Sexual Dysfunction after Conventional and Endovascular AAA Repair: Results of the DREAM Trial
Purpose: To assess sexual function in the first postoperative year after elective endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA). Methods: In the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, 153 patients (141 men; mean age 71 years, ra...
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| Veröffentlicht in: | Journal of endovascular therapy 2004-12, Vol.11 (6), p.613-620 |
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| creator | Prinssen, Monique Buskens, Erik Nolthenius, Rudolf P. Tutein van Sterkenburg, Steven M.M. Teijink, Joep A.W. Blankensteijn, Jan D. |
| description | Purpose:
To assess sexual function in the first postoperative year after elective endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA).
Methods:
In the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, 153 patients (141 men; mean age 71 years, range 53–85) were randomly allocated to EVAR (n=77) or OR (n=76). Sexual functioning was evaluated preoperatively and at 5 times in the first postoperative year (3, 6, 13, 26, and 52 weeks) using a questionnaire derived from the Medical Outcomes Study. The proportions of patients reporting sexual dysfunction for any of 5 aspects (interest, pleasure, engagement, orgasm, and erection) and any increase in the magnitude of dysfunction were compared between EVAR and OR.
Results:
Preoperatively, the proportion of patients reporting sexual dysfunction in at least 1 aspect was 66% for the OR group and 74% in the EVAR group (p=NS). Surgery had a clear impact on sexual dysfunction. The proportion of patients reporting sexual dysfunction on at least 1 aspect increased to 79% in the OR group and 82% in the EVAR group. The magnitude of sexual dysfunction increased in both groups on all 5 aspects at 3 weeks postoperatively, but this was more pronounced in the OR group (interest: OR p=0.038 vs. EVAR p=0.071; pleasure: OR p=0.009 vs. EVAR p = 0.065; engagement: OR p=0.006 vs. EVAR p=0.054; orgasm OR p=0.023 vs. EVAR p=0.112, and erection: OR p=0.046 vs. EVAR p=0.030). At 6 weeks, the OR group still reported a significant increase in 3 aspects (pleasure p=0.031, engagement p=0.010, and orgasm p=0.003), whereas the EVAR group no longer showed a significant difference. From 3 months on, both groups had returned to baseline.
Conclusions:
EVAR and open elective AAA repair both have an impact on sexual function in the early postoperative period. After EVAR, recovery to preoperative levels is faster than after open repair, but at 3 months, sexual dysfunction levels are similar in both groups. |
| doi_str_mv | 10.1583/04-1280R.1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67190568</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1583_04-1280R.1</sage_id><sourcerecordid>67190568</sourcerecordid><originalsourceid>FETCH-LOGICAL-c380t-3eef45236baae1a260c31b4cf34ebc8ceaad30d42b8e0229cc2aadc598df98e63</originalsourceid><addsrcrecordid>eNpt0F1LwzAUBuAgih_TG3-ABC8UhGpO2nSZd2WbHzAR5ryUkKanWunamTRD_72ZGwji1QknD2_IS8gxsEsQMr5iSQRcsuklbJF9EImIQAi2vTrzNEoZl3vkwLl3xjhwgF2yByINRMA-eXnCT69rOvpypW9MV7UN1WWHlg7bZonNahGudVPQcVO0S-2Mr7WlWZbRKS50Za_DdL7uHG1L2r0hHU3H2QOd2UrXh2Sn1LXDo83skeeb8Wx4F00eb--H2SQysWRdFCOWieBxmmuNoHnKTAx5Yso4wdxIg1oXMSsSnktknA-M4WFjxEAW5UBiGvfI2Tp3YdsPj65T88oZrGvdYOudSvswYCKVAZ7-ge-tt-GHToVmgMl-nwd0sUbGts5ZLNXCVnNtvxQwtWpcsUT9NK4g4JNNos_nWPzSTcUBnK-B06_4-9w_Ud966Yb4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211108772</pqid></control><display><type>article</type><title>Sexual Dysfunction after Conventional and Endovascular AAA Repair: Results of the DREAM Trial</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Prinssen, Monique ; Buskens, Erik ; Nolthenius, Rudolf P. Tutein ; van Sterkenburg, Steven M.M. ; Teijink, Joep A.W. ; Blankensteijn, Jan D.</creator><creatorcontrib>Prinssen, Monique ; Buskens, Erik ; Nolthenius, Rudolf P. Tutein ; van Sterkenburg, Steven M.M. ; Teijink, Joep A.W. ; Blankensteijn, Jan D.</creatorcontrib><description>Purpose:
To assess sexual function in the first postoperative year after elective endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA).
