A Comparison of Postoperative Sexual Function: Minimally Invasive Approach vs. Conventional Sternotomy in Mitral Valve Surgery
Öz
Aims: In the context of mitral surgery, in recent years, classical sternotomy methods have gradually been replaced by minimally invasive surgical techniques.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.
Anahtar Kelimeler
erectile dysfunction, minimally invasive surgery, sexual life, sternotomy
Destekleyen Kurum
This research received no external funding.
Etik Beyan
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.
Teşekkür
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.
Kaynakça
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