Factors associated with erectile dysfunction in male kidney transplant recipients

Rebollo, Pablo; Ortega, Francisco; Valdés, C; Fernández‐Vega, Francisco; Ortega, Teresa; García-Mendoza, M; Gómez, E.

doi:10.1038/sj.ijir.3901056

Cited by 31 publications

(36 citation statements)

References 20 publications

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“…5,11 This was not confirmed in our study. Other studies have also not documented the relation between duration of dialysis and ED.…”

Section: Erectile Dysfunction In Renal Transplant Recipientscontrasting

confidence: 56%

“…The importance of increased age on the prevalence of ED in the renal transplant population has been verified in several studies. 5,10,11 In Malavaud and colleagues' study of 271 post renal transplant patients, the average age of patients with ED was 49.2 years old, compared with 44.5 years old for patients without ED. 5 The mean age of patients with ED after renal transplant in another study was 43.6 years old, compared with 34.9 years old in patients without ED.…”

Section: Discussionmentioning

confidence: 99%

“…7 This questionnaire has been validated in the postrenal transplant population. 5,7 With the IIEF-5, ED is classified into 5 severity levels: none (22-25), mild (17-21), mild to moderate (12-16), moderate (8)(9)(10)(11) and severe (5-7). 7 For the purpose of this study, ED was defined as an IIEF-5 score < 22.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and prognostic factors for erectile dysfunction in renal transplant recipients

Wong

Lawen

Kiberd

et al. 2013

CUAJ

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383ED is a common disorder in men aged 40 years and over. Prevalence of ED increases with age, with 25%, 55% and 65% of men aged 65, 75 and 80 years old, respectively, reporting the disorder. 4 In a cross-sectional study of sexual function of male kidney transplant recipients, ED was considerably more common than it was in the control population, with a prevalence of 55.7% despite the transplant recipients being younger than those in the control group. 5 In that study, age, time on dialysis, and iterative transplants were significantly and negatively related to erectile dysfunction . 5 The increased number of kidney transplants being performed in addition to the improved graft and patient survival rates has resulted in a greater number of patients with ED. 4 Thus, there is an increasing number of men experiencing a major quality of life issue. 4The literature regarding the effect of renal transplantation on patients with ED has been contradictory. In most studies, patients regain potency following renal transplant.2 However, in one longitudinal study, ED did not improve markedly after transplantation. 6 In other cases, particularly in patients who received second or subsequent transplantations, erectile function has been adversely affected by interference with penile arterial blood flow. 6 The purpose of this study was to determine the prevalence of ED at our institution in the postrenal transplant population. In addition, we compared several patient characteristics of patients in this population who had ED with those postrenal transplant patients who did not have ED. MethodsWe conducted a cross-sectional study of erectile function in male renal transplant recipiPrevalence and prognostic factors for erectile dysfunction in renal transplant recipients ORGINAL RESEARCH Abstract Introduction: The purpose of this study was to determine the prevalence of erec-

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“…5,11 This was not confirmed in our study. Other studies have also not documented the relation between duration of dialysis and ED.…”

Section: Erectile Dysfunction In Renal Transplant Recipientscontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and prognostic factors for erectile dysfunction in renal transplant recipients

Wong

Lawen

Kiberd

et al. 2013

CUAJ

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“…However, Cerqueira et al and Miyata et al found a significant association between ED and diabetes with respective p-values of 0.05 and 0.04 (18,24). Thus, according to many writers, these pathologies are involved in the development of ED (7,20,25). Chronic liver disease related to hepatitis virus B or C and heart failure, which are described as potentiating factors of sexual dysfunction in patients on dialysis (9,19,20), were objectified in one-third of our patients with 95.5% of them presenting ED.…”

Section: Discussionmentioning

confidence: 99%

Erectile Dysfunction in Chronic Hemodialysis Patients in Dakar: a Cross-Sectional Study in 2012

Seck

Cissé

et al. 2014

Nephro Urol Mon

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Background:Patients with chronic kidney disease (CKD) experience multiple complications including erectile dysfunction (ED). It involves more than 50% of patients on dialysis or transplant. In Africa, the true extent of ED in CKD is unknown although some studies have been done in this regard. Objectives: This study aimed to determine the prevalence and identify risk factors of ED in patients on hemodialysis. Patients and Methods:This cross-sectional multicenter study was conducted from January 2, 2012 through April 30, 2012 in four hemodialysis centers in Dakar. We included all patients on chronic hemodialysis who aged ≥ 18 years old and freely consented to participate in the study. Sociodemographic, clinical, and hemodialysis data were collected through a questionnaire. Erectile function was assessed by a short version of International Index of Erectile Function (IIEF-5). Results: Among a target of 80 patients, 73 met the inclusion criteria and were included in this study. Mean dialysis vintage was 27.3 months (range, 1-156). Their mean age was 53.81 ± 12.52 years, with a higher proportion of age group of 50 to 69 years old. Fifty-six patients were married (37 monogamous and 19 polygamous) and six were singles. Overall prevalence of ED was 84.9% and it was severe in 14 patients (19.2%). Hypertension and diabetes were the most frequent etiologies and antihypertensive treatment was used in 95.5%. The main factors associated with ED were age > 50 years old and polygamy. Conclusions: ED is a common problem among patients on hemodialysis in Dakar with a high prevalence. Aging and diabetes represent most common causes. More efforts are needed for its early detection, prevention, and multidisciplinary management.

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“…In all, 50% of patients with end-stage renal disease and 75% of patients on chronic dialysis therapy are affected 12 In a cross-sectional study of 323 kidney transplant patients, 13 the authors found that factors significantly and negatively related to ED in these patients were age, time on dialysis and iterative transplants. In a previous study, 14 we have reported the prevalence of ED found in kidney transplant patients of our region (54.9%) and the factors associated to this high prevalence (greater age, longer time on dialysis prior to transplantation and presence of peripheric arteriopathy). However, we did not find any published study focused on the association between ED and HRQoL in kidney transplant patients.…”

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confidence: 99%

Influence of erectile dysfunction on health related quality of life of male kidney transplant patients

et al. 2004

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The objective of the present study was to investigate if a psychological adaptation capacity exists in kidney transplant bearers, even with ageing, in relation to erectile dysfunction (ED). We studied ED using IIEF-5 and health-related quality of life (HRQoL) using the SF-36 Health Survey, in a large sample of male renal transplant patients (n ¼ 242), searching for the influence of ED on HRQoL. Patients included 199 patients (82%); the median age was 52 y (43-62); 106 patients (54.9%) presented ED. These patients were divided into four groups according to median age. SF-36 scores were worse for ED vs non-ED patients in the first three age groups, but not in age group 4. SF-36 Mental Component Summary was similar for patients with ED and without ED in all age groups. We confirm the hypothesis that a psychological adaptation occurs in renal transplant patients in all age groups, when suffering ED.

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Factors associated with erectile dysfunction in male kidney transplant recipients

Cited by 31 publications

References 20 publications

Prevalence and prognostic factors for erectile dysfunction in renal transplant recipients

Prevalence and prognostic factors for erectile dysfunction in renal transplant recipients

Erectile Dysfunction in Chronic Hemodialysis Patients in Dakar: a Cross-Sectional Study in 2012

Influence of erectile dysfunction on health related quality of life of male kidney transplant patients

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