Methods:
In the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, 153 patients (141 men; mean age 71 years, range 53–85) were randomly allocated to EVAR (n=77) or OR (n=76). Sexual functioning was evaluated preoperatively and at 5 times in the first postoperative year (3, 6, 13, 26, and 52 weeks) using a questionnaire derived from the Medical Outcomes Study. The proportions of patients reporting sexual dysfunction for any of 5 aspects (interest, pleasure, engagement, orgasm, and erection) and any increase in the magnitude of dysfunction were compared between EVAR and OR.
Results:
Preoperatively, the proportion of patients reporting sexual dysfunction in at least 1 aspect was 66% for the OR group and 74% in the EVAR group (p=NS). Surgery had a clear impact on sexual dysfunction. The proportion of patients reporting sexual dysfunction on at least 1 aspect increased to 79% in the OR group and 82% in the EVAR group. The magnitude of sexual dysfunction increased in both groups on all 5 aspects at 3 weeks postoperatively, but this was more pronounced in the OR group (interest: OR p=0.038 vs. EVAR p=0.071; pleasure: OR p=0.009 vs. EVAR p = 0.065; engagement: OR p=0.006 vs. EVAR p=0.054; orgasm OR p=0.023 vs. EVAR p=0.112, and erection: OR p=0.046 vs. EVAR p=0.030). At 6 weeks, the OR group still reported a significant increase in 3 aspects (pleasure p=0.031, engagement p=0.010, and orgasm p=0.003), whereas the EVAR group no longer showed a significant difference. From 3 months on, both groups had returned to baseline.
Conclusions:
EVAR and open elective AAA repair both have an impact on sexual function in the early postoperative period. After EVAR, recovery to preoperative levels is faster than after open repair, but at 3 months, sexual dysfunction levels are similar in both groups.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/04-1280R.1</identifier><identifier>PMID: 15615551</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Angiography - methods ; Aortic Aneurysm, Abdominal - diagnostic imaging ; Aortic Aneurysm, Abdominal - surgery ; Blood Vessel Prosthesis Implantation - methods ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Postoperative Complications - diagnosis ; Postoperative Complications - epidemiology ; Probability ; Reference Values ; Risk Assessment ; Severity of Illness Index ; Sex Distribution ; Sexual Behavior ; Sexual Dysfunctions, Psychological - epidemiology ; Vascular Surgical Procedures - methods</subject><ispartof>Journal of endovascular therapy, 2004-12, Vol.11 (6), p.613-620</ispartof><rights>2004 SAGE Publications</rights><rights>Copyright Allen Press, Inc. Dec 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-3eef45236baae1a260c31b4cf34ebc8ceaad30d42b8e0229cc2aadc598df98e63</citedby><cites>FETCH-LOGICAL-c380t-3eef45236baae1a260c31b4cf34ebc8ceaad30d42b8e0229cc2aadc598df98e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/04-1280R.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/04-1280R.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15615551$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prinssen, Monique</creatorcontrib><creatorcontrib>Buskens, Erik</creatorcontrib><creatorcontrib>Nolthenius, Rudolf P. Tutein</creatorcontrib><creatorcontrib>van Sterkenburg, Steven M.M.</creatorcontrib><creatorcontrib>Teijink, Joep A.W.</creatorcontrib><creatorcontrib>Blankensteijn, Jan D.</creatorcontrib><title>Sexual Dysfunction after Conventional and Endovascular AAA Repair: Results of the DREAM Trial</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To assess sexual function in the first postoperative year after elective endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA).
