Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Dissertation committee:
Σμυρνιώτης Βασίλειος, Ομότιμος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αρκαδόπουλος Νικόλαος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Χρυσοφός Μιχαήλ, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βασιλείου Παντελεήμων, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Ψυρρή Διαμαντώ, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Κουλουλίας Βασίλειος, Επίκουρος Καθηγητής, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δανιάς Νικόλαος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Σεξουαλική λειτουργικότητα ασθενών μετά από χειρουργικές εκτομές ελάσσονος πυέλου
Translated title:
Sexual functionality of patients after minor pelvic surgery
Summary:
Sexual dysfunction is one of the complications with a significant impact on the quality of life of the patient undergoing pelvic surgery. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients, to investigate its relationship with depression symptoms and quality of life and to investigate the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This was a prospective study using the erectile dysfunction IIEF scale. The study population comprised all 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010-2016 period in the 4th Surgical Clinic. A control group of healthy males (N=106) who underwent no pelvic surgery matched for age was also used for reference values. The mean age of the study and control group was 66.16 ± 13.07 and 63.95±9.91 years old respectively. Regarding comorbidity, 47.2% reported various cardiovascular problems, 20.8% hypertension, 9.4% diabetes mellitus and 5.7% depression. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The IIEF index fluctuation at the 4 time points of the study was as follows: 42.46 (SD 19.69) - 25.66 (SD20.48) -33.04 (SD20.62) -35.53 (SD21.36), showing a decline of 20% in the last phase compared to the original value (p<0.001). Immediately after surgery the decline reached 50%. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p <0.05). The IIEF total score and the score on the quality of life parameters were statistically significant and positive correlated with each other and negatively with depression. In the multivariate analysis model, age surgery (yes/no) emerged as independent predictors of erectile function (p <0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients. The majority of patients had regained their erectile function one year after surgery and enjoyed a good quality of life, while 10% of patients, one year after the study, still had problems with their erectile function. Improved sexual function was associated with better quality of life and fewer symptoms of depression.
Main subject category:
Health Sciences
Keywords:
Erectile dysfunction, Pelvis, Surgery, Risk factors, Depression, Quality of life
