A 39-year-old man with intermittent claudication due to occlusion of the aor tic bifurcation complained of sexual dysfunction. He had an almost normal ability to achieve erection, but experi enced disappearence of the erection and gluteal pain when he tried to move dur ing sexual intercourse. The patient was implanted with a bifurcation graft pro- thesis and regained complete erective potency. It is stressed that patients like this with sexual dysfunction, even those without intermittent claudication, should be examined for bruits and re duced pulses in the groins, and if nec essary they should be referred to an appropriate vascular department.
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