ABSTRACT

Although Leriche and Morel (1) first described the association between impotence and distal aortic occlusion, Harris and Jepson (2) were the first to report erectile dysfunction as a complication of aortic surgery. These studies first called our attention to vasculogenic impotence, but a true appreciation of the magnitude of this problem awaited more refined diagnostic techniques and a better understanding of the mechanism of erection.