Trajectory of Change in Erectile Dysfunction Symptoms Following Coronary Artery Bypass Surgery in Malaysian Population

Authors

  • Katijjahbe Mohd Ali UKM Medical Centre
  • Nur Ayub Cardiothoracic Surgery, Heart and Lungs Center, University Kebangsaan Malaysia Medical Center
  • Suriati Mohamed Sani Department of Psychiatry, Faculty of Medicine, University Kebangsaan Malaysia Medical Center
  • Muhammad Ishamuddin Ismail Cardiothoracic Surgery, Heart and Lungs Center, University Kebangsaan Malaysia Medical Center
  • Hairulfaizi Haron Cardiothoracic Surgery, Heart and Lungs Center, University Kebangsaan Malaysia Medical Center
  • Fahmi Pramaditto Azmi Department of Surgery, Hospital Serdang
  • Mohamad Arif Muhammad Nor Head Department, Cardiothoracic Surgery, Hospital Serdang
  • Mohd Ramzisham Abdul Rahman Cardiothoracic Surgery, Heart and Lungs Center, University Kebangsaan Malaysia Medical Center
  • Mohd Rizal Abdul Manaf Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia Medical Center

DOI:

https://doi.org/10.31436/imjm.v20i3.1554

Keywords:

Coronary artery bypass surgery, Erectile Dysfunction (ED), International Index of Erectile Dysfunction

Abstract

INTRODUCTION: Despite the advantages of Coronary artery bypass surgery (CABG), this procedure has been reported to have a significant impact on sexual activity. The study aims to assess the trajectory of change in erectile dysfunction (ED) symptoms following CABG.METHODS: 73 adult male participants were recruited. Participant primary data was measured using the International Index of Erectile Dysfunction (IIEF-5) at three-time points. RESULTS: Severe ED was most prevalent during 6 weeks following-operation (86.3%); however, the proportion of severe ED symptoms reduced after 4 months following-operatively (42.5%). There was a statistically significant difference in ED symptoms between pre-operatively and 6 weeks post- operatively (p< 0.001). At 4 months, there was a marginally significant improvement in ED symptoms compared to baseline pre-operatively post CABG (p = 0.064). Age significantly increases the chance in odds of having abnormal ED symptoms by 22% at 4 months postoperatively (aOR=1.22, 95% CI=1.06, 1.41, p<0.05). Other risk factors for abnormal ED symptoms following CABG, which include normal creatinine clearance, being a smoker, and having moderate to good LV function was not statistically significant. CONCLUSION: The present study has demonstrated a high prevalence of ED following CABG and the procedure caused a negative impact on the ED symptoms. However, there was a significant improvement in ED symptoms as the time from surgery increases and patients recovered. Further studies with larger sample size and longer recovery time are needed to assess the trajectory of recovery in ED symptoms in this population.>< 0.05). Other risk factors for abnormal ED symptoms following CABG, which include normal creatinine clearance, being a smoker, and having moderate to good LV function was not statistically significant. CONCLUSION: The present study has demonstrated a high prevalence of ED following CABG and the procedure caused a negative impact on the ED symptoms. 

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Author Biography

Muhammad Ishamuddin Ismail, Cardiothoracic Surgery, Heart and Lungs Center, University Kebangsaan Malaysia Medical Center

 

 

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Published

2021-07-01

How to Cite

Mohd Ali, K., Md Ali, N. A. ., Mohamed Sani, S., Ismail, M. I., Haron, H., Azmi, F. P., Muhammad Nor, M. A., Abdul Rahman, M. R. ., & Abdul Manaf, M. R. . (2021). Trajectory of Change in Erectile Dysfunction Symptoms Following Coronary Artery Bypass Surgery in Malaysian Population . IIUM Medical Journal Malaysia, 20(3). https://doi.org/10.31436/imjm.v20i3.1554