherosclerosis risk factors. The treatment strategy used allowed for slight improvement as evidenced to erection but decreasing normal ejaculation.

Keywords: endovascular treatment; erectile dysfunction; IIEF-5; Leriche syndrome; surgical treatment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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