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Volume 9, Issue 2 (7-2011)
IJRM 2011, 9(2): 85-94 |
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Foruzan-Nia S K, Abdollahi M H, Hekmatimoghaddam S H, Namayandeh S M, Mortazavi M H. Incidence of sexual dysfunction in men after cardiac surgery in Afshar hospital, Yazd. IJRM 2011; 9 (2) :85-94
URL: http://ijrm.ir/article-1-219-en.html
URL: http://ijrm.ir/article-1-219-en.html
Seyed Khalil Foruzan-Nia * 
1, Mohammad Hassan Abdollahi2 , Seyed Hossein Hekmatimoghaddam3 , Seyedeh Mahdiyeh Namayandeh4 , Mohammad Hadi Mortazavi5
1, Mohammad Hassan Abdollahi2 , Seyed Hossein Hekmatimoghaddam3 , Seyedeh Mahdiyeh Namayandeh4 , Mohammad Hadi Mortazavi5
1- Department of Cardiac Surgery, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , drforouzan_nia@yahoo.com
2- Department of Anesthesiology, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- School of Paramedicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Yazd Heart Research Center, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5- School of Medicine, Islamic Azad University, Yazd, Iran
2- Department of Anesthesiology, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- School of Paramedicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4- Yazd Heart Research Center, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5- School of Medicine, Islamic Azad University, Yazd, Iran
Abstract: (3214 Views)
Background: Successful rehabilitation of cardiac surgery patients should include consideration of their sexual activity, but there is paucity of data regarding this matter.
Objective: This study determined the incidence and type of sexual dysfunction in our patients.
Materials and Methods: Two hundred-seventy nine men with age under 70 years old who had coronary artery bypass graft (CABG), valvular, or other types of cardiac surgery from Dec. 2006 until Dec. 2007 were enrolled in this descriptive-analytical study. They were interviewed before and 12 weeks after the operation in regard to the impact of surgery on their sexuality. The statistical methods used included analysis of variance, Kappa test, and chi-square analysis.
Results: The mean age of the patients was 55.7 ± 10.66 (25-69) years. The incidence of sexual dysfunction was 20.1% before, and76.4%, 12 weeks after the operation. P-valueas tested by Kappa test was 0.0001, which means that cardiac surgery had adverse effect on sexual activity of the patients. Types of sexual dysfunction were impotence, premature ejaculation, and decreased or loss of libido in 6.5%, 4.3% and 9.3%, respectively before operation, and 34.8%, 21.5% and 20.1%, respectively 12 weeks after the operation. Concurrence of more than one dysfunction was not reported. Conclusion: Sexual dysfunction is common after cardiac surgery, and sexual counseling is still not being addressed adequately. The role and responsibility of the physician and the rehabilitation nurse becomes evident, together with the need for the patient’s partner to participate in counseling
Objective: This study determined the incidence and type of sexual dysfunction in our patients.
Materials and Methods: Two hundred-seventy nine men with age under 70 years old who had coronary artery bypass graft (CABG), valvular, or other types of cardiac surgery from Dec. 2006 until Dec. 2007 were enrolled in this descriptive-analytical study. They were interviewed before and 12 weeks after the operation in regard to the impact of surgery on their sexuality. The statistical methods used included analysis of variance, Kappa test, and chi-square analysis.
Results: The mean age of the patients was 55.7 ± 10.66 (25-69) years. The incidence of sexual dysfunction was 20.1% before, and76.4%, 12 weeks after the operation. P-valueas tested by Kappa test was 0.0001, which means that cardiac surgery had adverse effect on sexual activity of the patients. Types of sexual dysfunction were impotence, premature ejaculation, and decreased or loss of libido in 6.5%, 4.3% and 9.3%, respectively before operation, and 34.8%, 21.5% and 20.1%, respectively 12 weeks after the operation. Concurrence of more than one dysfunction was not reported. Conclusion: Sexual dysfunction is common after cardiac surgery, and sexual counseling is still not being addressed adequately. The role and responsibility of the physician and the rehabilitation nurse becomes evident, together with the need for the patient’s partner to participate in counseling
Type of Study: Original Article |
References
1. Lukkarinen H, Lukkarinen O. Sexual satisfaction among patients after coronary bypass surgery or percutaneous transluminal angioplasty: Eight-year follow-up. Heart Lung 2007; 36: 262-269. [DOI:10.1016/j.hrtlng.2006.12.001]
2. Jenkins CD, Stanton BA, Savageau JA, Delninger P, Klein MD. Coronary artery bypass surgery. Physical, psychological, social and economic outcomes six months later. JAMA 1983; 250: 782-788. [DOI:10.1001/jama.1983.03340060060027]
3. Hansen L, Mann J, McMahon S, Wong T. Sexual Health. BMC Women's Health 2004; 4: 24. [DOI:10.1186/1472-6874-4-S1-S24]
4. FALk RH. The Cardiovascular Response to Sexual Activity: Do We Know Enough? Clin Cardiol 2001; 24: 271-275. [DOI:10.1002/clc.4960240403]
5. Swerdloff RS. The Testis and Male Sexual Function. In: Arend WP, Armitage JO, Clements DR, Drazen JM, Griggs RC, Larusso N. Cecil Medicine. 23rd ed. Philadelphia: Elsevier Saunders; 2008; 1794.
