Incidence of erectile dysfunction after open abdominal aortic aneurysm repair

Eugene S. Lee, Daryl J. Kor, Michael A. Kuskowski, Steven M. Santilli

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


The aim of this study is to document the incidence of erectile dysfunction (ED) following open abdominal aortic aneurysm (AAA) repair using a modified International Index of Erectlie Function questionnaire (IIEF). An IIEF was mailed to 175 married male patients (mean age ± SD: 71 ± 8 years) who had an open AAA repair by one of four board-certified vascular surgeons between 1994 and 1998. The IIEFs were anonymous and asked patients to recall their sexual function before and 3 months after repair. ED was defined in patients with IIEF scores <11 (range 1-30). The overall response rate was 39% (68/175). A comparison of the IIEF results showed that 67/68 patients reported worsening erectile function (p < 0.00001); one respondent reported improved erectile function. On the basis of the IIEF scores, 20/68 patients (29%) were found to have ED and 48/68 patients (71%) had normal function prior to repair. Of the 48 patients with normal function prior to surgery, 83% (40/48) had ED after surgery. ED rates were similar between tube grafts 82% (23/28) and bifurcated grafts 85% (17/20) p = ns. The ED rate after open AAA repair is alarmingly high and prospective follow-up with IIEF will be necessary to better assess true ED rates after conventional open AAA repair.

Original languageEnglish (US)
Pages (from-to)13-19
Number of pages7
JournalAnnals of Vascular Surgery
Issue number1
StatePublished - 2000

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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