Effects of Renal Transplantation on Female Sexual Dysfunction: Comparative Study With Hemodialysis and a Control Group

Kurtuluş, Fatih; Salman, Mehmet Yılmaz; Fazlıoğlu, Adem; Fazlioglu, B.

doi:10.1016/j.transproceed.2017.07.014

Cited by 22 publications

(21 citation statements)

References 17 publications

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“…In this study, the highest levels of depression were associated with poor sexual functioning in the domains of Lubrication, Desire/arousal, and Satisfaction among women. These results differ from those found by Filocamo et al (2009), Kettas et al (2010), and Kurtulus et al (2017), who found no significant association between BDI scores and female sexual functioning, although depression improved after the transplant. In this study, female transplant recipients with a menstrual cycle have better sexual functioning in the domains of Lubrication, Desire/arousal, and Orgasm, possibly as a result of vascular anastomosis, which is crucial in women's sexual functioning, particularly in lubrication.…”

Section: Discussioncontrasting

confidence: 99%

“…However, these results are in line with those found by Antonucci et al (2015), Branco et al (2013), and Kettas et al (2010), who found no statistically significant difference between the duration/dialysis therapy and the presence of sexual dysfunction. The prevalence of depression in this study was 26.6%, which is similar to those found by Chilcot, Spencer, Maple, and Mamode (2014) and Kurtulus et al (2017). Chilcot et al (2014) consider that anxiety and depression screening should be integrated into patients' overall assessment during the posttransplant period because the reduction of depressive symptoms can improve sexual functioning and, in turn, improve health and quality of life.…”

Section: Discussionsupporting

confidence: 86%

“…The lowest mean FSFI scores were found in the domains of Desire/arousal, followed by Orgasm, Lubrication, Pain, and Satisfaction. Kurtulus et al (2017) also identified a higher prevalence of desire/arousal. These are worrying results given the fact that only one-quarter of patients seek professional help or improve their image as measures to change the situation.…”

Section: Discussionmentioning

confidence: 90%

“…Although the prevalence of sexual dysfunction is very high in both male and female kidney transplant recipients, it is higher in women, which is in line with Özdemir et al 2007who found a prevalence of 93.9% in women and 56.9% in men. Kurtulus, Salman, Fazlioglu, and Fazlioglu (2017) found a prevalence of 73.9% in women. The most affected male sexual functions were sexual desire, intercourse satisfaction, overall satisfaction, and erectile function.…”

Section: Discussionmentioning

confidence: 95%

“…It should be noted that Mirone et al (2009) concluded that erectile function worsens after kidney transplantation in younger patients. When it comes to female transplant recipients, Kurtulus et al (2017) concluded that female sexual dysfunction increases with age and that age is the most important risk factor for sexual dysfunction. Küçük et al (2013) also found a significant correlation between these variables.…”

Section: Discussionmentioning

confidence: 99%

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Sexual function of kidney transplant recipients

Gonçalves¹,

Loureiro²,

Fernandes³

2019

Rev. Enf. Ref.

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Background: Sexual dysfunction in people with chronic kidney disease is progressive and worsens with the deterioration of kidney functions. Although most people recover their sexual function after kidney transplantation, many sexual problems may persist after transplantation. Objectives: To characterize the sexual function of kidney transplant recipients and analyze their association with demographic and clinical variables. Methodology: A descriptive-correlational study was conducted with a sample of 139 kidney transplant recipients. Data were collected using a questionnaire for sociodemographic and clinical characterization, the International Index of Erectile Function, the Female Sexual Function Index, and the Beck Depression Inventory. Results: The prevalence rate of sexual dysfunction in kidney transplant recipients was high (> 90%), and sexual desire was the most affected domain. Sexual function was influenced by age, depressive states, and the presence of a menstrual cycle. Conclusion: Considering the prevalence of sexual dysfunction, nurses should integrate the research findings and promote sexual health in their daily clinical practice.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Sexual function of kidney transplant recipients

Gonçalves¹,

Loureiro²,

Fernandes³

2019

Rev. Enf. Ref.

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Female Sexual Dysfunction as a Warning Sign of Chronic Disease Development

Stasi

Verde

Maseroli

et al. 2019

Curr Sex Health Rep

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Significant Increase of Sexual Dysfunction in Patients with Renal Failure Receiving Renal Replacement Therapy: A Systematic Review and Meta-Analysis

Luo

Xiao

Xiang

et al. 2020

The Journal of Sexual Medicine

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Background It has been shown that sexual dysfunction (SD) is highly prevalent among patients with chronic renal failure (CRF), and starting renal replacement therapy may even increase it. However, SD is an infrequently reported problem in these treated patients. Aim To investigate the prevalence of SD among patients with CRF undergoing renal replacement therapy, by a meta-analysis method. Methods PubMed, Embase, and the Cochrane Library were systematically searched for all studies assessing sexual function in patients with CRF receiving renal replacement therapy from January 2000 to April 2020. Relative risk (RR) with 95% CIs was used for analysis to assess the risk of SD in patients with CRF receiving renal replacement therapy. The cross-sectional study quality methodology checklist was used for the cross-sectional study. The methodologic quality of the case-control and cohort studies was assessed with the Newcastle-Ottawa Scale. Data were pooled for the random-effect model. Sensitivity analyses were conducted to assess potential bias. The Begg and Egger tests were used for publication bias analysis. Outcomes The prevalence of SD among patients with CRF receiving renal replacement therapy was summarized using pooled RR and 95% CI. Results This meta-analysis included 3,725 participants from 10 studies. Of these, 737 were patients with CRF receiving renal replacement therapy. The mean age of participants ranged from 32.75 to 56.1 years. Based on the random-effect model, synthesis of results demonstrated that the prevalence of SD was significantly increased among patients with CRF receiving renal replacement therapy in women (RR = 2.07, 95% CI: 1.47–2.91, P = .000; heterogeneity: I2 = 78.7%, P = .000) and in men (RR = 2.95, 95% CI: 2.16–4.02, P = .000; heterogeneity: I2 = 86.1%, P = .000). Estimates of the total effects were generally consistent in the sensitivity analysis. No evidence of publication bias was observed. Clinical Implications Patients with CRF receiving renal replacement therapy had a significantly increased risk of SD, which suggests that clinicians should evaluate sexual function, when managing patients with CRF receiving renal replacement therapy. Strengths and Limitations This is the first study to explore the prevalence of SD among patients with CRF undergoing renal replacement therapy based on all available epidemiologic studies. However, all included studies were an observational design, which may downgrade this evidence. Conclusion The prevalence of SD is significantly increased among patients with CRF receiving renal replacement therapy. More research studies are warranted to clarify the relationship.

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Effects of Renal Transplantation on Female Sexual Dysfunction: Comparative Study With Hemodialysis and a Control Group

Cited by 22 publications

References 17 publications

Sexual function of kidney transplant recipients

Sexual function of kidney transplant recipients

Female Sexual Dysfunction as a Warning Sign of Chronic Disease Development

Significant Increase of Sexual Dysfunction in Patients with Renal Failure Receiving Renal Replacement Therapy: A Systematic Review and Meta-Analysis

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