rehabilitation measures
correction of sexual dysfunction
hemorrhagic stroke
reproductive health
effectiveness of medical care

How to Cite

Lytvak, S. O., Yeleynik, M. V., Chobitko, L. V., Lytvak, O. O., Pasichnyk, H. P., & Dabrowski, W. (2024). THE ROLE AND CORRECTION OF SEXUAL DYSFUNCTION AS A COMPONENT OF THE QUALITY OF LIFE IN PATIENTS OPERATED ON FOR CEREBRAL ANEURYSM RUPTURE. Clinical and Preventive Medicine, (1), 6-17.


Introduction. Hemorrhagic stroke due to the rupture of the intracranial aneurysm (IA) is a typical clinical manifestation of the disease and one of the main causes of disability, affecting the quality of life in operated patients.

The aim. To determine the feasibility and safety of implementing protocols for diabetes mellitus (DM) treatment as part of rehabilitation interventions in patients who have undergone surgery for the rupture of intracranial aneurysm (IA) in the brain.

Materials and methods. To determine the effectiveness and safety of implementing diabetes mellitus (DM) treatment protocols in individually developed rehabilitation interventions following surgery for the rupture of intracranial aneurysm (IA) in the brain, a retrospective cohort study was conducted in parallel groups.

Results. Sexual dysfunctions (SD) resulting from the rupture of IA are multifactorial. The causes of SD can be categorized as primary, secondary, and tertiary. Primary causes include damage to brain structures by hemorrhagic stroke or vascular ischemic events affecting sexual functioning, pre-existing medical conditions, and side effects related to medication therapy during treatment. Secondary causes encompass persistent sensorimotor disturbances due to a prior stroke. Issues related to cognitive, behavioral, and psychosocial adaptation constitute tertiary causes of SD. The effective and prompt correction of sexual dysfunction in patients following the rupture of cerebral blood vessel aneurysms largely depended on the proper administration of anesthesia during surgical interventions and intensive therapy in the perioperative period. This includes preoperative preparation and patient analgesia, the administration of anesthesia, and adequate postoperative care.

Conclusions. The application of SD correction in men as part of rehabilitation measures from the 6th to the 24th month after surgical treatment of intracranial aneurysm (IA) has a positive impact, reducing SD regression from 88.9% (n=56/63) to 34.9% (n=22/63).


Uzdavines, A., Helmer, D.A., Spelman, J.F., Mattocks, K.M., Johnson, A.M., Chardos, J.F., Lynch, K.E., Kauth M.R. Sexual Health Assessment Is Vital to Whole Health Models of Care. JMIRx Med. 2022 Jul 28,3(3),e36266. doi: 10.2196/36266. PMID: 37725523; PMCID: PMC10414374.

Brody, S. The relative health benefits of different sexual activities. J Sex Med. 2010 Apr, 7(4 Pt 1),1336-61. doi: 10.1111/j.1743-6109.2009.01677.x. Epub 2010 Jan 15. PMID: 20088868.

Mykoniatis, I., Pyrgidis, N., Sokolakis, I., Ouranidis, A., Sountoulides, P., Haidich, A.B., van Renterghem, K., Hatzichristodoulou, G., Hatzichristou, D. Assessment of Combination Therapies vs Monotherapy for Erectile Dysfunction: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021 Feb 1,4(2),e2036337. doi: 10.1001/jamanetworkopen.2020.36337. PMID: 33599772; PMCID: PMC7893498.

Pistoia, F., Govoni, S., Boselli, C. Sex after stroke: a CNS only dysfunction? Pharmacol Res. 2006 Jul,54(1),11-8. doi: 10.1016/j.phrs.2006.01.010. Epub 2006 Mar 2. PMID: 16513364.

Zhao, S., Wu, W., Wu, P., Ding, C., Xiao, B., Xu, Z., Hu, Y., Shen, M., Feng. L. Significant Increase of Erectile Dysfunction in Men With Post-stroke: A Comprehensive Review. Front Neurol. 2021 Jul 28,12,671738. doi: 10.3389/fneur.2021.671738. PMID: 34393971; PMCID: PMC8355431.

Park, J.H., Ovbiagele, B., Feng, W. Stroke and sexual dysfunction - a narrative review. J Neurol Sci. 2015 Mar 15,350(1-2),7-13. doi: 10.1016/j.jns.2015.02.001. Epub 2015 Feb 7. PMID: 25682327.

Schmitz, M.A., Finkelstein, M. Perspectives on poststroke sexual issues and rehabilitation needs. Top Stroke Rehabil. 2010 May-Jun,17(3),204-13. doi: 10.1310/tsr1703-204. PMID: 20797965.

Yilmaz, S.D., Gumus, H., Yilmaz, H. Sexual life of poststroke women with mild or no disability: a qualitative study. J Sex Marital Ther. 2015,41(2),145-54. doi: 10.1080/0092623X.2013.864365. Epub 2013 Dec 23. PMID: 24246035.

Richards, A., Dean, R., Burgess, G.H., Caird, H. Sexuality after stroke: an exploration of current professional approaches, barriers to providing support and future directions. Disabil Rehabil. 2016 Jul,38(15), 1471-82. doi: 10.3109/09638288.2015.1106595. Epub 2016 Jan 4. PMID: 26726931.

Low, M.A., Power, E., McGrath, M. Sexuality after stroke: Exploring knowledge, attitudes, comfort and behaviours of rehabilitation professionals. Ann Phys Rehabil Med. 2022 Mar, 65(2),101547. doi: 10.1016/ Epub 2021 Nov 13. PMID: 34091059.

Contrada, M., Cerasa, A., Pucci, C., Ciancarelli, I., Pioggia, G., Tonin, P., Calabrò, R.S. Talking about Sexuality in Stroke Individuals: The New Era of Sexual Rehabilitation. J Clin Med. 2023 Jun 12,12(12),3988. doi: 10.3390/jcm12123988. PMID: 37373681; PMCID: PMC10299413.

WHO Sexual and Reproductive Health and Research (SRH). World Health Organization. [(accessed on 1 January 2023)]. 2010 Available online:

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