Kalteis et al.1717 Kalteis M, Gangl O, Huber F, Adelsgruber P, Kastner M, Lugmayr H. Clinical impact of hypogastric artery occlusion in endovascular aneurysm repair. Vascular. 2015;23(6):575-9. http://dx.doi.org/10.1177/1708538114560462. PMid:25414170. http://dx.doi.org/10.1177/17085381145604...
|
Retrospective |
106 (82 EVAR vs. 24 EVAR with IIA embolization) |
EVAR with IIA embolization was associated with new onset ED (17.3% vs. 42.9%; p = 0.043). |
Single-center |
EVAR vs. EVAR with IIA embolization |
Majd et al.1818 Majd P, Ahmad W, Luebke T, Gawenda M, Brunkwall J. Impairment of erectile function after elective repair of abdominal aortic aneurysm. Vascular. 2016;24(1):37-43. http://dx.doi.org/10.1177/1708538115577290. PMid:25761855. http://dx.doi.org/10.1177/17085381155772...
|
Prospective |
100 (70 EVAR vs 30 OR) |
Increase of ED in both groups (53.3.% OR vs. 58.8% EVAR, p = 0.412). |
Single-center |
OR vs. EVAR |
Machado et al.1919 Machado R, Teixeira G, Oliveira P, Loureiro L, Pereira C, Almeida R. Is age a determinant factor in EVAR as a predictor of outcomes or in the selection procedure? Our experience. Rev Bras Cir Cardiovasc. 2016;31(2):132-9. http://dx.doi.org/10.5935/1678-9741.20160037. PMid:27556312. http://dx.doi.org/10.5935/1678-9741.2016...
|
Retrospective |
171 |
ED was more frequent in the elderly group (p<0.05) |
Single-center |
EVAR (patients were divided according to age groups < 70, 70-80, and > 80 years) |
Shin et al.2020 Shin SH, Starnes BW. Bifurcated-bifurcated aneurysm repair is a novel technique to repair infrarenal aortic aneurysms in the setting of iliac aneurysms. J Vasc Surg. 2017;66(5):1398-405. http://dx.doi.org/10.1016/j.jvs.2017.02.044. PMid:28502552. http://dx.doi.org/10.1016/j.jvs.2017.02....
|
Retrospective |
14 |
No cases of ED |
Single-center |
EVAR (bifurcated-bifurcated repair) |
Bosanquet et al.2121 Bosanquet DC, Wilcox C, Whitehurst L, et al. Systematic review and meta-analysis of the effect of internal iliac artery exclusion for patients undergoing EVAR. Eur J Vasc Endovasc Surg. 2017;53(4):534-48. http://dx.doi.org/10.1016/j.ejvs.2017.01.009. PMid:28242154. http://dx.doi.org/10.1016/j.ejvs.2017.01...
|
Meta-analysis |
2671 |
Higher rates of ED after coiling (11.6% Coils vs. 3.03% Plugs) |
EVAR (coils vs. plugs) |
Regnier et al.2222 Regnier P, Lareyre F, Hassen-Khodja R, Durand M, Touma J, Raffort J. Sexual dysfunction after abdominal aortic aneurysm surgical repair: current knowledge and future directions. Eur J Vasc Endovasc Surg. 2018;55(2):267-80. http://dx.doi.org/10.1016/j.ejvs.2017.11.028. PMid:29292207. http://dx.doi.org/10.1016/j.ejvs.2017.11...
|
Meta-analysis |
29 studies |
Post-operative ED prevalence= (OR 7.4 to 79% vs. EVAR 4.7 to 82%). Post-operative RE prevalence= (OR 3.3 to 9% vs. Laparoscopic repair 6 to 6.6%) |
Kudo et al.2323 Kudo T. Surgical complications after open abdominal aortic aneurysm repair: intestinal ischemia, buttock claudication and sexual dysfunction. Ann Vasc Dis. 2019;12(2):157-62. http://dx.doi.org/10.3400/avd.ra.19-00038. PMid:31275467. http://dx.doi.org/10.3400/avd.ra.19-0003...
|
Narrative Review |
NR |
Emphasized the importance of preservation of blood flow from IIA and of adequate preservation of the superior hypogastric plexus and lumbar splanchnic nerves |
Gallitto et al.1616 Gallitto E, Faggioli G, Mascoli C, et al. Long-term efficacy of evar in patients aged less than 65 years with an infrarenal abdominal aortic aneurysm and favorable anatomy. Ann Vasc Surg. 2020;67:283-92. http://dx.doi.org/10.1016/j.avsg.2020.03.038. PMid:32283305. http://dx.doi.org/10.1016/j.avsg.2020.03...
|
Retrospective |
115 (58 EVAR, 57 OR) |
RE occurred more often in OR patients (31%) than in EVAR patients (2%) (P = 0.001). |
Single-center |
EVAR vs. OR |
van Schaik et al.2424 van Schaik J, van der Vorst JR, Hamming JF, Elzevier HW, Nicolai MPJ. Vascular surgeons’ views on ejaculation disorders after abdominal aortic surgery: results of a dutch survey. Ann Vasc Surg. 2020;67:346-53. http://dx.doi.org/10.1016/j.avsg.2020.02.021. PMid:32247063. http://dx.doi.org/10.1016/j.avsg.2020.02...
|
A questionnaire-based study aiming to analyze care for sexual health by medical specialists |
101 |
A gap exists in knowledge of pathophysiology and anatomy. Vascular surgeons lack sexual counseling skills |
Dariane et al.2525 Dariane C, Javerliat I, Doizi S, et al. Sexual dysfunction after elective laparoscopic or endovascular abdominal aortic aneurysm repair in men. Prog Urol. 2020;30(2):105-13. http://dx.doi.org/10.1016/j.purol.2019.12.003. PMid:31959570. http://dx.doi.org/10.1016/j.purol.2019.1...
|
Prospective. Multicenter. |
25 (8 EVAR/ 13 Laparoscopic repair) |
RE is frequent in both groups (Laparoscopic=61.5%/ EVAR=12.5%) Laparoscopic AAA repair caused no onset of ED or SD |
EVAR vs. Laparoscopic repair |
Schmid et al. (This study) |
Retrospective |
100 |
The aorto-bifemoral configuration was the technique most associated with ED (p=0.03) and the aorto-aortic configuration was the technique most associated with RE (p= 0.01). OR is associated with 64% of SD, 24% of RE, 18% of ED, and 21% of no sexual activity |
Single-center |
OR (aorto-bifemoral bypass vs. Aorto-aortic vs. aorto-biiliac vs. aorto-monoiliac) |