Erectile dysfunction among hemodialysis patients

Abstract

Erectile dysfunction is highly prevalent in hemodialysis patients. The prevalence and the severity of ED increase with age. Evaluations and efficient therapy for ED should be included in routine assessment of hemodialysis patients.

Associated factors and prevalence of erectile dysfunction in hemodialysis patients

“…Severe ED rate of 42.95% observed in our study is similar to results of previous researches that observed proportions ranging from 25.4 to 45.8% (6,7,(10)(11)(12). Similar to our results, several researchers showed association of ED with increased age of HD patients (5-8,10-12,15,16).…”

“…The prevalence of ED in HD patients has a wide variability among studies (43 to 87.7%) probably due to different methodologies and diagnostic criteria (5-13). The studies used different definitions and tools for ED assessment; some of them had low number of patients, were performed in a single-center evaluation and the populations evaluated differed from each other (6)(7)(8)(9)12,13). Despite the great variability of ED in HD patients the most recent studies *Estimated by multivariate logistic regression analysis; OR = Odds ratio; P = Level of statistical significance; 95% CI = 95% confidence interval.…”

“…As ED occurs in almost all diabetic patients with CRF (7,8) in our work, DM was also an independent risk factor of ED in male HD patients. Causes of ED in DM men are several: vascular disease (22), autonomic neuropathy, gonadal dysfunction, impaired neurogenic and endothelium mediated relaxation of penile smooth muscle (23,24) and additionally HD (6,7,10).…”

“…The determinants are not fully known and the prevalence ranges from 43 to 87% (5)(6)(7)(8)(9)(10)(11)(12)(13). These facts occur due to the lack of standardization of assessment of ED by previous researches (8)(9)(10).…”

The burden of erectile dysfunction in dialysis patients in Senegal

“…This study demonstrates a high prevalence of ED among dialysis patients in Senegal. Despite a wide variability related to the method of assessing ED, similarly high prevalences had been usually reported in many other countries such as Brazil (60.3%), 13 Egypt (82.5%), 14 Morocco (81.4%), 15 and Iran (86.6%) 16 . As noticed in our patients, the occurrence of ED is independent of the dialysis method (hemodialysis vs. peritoneal dialysis) 17,18 .…”