6. MacVary KT. Sexual Dysfunction. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Larry Jameson J, et al. Harrison's Principles of Internal Medicine. 17th Ed. New York: McGraw Hill; 2008; 296.
7. Tessler Lindau S, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA, Waite LJ. A Study of Sexuality and Health among Older Adults in the United States. N Engl J Med 2007; 357: 762-774. [DOI:10.1056/NEJMoa067423]
8. Beckman N, Waern M, Gustafson D, Skoog I. Secular trends in self reported sexual activity and satisfaction in Swedish 70 year olds: cross sectional survey of our populations, 1971-2001. BMJ 2008; 337: 279. [DOI:10.1136/bmj.a279]
9. Grahan I. Rehabilitation of the Patient with Coronary Heart Disease. In: Fuster V, ORourke RA, Walsh RA, Poole-Wilson P. Hurst's The Heart. 12th Ed. New York: Mc Graw Hill; 2007; 1543.
10. Papadopoulos C, Shelley SI, Piccolo M, Beaumont C, Barnett L. Sexual activity after coronary bypass surgery. Chest 1986; 90: 681-685. [DOI:10.1378/chest.90.5.681]
11. Althof SE, Coffman CB, Levine SB. The effects of coronary bypass surgery on female sexual, psychological, and vocational adaptation. J Sex Marital Ther 1984; 10: 176-184. [DOI:10.1080/00926238408405943]
12. Froelicher ES, Kee LL, Newton KM, Lindskog B, Livingston M. Return to work, sexual activity and other activities after acute myocardial infarction. Heart Lung 1994; 23: 423-435.
13. Debusk R, Drory Y, Goldstein I, Jackson G, Kaul S, Kimmel SE, et al. Management of sexual dysfunction in patients with cardiovascular disease: recommendations of The Princeton Consensus Panel. Am J Cardiol 2000; 86: 175-181. [DOI:10.1016/S0002-9149(00)00896-1]
14. Bernardo A. Sexuality in patients with coronary disease and heart failure. Herz 2001; 26: 353-359. [DOI:10.1007/PL00002038]
15. Heaton JP, Evans H, Adams MA, Smith K, Morales A. Coronary artery bypass graft surgery and its impact on erectile function: a preliminary retrospective study. Int J Impot Res 1996; 8: 35-39.
16. King KM, Collins-Nakai RL. Short-term recovery from cardiac surgery in women: suggestions for practice. Can J Cardiol 1998; 14: 1367-1371.
17. Papadopoulos C, Beaumont C, Shelley SI, Larrimore P. Myocardial infarction and sexual activity of the 16 female patients. Arch Intern Med 1983; 143: 1528-1530. [DOI:10.1001/archinte.1983.00350080034009]
18. Johnston BL, Cantwell JD, Watt EW, Fletcher GF. Sexual activity in exercising patients after myocardial infarction and revascularization. Heart Lung 1978; 7: 1026-1031.
19. Thurer S. The long term sexual response to coronary bypass surgery: some preliminary findings. Sexuality and Disability Journal 1982; 5: 208-212. [DOI:10.1007/BF01119861]
20. Mohamed OA, Bennett CJ, Roaiah MF, Helmy T, Mahran A, Hamed HA. The impact of on-pump coronary artery bypass surgery vs. off-pump coronary artery bypass surgery on sexual function. J Sex Med 2009; 6: 1081-1089. [DOI:10.1111/j.1743-6109.2008.01165.x]
21. Schwartz BG, Kloner RA. How to save a life during a clinic visit for erectile dysfunction by modifying cardiovascular risk factors. Int J Impot Res 2009; 21: 327-335. [DOI:10.1038/ijir.2009.38]
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