Relationship between the two surgical access of aortoiliac occlusive disease and recovery of ED

Аннотация

Transperitoneal approach (TPA) to the aorta is the most widely accepted surgical approach in aortoiliac occlusive disease (AIOD) surgery as it is simple, fast and provides excellent exposure of the intra-abdominal cavity and vascular structures. In recent years, there has been an increasing interest in retroperitoneal approach (RPA) to the aorta as it has been described as having a better outcome, that is, preserving pulmonary function and gastrointestinal physiology, reducing the intra-operative blood loss, minimizing patient discomfort or pain, decreasing the incidence of wound complications and shortening intensive care unit and hospital stay. The majority of patients with AIOD suffer from ED. ED is characterized by the inability to achieve or maintain a penile erection of sufficient quality for satisfactory sexual intercourse for at least 6 months. Penile erection is a complex neurovascular phenomenon that may be affected by AIOD, peripheral arterial disease, increased age, urologic disease, insulin-dependent diabetes mellitus and use of β-blockers. But ED is a symptom of many other conditions and aforementioned diseases.