Sexual Dysfunction in Women With End-Stage Renal Disease: A Systematic Review and Meta-Analysis

Pyrgidis, Nikolaos; Mykoniatis, Ioannis; Tishukov, Maksim; Sokolakis, Ioannis; Nigdelis, Meletios P.; Sountoulides, Petros; Hatzichristodoulou, Georgios; Hatzichristou, Dimitrios

doi:10.1016/j.jsxm.2021.02.008

Cited by 19 publications

(16 citation statements)

References 53 publications

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“…1,21,23 In a meta-analysis, it was reported that older age and menopause were related with higher SD prevalence in female patients. 2 The relation of SD score with age was also shown in nonuremic patients. 24 Possible reasons of this association include vascular insufficiency, reduced organ functions, comorbid conditions, and changes in body image with advancing age.…”

Section: Discussionmentioning

confidence: 85%

“…20 Another study found similar results to our findings, in which ED rate was found to be 88% in male PD patients. 21 In the study of Pyrgidis et al, 2 SD prevalence in female patients was 74%. Differences in frequencies of SD in females may be due to utilization of different surveys and limited number of female participants.…”

Section: Discussionmentioning

confidence: 94%

“…1 SD is highly prevalent in these patients and arises from multiple causes. 2–5 Erectile dysfunction (ED) in males; menstrual abnormalities and fertility disorders in females; decreased libido, and reduced sexual intercourse frequency in both sexes are most common examples of sexual dysfunction. The principal menstrual problem in female patients is anovulatory cycle.…”

Section: Introductionmentioning

confidence: 99%

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Sexual dysfunction in female and male patients undergoing chronic ambulatory peritoneal dialysis

Yazıcı

Yeksan²

2022

Int J Artif Organs

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Background: To prolong survival and to provide a better quality of life (QoL) are two aims at the forefront in the care of peritoneal dialysis (PD) patients. In this study we aimed to determine frequency of sexual dysfunction (SD) and influencing factors in PD patients. Methods: Of the 201 patients, 114 under 65 years and on chronic ambulatory PD for at least 3 months were enrolled. Forty-nine females and 65 males completed the study. Survey forms were applied using face-to-face interview method. Female Sexual Function Index (FSFI) was used to assess SD in women; International Index for Erectile Function (IIEF) was used to assess erectile dysfunction (ED) in men. All patients completed SF-36 and Beck Depression Inventory (BDI) forms. Results: While SD was evident in 89.8% of female patients (FSFI score:10.4 ± 9.7), ED was present in 87.7% of males (IIEF score:13.8 ± 7.9). Depression rates were 65.3% and 49.2% in female and male patients, respectively. BDI scores were 21.6 ± 10.4 and 17.1 ± 9.5; physical component scores, 52.6 ± 20.4 and 55.2 ± 20.2; mental component scores, 45.2 ± 19.8 and 49.9 ± 22, in female and male patients, respectively. FSFI was correlated with age (β = −0.53 p < 0.001) and BDI score (β = −0.23 p = 0.04), ( R2 = 0.64). ED showed correlation with age (β = −0.36 p < 0.001), BDI score (β = −0.57 p < 0.001), and hemoglobin level (β = 0.26 p = 0.003), ( R2 = 0.74). Conclusion: SD, often overlooked and not discussed by both patients and physicians, is encountered relatively frequently among PD patients. Left not discussed and untreated SD may adversely affect QoL.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Sexual dysfunction in female and male patients undergoing chronic ambulatory peritoneal dialysis

Yazıcı

Yeksan²

2022

Int J Artif Organs

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“…Sexual dysfunction is a highly prevalent problem in women and men with ESKD [8,9]. The prevalence in women is approximately 74% [10], while in men it is 82% [11]. The most common sexual dysfunctions are erectile dysfunction in men [11,12] and decreased vaginal lubrication, pain during intercourse, and difficulty reaching orgasm in women [10,13].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence in women is approximately 74% [10], while in men it is 82% [11]. The most common sexual dysfunctions are erectile dysfunction in men [11,12] and decreased vaginal lubrication, pain during intercourse, and difficulty reaching orgasm in women [10,13]. In addition, both men and women often experience a decrease in libido [14].…”

Section: Introductionmentioning

confidence: 99%

Sexuality in Kidney Transplant Recipients: A Qualitative Study

et al. 2021

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End-stage kidney disease has a negative impact on patients’ quality of life. People who receive a kidney transplant experience an improvement in many areas of their daily life. Sexuality is a general component of health, which can be affected by end-stage kidney disease and kidney transplant. The aim of this study was to explore and understand the experiences and perspectives of kidney transplant recipients regarding their sexuality. A qualitative study based on Gadamer’s hermeneutic philosophy was carried out. Two focus groups and nine interviews were conducted with 18 kidney transplant recipients. Data were audio-recorded, transcribed, and analyzed with the help of qualitative analysis software. Two main themes emerged from the data: (1) “The impact of a kidney transplant on sexuality”, with the subthemes “sexuality is relegated to the background”, “physical decline acts as a sexual inhibitor”, and “changes in sexual activity following a kidney transplant”; (2) “Sexual education in kidney transplant recipients” with the subthemes “sexuality: a hidden concern amongst kidney transplant recipients” and “talking about sexuality with healthcare professionals”. Sexuality is a frequent concern among kidney transplant recipients. The physiological and emotional changes experienced after kidney transplant exert a great influence on their sexuality. Healthcare professionals rarely discuss sexuality concerns with kidney transplant recipients. Professional sexual education and assistance are necessary to improve sexual health satisfaction of kidney transplant recipients.

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Emotional Well‐being

Murphy

2024

Renal Nursing

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Sexual Dysfunction in Women With End-Stage Renal Disease: A Systematic Review and Meta-Analysis

Cited by 19 publications

References 53 publications

Sexual dysfunction in female and male patients undergoing chronic ambulatory peritoneal dialysis

Sexual dysfunction in female and male patients undergoing chronic ambulatory peritoneal dialysis

Sexuality in Kidney Transplant Recipients: A Qualitative Study

Emotional Well‐being

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