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CONCLUSIONS Dutch vascular surgeons are well aware of the occurrence of postoperative sexual disorders following infrarenal aortic reconstruction. A gap in knowledge of pathophysiology and anatomy exists. Furthermore, a significant part of vascular surgeons seems to lack skills in sexual counselling. Therefore, more education should be offered during vascular surgical training. WHAT THIS PAPERS ADDS This paper addresses iatrogenic neurogenic complications affecting sexual health following open aortic surgery. It opens the discussion