Sexual dysfunction in male patients on hemodialysis: assessment with the International Index of Erectile Function (IIEF) (original) (raw)
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Erectile dysfunction among hemodialysis patients
International Urology and Nephrology, 2011
Objective Erectile dysfunction (ED) is a distressing problem in hemodialysis patients. A combination of organic and psychological factors has been reported to take part in the pathophysiology of this condition. The aim of this study is to determine the prevalence of sexual dysfunction among hemodialysis patients. Methods From November 2008 to January 2009, a total of 59 male patients who underwent hemodialysis therapy in Jahrom and Fasa medical centers in Iran were entered the study. We explained to them each of the questions of the questionnaire and asked them to complete the IIEF questionnaire. We used the IIEF to determine the sexual problems and the prevalence of erectile dysfunction in male hemodialysis patients. We used translated (Persian) version of the IIEF questionnaire, which had been modified according to validation tests. Chi square test (Monte Carlo test) was used for analyzing the data. P value less than 0.05 was considered significant.
Evaluation of Erectile Function in Patients Undergoing Hemodialysis
Journal of Urological Surgery, 2021
This study aimed to evaluate the erectile function in patients undergoing dialysis due to chronic renal failure and ascertain the causes of erectile dysfunction (ED). Materials and Methods: Patients undergoing hemodialysis admitted to our outpatient clinic with an erectile function evaluation between February and August 2019 were retrospectively investigated. The International Index of Erectile Function form erection scores, hormone levels, total dialysis durations, libido, nocturnal erection, and other additional diseases were recorded. Results: A total of 28 patients had all mentioned values. The mean age of patients was 58.6 (35-75) years. In the study group, only two of all patients (7.14%) had no erection complaints and both of them were under 40 years old. Approximately 93% of patients had ED and ~79% of this patient group was over 50 years old. The dialysis duration of patients ranged between 8-180 months. Patients' serum prolactin, glucose, testosterone, luteinizing hormone values, and erection scores were analyzed with Paired-Samples test. Glucose levels were found to be significant. Conclusion: The ED percentage is high, especially in patients over 50 years old with hemodialysis. The presence of diabetes in this patient group increased the erectile problems. Elevated prolactin alone was not detected as the cause of ED in patients undergoing dialysis. Further studies with larger series are necessary due to the limited number of patients in the study group; however, the current study suggested an investigation for ED in patients undergoing hemodialysis.
International Journal of Impotence Research, 2002
In order to evaluate the erectile function in male renal failure patients treated with hemodialysis (HD), we investigated the International Index of Erectile Function (IIEF) in patients and healthy controls. The subjects were 174 male patients treated with HD, of whom 43 had diabetes mellitus (DM) and the remaining 131 patients did not have DM. The controls were 1133 healthy males. We evaluated the prevalence of erectile dysfunction (ED) using the erectile function (EF) score, which is one of the five domains of the IIEF, in each age group (upto 39 y old, 40 -49 y old, 50 -59 y old, 60 -69 y old). The severity of ED was classified into five categories using EF in each age group. The univariate logistic regression analysis and multiple variate analysis of IIEF in HD patients were performed. The prevalence of ED in HD patients was significantly higher than that in the controls in each age group. The severity of ED in HD patients was also significantly higher than that in the controls in each age group. In the logistic regression analysis and multiple variate analysis of IIEF in HD patients, DM and age were significant risk factors on sexual dysfunction. ED was more prevalent in male renal failure patients treated with HD than in the controls. In the patient group, ED was more prevalent in older DM patients.
Prevalence of erectile dysfunction (ED) in patients on hemodialysis
The Professional Medical Journal, 2021
Objective: To find out the frequency of erectile dysfunction in patients who are on hemodialysis. Study Design: Cross Sectional study. Setting: Department of Urology and Kidney Transplantation, Allied Hospital/Faisalabad Medical University, Faisalabad. Period: November 2015 to May 2016. Material & Methods: Patients enrolled for study included indoor admitted patients, patients presenting in outdoor and patients being admitted in Department of Urology and Renal Transplantation, Allied Hospital/Faisalabad Medical University, Faisalabad for purpose of Arterio-Venous Fistula (AVF) surgery. ED assessed and graded using the questionnaire of International Index of Erectile Function (IIEF-5). Results: 60 patients enrolled and out of 60 cases, 27 (45%) were of age 25-35 years while 33 (55%) were between 36-45 years and mean+SD age was 36.15+5.47 years. 49 (81.67%) were having ED while 11 (18.33%) were not suffering from ED. Out of 49 patients having ED, results showed that 32 patients were ...