Methods:
In the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, 153 patients (141 men; mean age 71 years, range 53–85) were randomly allocated to EVAR (n=77) or OR (n=76). Sexual functioning was evaluated preoperatively and at 5 times in the first postoperative year (3, 6, 13, 26, and 52 weeks) using a questionnaire derived from the Medical Outcomes Study. The proportions of patients reporting sexual dysfunction for any of 5 aspects (interest, pleasure, engagement, orgasm, and erection) and any increase in the magnitude of dysfunction were compared between EVAR and OR.
Results:
Preoperatively, the proportion of patients reporting sexual dysfunction in at least 1 aspect was 66% for the OR group and 74% in the EVAR group (p=NS). Surgery had a clear impact on sexual dysfunction. The proportion of patients reporting sexual dysfunction on at least 1 aspect increased to 79% in the OR group and 82% in the EVAR group. The magnitude of sexual dysfunction increased in both groups on all 5 aspects at 3 weeks postoperatively, but this was more pronounced in the OR group (interest: OR p=0.038 vs. EVAR p=0.071; pleasure: OR p=0.009 vs. EVAR p = 0.065; engagement: OR p=0.006 vs. EVAR p=0.054; orgasm OR p=0.023 vs. EVAR p=0.112, and erection: OR p=0.046 vs. EVAR p=0.030). At 6 weeks, the OR group still reported a significant increase in 3 aspects (pleasure p=0.031, engagement p=0.010, and orgasm p=0.003), whereas the EVAR group no longer showed a significant difference. From 3 months on, both groups had returned to baseline.
Conclusions:
EVAR and open elective AAA repair both have an impact on sexual function in the early postoperative period. After EVAR, recovery to preoperative levels is faster than after open repair, but at 3 months, sexual dysfunction levels are similar in both groups.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography - methods</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Probability</subject><subject>Reference Values</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Sex Distribution</subject><subject>Sexual Behavior</subject><subject>Sexual Dysfunctions, Psychological - epidemiology</subject><subject>Vascular Surgical Procedures - methods</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpt0F1LwzAUBuAgih_TG3-ABC8UhGpO2nSZd2WbHzAR5ryUkKanWunamTRD_72ZGwji1QknD2_IS8gxsEsQMr5iSQRcsuklbJF9EImIQAi2vTrzNEoZl3vkwLl3xjhwgF2yByINRMA-eXnCT69rOvpypW9MV7UN1WWHlg7bZonNahGudVPQcVO0S-2Mr7WlWZbRKS50Za_DdL7uHG1L2r0hHU3H2QOd2UrXh2Sn1LXDo83skeeb8Wx4F00eb--H2SQysWRdFCOWieBxmmuNoHnKTAx5Yso4wdxIg1oXMSsSnktknA-M4WFjxEAW5UBiGvfI2Tp3YdsPj65T88oZrGvdYOudSvswYCKVAZ7-ge-tt-GHToVmgMl-nwd0sUbGts5ZLNXCVnNtvxQwtWpcsUT9NK4g4JNNos_nWPzSTcUBnK-B06_4-9w_Ud966Yb4</recordid><startdate>200412</startdate><enddate>200412</enddate><creator>Prinssen, Monique</creator><creator>Buskens, Erik</creator><creator>Nolthenius, Rudolf P. Tutein</creator><creator>van Sterkenburg, Steven M.M.</creator><creator>Teijink, Joep A.W.</creator><creator>Blankensteijn, Jan D.</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200412</creationdate><title>Sexual Dysfunction after Conventional and Endovascular AAA Repair: Results of the DREAM Trial</title><author>Prinssen, Monique ; Buskens, Erik ; Nolthenius, Rudolf P. Tutein ; van Sterkenburg, Steven M.M. ; Teijink, Joep A.W. ; Blankensteijn, Jan D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-3eef45236baae1a260c31b4cf34ebc8ceaad30d42b8e0229cc2aadc598df98e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography - methods</topic><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Probability</topic><topic>Reference Values</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Sex Distribution</topic><topic>Sexual Behavior</topic><topic>Sexual Dysfunctions, Psychological - epidemiology</topic><topic>Vascular Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prinssen, Monique</creatorcontrib><creatorcontrib>Buskens, Erik</creatorcontrib><creatorcontrib>Nolthenius, Rudolf P. Tutein</creatorcontrib><creatorcontrib>van Sterkenburg, Steven M.M.