Male Sexual Dysfunction in Patients with Chronic Kidney Disease: A Cross-Sectional Study

Abstract

(1) Background: Sexual dysfunction is common in male with chronic kidney disease (CKD), but the prevalence and association between CKD and sexual dysfunction, especially PE, remain to be investigated in China; (2) Objective: To investgate the prevlence and association between CKD and sexual dysfunction in male patients in China.; (3) Methods: A cross-sectional, non-interventional, observational study was conducted at single center and 72 male patients with CKD were selected. The questionnaire included socio-demographic information, a 5-item version of the International Index of Erectile Function (IIEF-5), Premature Ejaculation Diagnostic Tool (PEDT) in Chinese version, the Patient Health Quentionnnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7). SPSS software 25.0 was used for data analysis; (4) Results: 56.9% of 72 CKD patients had erectile dysfunction (ED) and the prevalence of premature ejaculation (PE) was 29.2%. Multiple factors such as vascular lesions and neuropathy of complications, psychological factors, medications were found to be associated with sexual dysfunction in CKD patients; (5) Conclusion: Sexual function is common among CKD male patients, which can not be divorced from multifactors. Clinicians should pay more attention to sexual dysfunction in male patients with CKD and the pathogenesis should be further studied.