Electronic physician, 2016
Introduction: Routine hemodialysis is one of the preferred treatment methods in patients with chronic kidney disease. It seems that routine hemodialysis can be effective in improving sexual function in these patients. This study aimed to determine the effect of routine dialysis sessions over a six-month period on the status of sexual function in men with chronic renal failure using the International Index of Erectile Function (IIEF) questionnaire. Methods: The cross-sectional study was conducted from November 2015 to November 2016 on patients with chronic renal failure who were first-time candidates for routine hemodialysis and who were referred to Imam Reza Hospital of Mashhad. All of the patients completed the IIEF questionnaire before their first hemodialysis. Afterwards, all of the patients underwent routine dialysis sessions over a six-month period and completed the IIEF questionnaire again at the end of the sixth month. The prevalence of sexual dysfunction was assessed before and after hemodialysis. The scores on the two IIEF questionnaires were compared according to five domains, i.e., erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction. The comparisons were done before and after hemodialysis using the paired-samples t-test. Statistical analyses were performed using SPSS version 19. Results: The study included 30 men with a mean age of 40.2 ± 8.2. The prevalence of sexual dysfunctions in the order of their frequency was as follows: intercourse satisfaction (100%), overall satisfaction (100%), sexual desire (96.7%), orgasmic function (93.3%), and erectile function (90%). After six months of treatment with hemodialysis, the ratings of all areas of sexual dysfunction were improved significantly (p-value = 0.00 for all domains). Conclusion: According to the results of this study, it seems that a six-month course of hemodialysis can improve erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction in patients with chronic kidney disease.
Erectile dysfunction in hemodialysis: A systematic review
World journal of nephrology, 2012
Men with chronic renal failure (CRF) on hemodialysis have been frequently associated with erectile dysfunction (ED), with an of between 20% to 87.7%. As a result of the multi-system disease processes present in many uremic men, it is apparent that the pathogenesis of ED is most probably multifactorial. Factors to be considered include peripheral vascular disease, neurogenic abnormalities, hormonal disturbances and medications used for treatment of conditions associated with CRF. These physiological abnormalities may be supplemented by significant psychological stresses and abnormalities resulting from chronic illness. Treatment must start with the determination and treatment of the underlying causes. In addition to psychological treatment, further lines of treatment of ED in CRF can be classified as 1st line (medical treatment which includes oral phosphodiesterase-5 inhibitors and hormone regulation), 2nd line (intracavernosal injection, vacuum constriction devices and alprostadil u...
Erectile dysfunction in patients with chronic renal failure
International braz j urol, 2007
Objective: Determine the prevalence of erectile dysfunction in patients undergoing hemodialysis. Materials and Methods: This cross-sectional study was carried out to determine the prevalence of erectile dysfunction in a population of 58 patients in hemodialysis program. Erectile dysfunction was assessed by using the International Index of Erectile Function (IIEF). Information on demographic data, renal failure, comorbidities, laboratory tests and search for medical treatment for erectile dysfunction by means of interviews and researches in medical charts was obtained. Student t test was utilized to compare the laboratory results between group of patients with and without erectile dysfunction. The chi-square test was utilized to compare the comorbidities and the characteristics of the population studied between the groups of patients with and without erectile dysfunction. The significance level considered was 5%. Results: Mean patient age was 50.2 ± 14.6 years and the time of hemodialysis was 30.4 ± 28.4 months. The prevalence of erectile dysfunction was 60.3%. A progressive increase respecting the age was reported. In patients younger than 50 years, this prevalence reached 31.4% and in patients older than 50 years, this prevalence reached 68.6%. With respect to the comorbidities, hypertensive patients prevailed with 94.8% of the total, whilst diabetic patients represented 24.9%. However only the association between diabetes and erectile dysfunction was significant. Patients with erectile dysfunction presented significantly lower values for serum creatinine and Kt/V. There was no variation between the groups with reference to calcium, potassium, phosphorus, hematocrit, hemoglobin, pre-and post-dialysis urea values. There was no correlation between erectile dysfunction and time of dialysis. Amongst patients with erectile dysfunction, 8.6% sought medical care. Conclusions: The prevalence of erectile dysfunction in patients in hemodialysis program was of 60.3%. Age, diabetes and hemodialysis characteristics are associated to higher incidence of erectile dysfunction.
