Mitral Kapak Cerrahisinde Minimal İnvaziv Yaklaşım ile Konvansiyonel Sternotominin Postoperatif Cinsel İşlev Açısından Karşılaştırılması

Year 2025, Volume: 35 Issue: 5, 981 - 991, 28.10.2025

Serkan Mola , Sıla Çalışkan

https://doi.org/10.54005/geneltip.1725865

Abstract

Amaç: Mitral kapak cerrahisi alanında son yıllarda klasik sternotomi yöntemlerinin yerini giderek minimal invaziv cerrahi teknikler almaktadır. Bu çalışma, median sternotomi ile ve minimal invaziv yöntemle mitral kapak ameliyatı olan hastalarda postoperatif cinsel işlevi karşılaştırmayı amaçlamıştır.
Yöntemler: Bu kesitsel çalışmaya 94 hasta dahil edilmiştir. Hastaların demografik ve klinik bilgileri preoperatif ve postoperatif dönemde elde edilmiş ve Uluslararası Erektil Fonksiyon İndeksi (IIEF-5) anket formu uygulanmıştır. Minimal invaziv ve klasik sternotomi grupları arasında klinik ve erektil fonksiyon bulguları karşılaştırılmıştır.
Bulgular: Hastaların ortalama yaşı 53.95±13.85 yıl olup, demografik ve klinik bulgular cerrahi gruplar arasında benzerdi. IIEF-5 alt boyutlarından cinsel tatmin, orgazmik fonksiyon, cinsel istek ve genel memnuniyet skorları minimal invaziv grupta anlamlı derecede yüksekti. Şiddetli erektil disfonksiyon alt ölçeği ise klasik sternotomi grubunda anlamlı şekilde daha yüksekti.
Sonuç: Daha küçük insizyonla yapılan minimal invaziv cerrahide hastalar postoperatif dönemde daha iyi bir yaşam kalitesine sahip olmakta ve normal yaşamlarına daha hızlı dönebilmektedir. Minimal invaziv teknikle açık kalp ameliyatı olan hastalarda cinsel fonksiyonlar daha az etkilenmekte ve hastalar cinsel yaşamlarına daha kısa sürede dönebilmektedir.

Keywords

cinsel yaşam , erektil disfonksiyon , minimal invaziv cerrahi , sternotomi

A Comparison of Postoperative Sexual Function: Minimally Invasive Approach vs. Conventional Sternotomy in Mitral Valve Surgery

Abstract

Aims: In the context of mitral surgery, in recent years, classical sternotomy methods have gradually been replaced by minimally invasive surgical techniques. This study aimed to compare postoperative sexual function in patients who underwent open heart surgery by full sternotomy versus a minimally invasive method.
Methods: Ninety-four patients were included in this cross-sectional study. The patients’ demographic and clinical information was obtained in the preoperative and postoperative periods, and the International Index of Erectile Function (IIEF-5) questionnaire form was applied. Clinical and erectile findings were compared between two groups: the minimally invasive and classical sternotomy groups.
Results: The mean age of the patients was 53.95±13.85 years, and the demographic and clinical findings were similar between the surgical groups. The IIEF-5 sub-dimensions of sexual satisfaction, orgasmic function, sexual desire, and overall satisfaction scores were significantly higher in the minimally invasive group. The severe erectile dysfunction subscale was significantly higher in the classical sternotomy group.
Conclusions: In minimally invasive surgery with a smaller incision, the patient has a better quality of life in the postoperative period and returns to a normal life more quickly. In patients undergoing open heart surgery with the minimally invasive technique, sexual functions are less affected and patients return to their sexual life in a shorter time.

Keywords

erectile dysfunction , minimally invasive surgery , sexual life , sternotomy

Ethical Statement

Ethical approval of the study was obtained by the Ankara City Hospital Clinical Research Ethics Committee with the approval dated 29/06/2022 and numbered E1-22-2734. The informed consent form was read to the patients and their verbal and written consents were taken according to Declaration of Helsinki.

Supporting Institution

This research received no external funding.

Thanks

We would like to express our gratitude to Dr. Adnan Karaibrahimoglu from the Department of Biostatistics and Medical Informatics at Süleyman Demirel University Medical School for his valuable and supportive comments on our statistical analyses.

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