CardioVascular and Interventional Radiology

, Volume 36, Issue 1, pp 84–89 | Cite as

The Effect of Endovascular Revascularization of Common Iliac Artery Occlusions on Erectile Function

  • Serkan GurEmail author
  • Uğur Ozkan
  • Hakan Onder
  • Güven Tekbas
  • Levent Oguzkurt
Clinical Investigation



To determine the incidence of erectile dysfunction in patients with common iliac artery (CIA) occlusive disease and the effect of revascularization on erectile function using the sexual health inventory for males (SHIM) questionnaire.


All patients (35 men; mean age 57 ± 5 years; range 42–67 years) were asked to recall their sexual function before and 1 month after iliac recanalization. Univariate and multivariate analyses were performed to determine variables effecting improvement of impotence.


The incidence of impotence in patients with CIA occlusion was 74% (26 of 35) preoperatively. Overall 16 (46%) of 35 patients reported improved erectile function after iliac recanalization. The rate of improvement of impotence was 61.5% (16 of 26 impotent patients). Sixteen patients (46%), including seven with normal erectile function before the procedure, had no change. Three patients (8%) reported deterioration of their sexual function, two of whom (6%) had normal erectile function before the procedure. The median SHIM score increased from 14 (range 4–25) before the procedure to 20 (range 1–25) after the procedure (P = 0.005). The type of recanalization, the age of the patients, and the length of occlusion were related to erectile function improvement in univariate analysis. However, these factors were not independent factors for improvement of erectile dysfunction in multivariate analysis (P > 0.05).


Endovascular recanalization of CIA occlusions clearly improves sexual function. More than half of the patients with erectile dysfunction who underwent endovascular recanalization of the CIA experienced improvement.


Angioplasty Endovascular treatment Erectile function Iliac artery recanalization Impotence 


Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Laumann EO, Nicolosi A, Glasser DB et al (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the global study of sexual attitudes and behaviors. Int J Impot Res 17:39–57PubMedCrossRefGoogle Scholar
  2. 2.
    Yassin AA, Saad F (2008) Testosterone and erectile dysfunction. J Androl 29:593–604PubMedCrossRefGoogle Scholar
  3. 3.
    Norgren L, Hiatt WR, Dormandy JA et al (2007) Inter-society consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg 33:S1–S75PubMedCrossRefGoogle Scholar
  4. 4.
    DePalma RG, Levine SB, Feldman S (1978) Preservation of erectile function after aortoiliac reconstruction. Arch Surg 113:958–962PubMedCrossRefGoogle Scholar
  5. 5.
    Flanigan DP, Schuler JJ, Keifer T et al (1982) Elimination of iatrogenic impotence and improvement of sexual function after aortoiliac revascularization. Arch Surg 117:544–550PubMedCrossRefGoogle Scholar
  6. 6.
    Velasquez G, Castenada-Zuniga W, Formanek A et al (1980) Nonsurgical aortoplasty in Leriche syndrome. Radiology 134:359–360PubMedGoogle Scholar
  7. 7.
    Leriche R (1923) Des obliterations arterielle hautes (obliteration de la termination de l’aorte) comme cause d’insufficances circulatoire des membres inferiurs. Bull Mem Soc Chir 49:1404Google Scholar
  8. 8.
    May AG, DeWeese JA, Rob CG (1969) Changes in sexual function following operation on the abdominal aorta. Surgery 65:41–47PubMedGoogle Scholar
  9. 9.
    Rosen RC, Cappelleri JC, Smith MD et al (1999) Development and evaluation of an abridged, 5-item version of the international index of erectile function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res 11:319–326PubMedCrossRefGoogle Scholar
  10. 10.
    DePalma RG (1996) New developments in the diagnosis and treatment of impotence. West J Med 164:54–61Google Scholar
  11. 11.
    Michal V, Kramár R, Hejhal L et al (1973) Tactics of reconstruction interventions in the aortoiliac area from the viewpoint of erectivity disorders in men. Rozhl Chir 52:591–595PubMedGoogle Scholar
  12. 12.
    Rosen RC, Riley A, Wagner G et al (1997) The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49:822–830PubMedCrossRefGoogle Scholar
  13. 13.
    Yao JST (1995) Vasculogenic impotence. In: Ernst CB, Stanley JC (eds) Current therapy in vascular surgery. Mosby Year Book, St Louis, pp 397–400Google Scholar
  14. 14.
    Nevelsteen A, Beyens G, Duchateau J et al (1990) Aortofemoral reconstruction and sexual function: a prospective study. Eur J Vasc Surgery 4:247–251CrossRefGoogle Scholar
  15. 15.
    Cormio L, Edgren J, Lepäntalo M et al (1996) Aortofemoral surgery and sexual function. Eur J Vasc Endovasc Surg 11:453–457PubMedCrossRefGoogle Scholar
  16. 16.
    Ohshiro T, Kosaki G (1984) Sexual function after aorto-iliac vascular reconstruction. Which is more important, the internal iliac artery or hypogastric nerve? J Cardiovasc Surg 25:47–50Google Scholar
  17. 17.
    Castenada-Zuniga WR, Smith A, Kaye K et al (1982) Transluminal angioplasty for treatment of vasculogenic impotence. AJR Am J Roentgenol 139:371–373Google Scholar
  18. 18.
    Karkos CD, Wood A, Bruce IA et al (2004) Erectile dysfunction after open versus angioplasty aortoiliac procedures: a questionnaire survey. Vasc Endovascular Surg 38:157–165PubMedCrossRefGoogle Scholar
  19. 19.
    Ozkan U, Oguzkurt L, Tercan F (2010) Technique, complication, and long-term outcome for endovascular treatment of iliac artery occlusion. Cardiovasc Intervent Radiol 33:18–24PubMedCrossRefGoogle Scholar
  20. 20.
    Cooley DA, Wukasch DC (1979) Techniques in vascular surgery. Saunders, Philadelphia, pp 143–145Google Scholar
  21. 21.
    Dewar ML, Blundell PE, Lidstone D et al (1985) Effects of abdominal aneurysmectomy, aortoiliac bypass grafting and angioplasty on male sexual potency: a prospective study. Can J Surg 28:154–156PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012

Authors and Affiliations

  • Serkan Gur
    • 1
    Email author
  • Uğur Ozkan
    • 2
  • Hakan Onder
    • 3
  • Güven Tekbas
    • 3
  • Levent Oguzkurt
    • 2
  1. 1.Department of RadiologySifa HospitalBasmaneTurkey
  2. 2.Department of Radiology, Faculty of MedicineBaskent UniversityYüregirTurkey
  3. 3.Department of Radiology, Faculty of MedicineDicle UniversityDiyarbakırTurkey

Personalised recommendations