Erectile dysfunction in hemodialysis patients

Abstract

Erectile dysfunction (ED) is a common problem seen among patients on hemodialysis (HD), but it is still a taboo subject in our country. The attention given to this sexual problem remained low, and the prevalence of ED among these patients has not been well characterized. We carried out this study in order to determine the prevalence and severity of ED in HD patients. We conducted a descriptive cross-sectional study in our HD unit in March 2013. ED was evaluated using the International Index Erection Function. Thirty patients with a mean age of 49.1 years were eligible for this study. The main causes of chronic kidney disease were hypertension (62.5%) and diabetes (41.6%). The prevalence of ED was 80%, including 33.3% severe ED. Plasma levels of gonadotropins: luteinizing hormone (LH), follicule-stimulating hormone were in the standards except for one patient who had an elevated level of LH. Prolactin was elevated in four cases. ED was present in 8.4% of patients before the discovery of renal failure and in 91.6% of patients at the beginning of dialysis. For 19 patients (79.1%), the ED had increased during the dialysis sessions. A significant number of our HD patients presented with ED of varying degrees. Nephrologists should pay attention to the problem of ED in order to improve the quality of their life.

Erectile Dysfunction and Associated Anxiety and Depression in Male Hemodialysis Patients: A Cross-Sectional Study at Karachi Institute of Kidney Diseases

“…It was noted in this study that the prevalence of ED in males was lower (47.6%) as compared to the study done by Antonucci et al who reported 70% ED [3]. Gorsane et al reported 80% ED and Arslan et al recorded an 80.7% prevalence of ED in males undergoing hemodialysis [13,6]. However, it was intriguing to discover that studies conducted way back in the 1970s like Abram et al and those in the 1980s like Rodger et al also noted the same pattern where ED prevailed in more than 50% of the patients [14,15].…”

Is erectile dysfunction an early clinical symptom of chronic kidney disease?

“…One of the side effects most frequently encountered with renal failure is known to be ED. ED may be identified at rates of 40% in male patients entering dialysis [14]. Different to what is known, study group included patients with no CKD diagnosis who were identified to experience problems related to erection.…”

Erectile dysfunction in kidney diseases: a review of the literature

“…У 19 (79,1 %) пациентов ЭД прогрессировала во время сеансов диализа. Помимо этого, ЭД не была связана с продолжительностью заместительной почечной терапии, уровнем гемоглобина и причиной почечной недостаточности при р = 0,765 и р = 0,441 соответственно [16].…”