Erectile Dysfunction In Haemodialysis Patients
J Ayub Med Coll …, 2009
Background and Objective: There is a very high prevalence of Erectile Dysfunction (ED) in dialysis patients. There is no as such available data on ED and factors affecting it in our patients. Methods: Analytical, cross-sectional, hospital based study conducted from January to March 2008, Haemodialysis unit of Shalimar and Mayo Hospital, Lahore. All male patients of end stage renal disease (ESRD) on maintenance haemodialysis therapy, whose spouses are alive and able to perform intercourse, were included in the study. Patient with cognitive and communication deficits were excluded from study. International index of erectile function-5 (IIEF-5), adopted in Urdu was used for the determination of prevalence of erectile function. Categorization of erectile dysfunction was done as mild, moderate and severe. Demographic data were collected and certain laboratory parameters (haemoglobin, haematocrit, urea, HBsAg and Anti HCV) were sent. Results: Total numbers of patient were fifty. Major cause of ESRD was diabetes mellitus 28 (56%). Most of the patients 33 (66%) have passed 10 th grade or they were under 10 th grade. Prevalence of ED was 86% with mean IIEF-5 score of 10.36±7.13. Majority of patients 33 (64.7%) were suffering from severe degree of ED. Factors responsible for ED are diabetes mellitus, age more than 50 year, high pre dialysis urea and Anti HCV positive patients. In this study, smoking, duration of dialysis and monthly spending is not related with ED. Conclusion: Majority of the patients suffering from ESRD, on maintenance haemodialysis are having ED. None of the patients suffering from ED were taking any treatment for it. Haemodialysis does not improve sexual dysfunction. Major factors responsible for ED are diabetes mellitus, age more than 50 years, high pre dialysis urea and Anti HCV positive patients.
Erectile dysfunction in chronic renal failure patients undergoing hemodialysis in Egypt
International Journal of Impotence Research, 2004
In clinical practice, the attention given to sexual problems in patients with end-stage renal disease is low. In order to evaluate the erectile function in chronic renal failure patients undergoing hemodialysis (HD) as a renal replacement therapy in upper Egypt, we used the abridged version of the International Index of Erectile Function (IIEF-5). In all, 75 HD patients were subjected to clinical and laboratory investigations. The controls were 948 healthy males representing the general Egyptian population. The prevalence of erectile dysfunction (ED) among the HD patients was 82.5% compared to 30% among controls. The prevalence of ED in HD group was significantly higher than in controls. The prevalence of ED in HD patients o50 y was 80% and it was 88% in those Z50 y, while the prevalence of ED among controls was 28 and 69.8%, respectively. The prevalence of severe degree of ED was significantly higher in both groups compared to controls, while moderate degree of ED showed a statistical significance compared to controls in age groups o50 y and mild degree of ED showed a statistical significance compared to controls in age groups Z50 y. The univariate logistic regression analysis showed that age (r ¼ À0.3368, Po0.01), serum urea (r ¼ À0.5974, Po0.001), and creatinine level (r ¼ À0.5804, Po0.001) have a significant negative correlation with the presence of ED among HD patients, while serum hemoglobin (r ¼ 0.3396, Po0.001) and years of HD age (r ¼ 0.3147, Po0.01) have a significant positive correlation with the presence of ED among the HD patients. In view of the observed high prevalence of ED among the HD patients, we believe that a complete health evaluation of male HD patients should include a discussion about erectile function in the standard clinical care program of patients with renal disease.
Erectile dysfunction risk factors for patients entering�dialysis programme
Andrologia, 2010
The objective of this study was to determine the risk factors of erectile dysfunction (ED) for patients entering the dialysis programme with haemodialysis (HD) or peritoneal dialysis (PD). Participants were adult males with sexual partners. They were given the semi-quantitative standard International Index of Erectile Function questionnaire. We added the common risk factors in specially designed questions to cover our objectives. The data were analysed using a multivariate regression model. Fifty-two patients fulfilled the eligibility criteria and completed this questionnaire. Twenty-five were on HD and 27 on PD. Only 17.3% were potent on entry into the study. Among the rest 71% were classified under severe ED. Sexual desire appeared less affected in comparison to other domains. Although 66.6% expressed their interest in treatment for ED, none of the patients received any. Stepwise selection analysis identified the only significant risk factor to be older age. There was no difference between the two populations of HD and PD. It is concluded that ED is very prevalent in men beginning dialysis; it should be assessed and treatment be offered.