Objectives: Erectile dysfunction (ED) is a very common and distressing healthproblem in chronic maintenance hemodialysis patients. There is no such data available fromSind province of Pakistan on this issue; we want to highlight the factors and prevalence oferectile dysfunction among hemodialysis patients in this part of our country. Study Design:This hospital based observational, cross-sectional study Setting: It was conducted at 04hemodialysis centers of Hyderabad city Perod: In 2014 Methods: The Study was conductedby using International Index of Erectile Dysfunction (IIEF-5) for determination of prevalence& severity of ED among these patients. Comparative analysis for frequency of ED was alsodone between urban & rural patients. Adapted Urdu version of IIEF-5 was used for those whocannot understand English pro forma. Results: There were total 62 male patients; all of themwere on maintenance hemodialysis for more than 6 months. Their ages were between 20 to59 years with mean 36±11. In this series of patients 80% (n=50) were < 50 years of age whilethe diabetic patients were 58% (n=36). The overall prevalence of ED observed in patients was88.7% (n=55) in our study. Severe ED was seen in 30 (48.4%) patients. The prevalence &severity of ED was significantly higher in diabetes mellitus and over 50 years of age. There washigher incidence of ED 94% observed in patients who are living in rural areas as compared tourban areas patients 82%. Conclusions: It has been concluded in this study that majority ofmale hemodialysis patients were suffering from ED problem. Diabetes mellitus and & > 50 yearsof age has the highest prevalence of ED. Erectile dysfunction is very common and distressinghealth related issue among hemodialysis patients and this should be addressed with routine

ABSTRACT… Objectives: Erectile dysfunction (ED) is a very common and distressing health problem in chronic maintenance hemodialysis patients. There is no such data available from Sind province of Pakistan on this issue; we want to highlight the factors and prevalence of erectile dysfunction among hemodialysis patients in this part of our country. Study Design: This hospital based observational, cross-sectional study Setting: It was conducted at 04 hemodialysis centers of Hyderabad city Perod: In 2014 Methods: The Study was conducted by using International Index of Erectile Dysfunction (IIEF-5) for determination of prevalence & severity of ED among these patients. Comparative analysis for frequency of ED was also done between urban & rural patients. Adapted Urdu version of IIEF-5 was used for those who cannot understand English pro forma. Results: There were total 62 male patients; all of them were on maintenance hemodialysis for more than 6 months. Their ages were between 20 to 59 years with mean 36±11. In this series of patients 80% (n=50) were < 50 years of age while the diabetic patients were 58% (n=36). The overall prevalence of ED observed in patients was 88.7% (n=55) in our study. Severe ED was seen in 30 (48.4%) patients. The prevalence & severity of ED was significantly higher in diabetes mellitus and over 50 years of age. There was higher incidence of ED 94% observed in patients who are living in rural areas as compared to urban areas patients 82%. Conclusions: It has been concluded in this study that majority of male hemodialysis patients were suffering from ED problem. Diabetes mellitus and & > 50 years of age has the highest prevalence of ED. Erectile dysfunction is very common and distressing health related issue among hemodialysis patients and this should be addressed with routine clinical evaluation, counselling and appropriate treatment to improve their quality of life.