</creatorcontrib><creatorcontrib>Teijink, Joep A.W.</creatorcontrib><creatorcontrib>Blankensteijn, Jan D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prinssen, Monique</au><au>Buskens, Erik</au><au>Nolthenius, Rudolf P. Tutein</au><au>van Sterkenburg, Steven M.M.</au><au>Teijink, Joep A.W.</au><au>Blankensteijn, Jan D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual Dysfunction after Conventional and Endovascular AAA Repair: Results of the DREAM Trial</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2004-12</date><risdate>2004</risdate><volume>11</volume><issue>6</issue><spage>613</spage><epage>620</epage><pages>613-620</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To assess sexual function in the first postoperative year after elective endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysm (AAA).
Methods:
In the Dutch Randomized Endovascular Aneurysm Management (DREAM) trial, 153 patients (141 men; mean age 71 years, range 53–85) were randomly allocated to EVAR (n=77) or OR (n=76). Sexual functioning was evaluated preoperatively and at 5 times in the first postoperative year (3, 6, 13, 26, and 52 weeks) using a questionnaire derived from the Medical Outcomes Study. The proportions of patients reporting sexual dysfunction for any of 5 aspects (interest, pleasure, engagement, orgasm, and erection) and any increase in the magnitude of dysfunction were compared between EVAR and OR.
Results:
Preoperatively, the proportion of patients reporting sexual dysfunction in at least 1 aspect was 66% for the OR group and 74% in the EVAR group (p=NS). Surgery had a clear impact on sexual dysfunction. The proportion of patients reporting sexual dysfunction on at least 1 aspect increased to 79% in the OR group and 82% in the EVAR group. The magnitude of sexual dysfunction increased in both groups on all 5 aspects at 3 weeks postoperatively, but this was more pronounced in the OR group (interest: OR p=0.038 vs. EVAR p=0.071; pleasure: OR p=0.009 vs. EVAR p = 0.065; engagement: OR p=0.006 vs. EVAR p=0.054; orgasm OR p=0.023 vs. EVAR p=0.112, and erection: OR p=0.046 vs. EVAR p=0.030). At 6 weeks, the OR group still reported a significant increase in 3 aspects (pleasure p=0.031, engagement p=0.010, and orgasm p=0.003), whereas the EVAR group no longer showed a significant difference. From 3 months on, both groups had returned to baseline.
Conclusions:
EVAR and open elective AAA repair both have an impact on sexual function in the early postoperative period. After EVAR, recovery to preoperative levels is faster than after open repair, but at 3 months, sexual dysfunction levels are similar in both groups.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15615551</pmid><doi>10.1583/04-1280R.1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Aged Aged, 80 and over Angiography - methods Aortic Aneurysm, Abdominal - diagnostic imaging Aortic Aneurysm, Abdominal - surgery Blood Vessel Prosthesis Implantation - methods Female Follow-Up Studies Humans Incidence Male Middle Aged Postoperative Complications - diagnosis Postoperative Complications - epidemiology Probability Reference Values Risk Assessment Severity of Illness Index Sex Distribution Sexual Behavior Sexual Dysfunctions, Psychological - epidemiology Vascular Surgical Procedures - methods |
| title | Sexual Dysfunction after Conventional and Endovascular AAA Repair: Results of the DREAM Trial |
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