Assessment of female sexual function and quality of life in predialysis, peritoneal dialysis, hemodialysis, and renal transplant patients

Abstract

Introduction Chronic renal failure (CRF) and renal replacement treatments have a negative effect on sexual function and quality of life (QoL). The literature on female sexual dysfunction (FSD) in patients with CRF is limited. The aim of this study is to compare the sexual function and QoL in predialysis (PreD), dialysis, and transplant patients. Materials and methods A total of 106 women including 21 PreD, 45 dialysis, 20 renal transplantation (Tx), and 20 control patients were enrolled in the study. The Female Sexual Function Index (FSFI) and SF-36 scales were used to assess all patients, and demographic and clinical variables were documented. The FSFI and QoL scale scores were compared among the groups. Results The rates of FSD were 50, 81, 66.7, 75, and 50% in the control, PreD, peritoneal dialysis (PD), hemodialysis (HD) and Tx patients respectively. Total FSFI scores for desire, arousal and orgasm scores in the PreD group were significantly lower than those in Tx and control patients (P \ 0.05). Physical components of QoL in CRF patients were significantly worse than in the control group (P \ 0.0001). On logistic regression analysis, age, glucose and creatinine were significantly associated with FSD. Conclusion This preliminary study documented that Tx is the most effective way to retain good sexual function in women, and a diagnosis of FSD should be made routinely in CRF patients.

Psychiatric Comorbidity, Sexual Dysfunction, and Quality of Life in Patients Undergoing Hemodialysis: A Case-Control Study

“…This finding is consistent with the results of other studies showing that SD is more frequent in patients with chronic renal disease (3,4,35,36,37,38). In a study conducted with patients undergoing dialysis treatment, 65% of participants expressed dissatisfaction with their sexual life, 40% expressed that sexual intercourse does not arouse any more interest, and 25% expressed symptoms of probable SD (39).…”

“…It is frequently reported in studies that the quality of life is lower in patients with chronic renal disease, particularly in physical and psychological areas (3,7,8,9,41). Accordingly, the results of our study also support the literature data.…”

“…Sexual dysfunction (SD) is a very common problem in patients with end-stage renal disease (ESRD), and a successful transplantation is the most efficient method of recovery of normal sexual function in patients with ESRD (1,2,3,4). According to the report of the Turkish Nephrology Association, by the end of 2009, a total of 59,443 patients underwent renal replacement therapy (RRT), and the trend of increase in the number of patients undergoing RRT is still continuing, and the most common type of RRT is hemodialysis (78.5%).…”

Female Sexual Dysfunction in Peritoneal Dialysis and Hemodialysis Patients

“…[5] Basok et al using FSFI scores reported that the rates of FSD were 81, 66.7, and 50% in the PD and HD patients and control subjects, respectively. [17] We found that SD was 95.7% in female with ESRD patients (94.1% in PD; all of HD patients) and 45.8% in the control.…”

Management of sexual dysfunction in uremic patients

“…11 Successful transplantation is clearly the most effective means to restore normal sexual desire in women with chronic kidney failure. 12 …”