Sexual Quality of Life in Men <60 Years Old after Coronary Bypass Surgery


  • Tamer Ghazy, MD, PhD Department of Cardiac Surgery, Marburg University Hospital, Marburg, Germany
  • Erwin J. Haeberle, MD, PhD Archive of Sexology, Robert Koch Institute, Germany (retired)
  • Utz Kappert, MD, PhD Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden, Germany
  • Stephan Petzold, MD Department of Spine Surgery, St. Vinzenz Hospital, Düsseldorf, Germany
  • Katrin Plötze, PhD Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden, Germany
  • Ahmed Mashhour, MD, PhD Department of Cardiac Surgery, Oldenburg University Hospital, Oldenburg, Germany
  • Klaus Matschke, MD, PhD Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden, Germany
  • Ahmed Ouda, MD, PhD Department of Cardiac Surgery, Zurich University Hospital, Switzerland



Coronary heart disease, Coronary artery bypass grafting, Sexual quality of life


Purpose: To explore the effect of undergoing coronary artery bypass grafting on sexual quality of life as an integral part of patients’ health-related quality of life.

Methods: This cross-sectional study included 265 men ages 18 to 60 years (median age, 55) who underwent coronary artery bypass grafting 1 to 5 years before the study. Standardized questionnaires were implemented to evaluate participant pre- and postoperative sexual quality of life and the quality of counseling provided to patients.

Results: Among the patients, 77% were in a steady relationship. The general health score was 5.5 ± 2.8 (mean ± standard deviation) preoperatively and 6 ± 2.2 at follow-up (P = .01). No sexual counseling was given to 83% and 77% of the patients pre- and postoperatively, respectively. The mean sexual satisfaction score dropped from 6.5 ± 2.6 preoperatively to 4.7 ± 3 postoperatively (P < .001). The decline in sexual intercourse frequency and masturbation frequency was significant (P < .001 and P = .006, respectively). Linear regression analysis showed that general health status (P = .008), higher-quality counseling (P = .027), and preoperative sexual quality of life (P < .001) correlated positively with sexual quality of life, whereas sternal pain (P < .001), erectile dysfunction
(P < .001), and fear of excessive cardiac burden (P < .001) correlated negatively.

Conclusions: Middle-aged men experience decreased sexual quality of life after coronary artery bypass grafting. Preoperative sexual quality of life, general health, and higher-quality counseling positively affect postoperative sexual quality of life, whereas sternal pain, fear, and erectile dysfunction play a negative role. Pre- and postoperative care guidelines should be improved. Further prospective large cohort studies for males and females are required.


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How to Cite

Ghazy, T., Haeberle, E., Kappert, U., Petzold, S., Plötze, K., Mashhour, A., Matschke, K., & Ouda, A. (2021). Sexual Quality of Life in Men <60 Years Old after Coronary Bypass Surgery. The Heart Surgery Forum, 24(3), E480-E486.