Residual renal function and erectile dysfunction in patients on hemodialysis

Stolić, Radojica; Bukumirić, Zoran; Jovanović, Aleksandar; Perić, Vladan; Sovtić, Saša; Belic, Branislav; Mitić, N.

doi:10.1007/s11255-011-9931-z

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…In Egypt the prevalence of ED in hemodialysis patients is (86%) [11]. The similar prevalence of ED was observed internationally in Iran [26] (87.5%), in Turkey [27] (82.9%), in Serbia [28] (83%), in Pakistan [29] (86%), and in Brazil [30] (86.4%).…”

Section: Discussionsupporting

confidence: 69%

Prevalence of Psychosexual Dysfunctions Among Hemodialysis Male Patients

El-Monshed

Mahgoub

Abdel-Baky

et al. 2015

Mansoura Nursing Journal

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Background: Chronic kidney disease (CKD) is a worldwide public-health problem in which most of the physical functions of the body are affected including sexual function. Apart from physical impacts due to renal failure, there are a number of psychological impacts that may also contribute to changes in sexual functioning. Therefore, the aim of this study is to assess the prevalence of psychosexual dysfunctions experienced by hemodialysis male patients. Methods: A descriptive cross-sectional research design was conducted in the hemodialysis units at Mansoura Urology and Nephrology Center. The data were collected from 100 hemodialysis male patients who corresponded to the inclusion criteria. Arizona Sexual Experience Scale (ASEX) and Psychosexual Dysfunction Questionnaires were used to achieve the purpose of the study. Results: The results indicate that (94%) of the study sample complain of psychosexual dysfunctions. The most prevalent psychosexual dysfunctions are psychosexual discomfort, fatigue, low self-esteem during sex, difficulty in reaching orgasm, difficulty in maintenance erection and low sexual desire while suicidal ideation was the lowest prevalent psychosexual dysfunctions. Conclusion: The vast majority of the study sample has psychosexual dysfunctions. Application of psychiatric liaison nursing program in hemodialysis units is recommended.

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Section: Discussionsupporting

confidence: 69%

Prevalence of Psychosexual Dysfunctions Among Hemodialysis Male Patients

El-Monshed

Mahgoub

Abdel-Baky

et al. 2015

Mansoura Nursing Journal

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“…Residual renal function may be an important parameter when considering QOL in dialysis patients, and it is independently associated with the prevalence of ED, although the mechanism is not clear [119]. Stolic et al [149] described that dialyzed patients with preserved RRF maintained erectile function better. Ye et al suspect that, because RRF is preserved better in PD than in HD, this may have implications for ED in PD patients.…”

Section: Erectile Dysfunctionmentioning

confidence: 99%

Multifaceted Sexual Dysfunction in Dialyzing Men and Women: Pathophysiology, Diagnostics, and Therapeutics

Chou

Kiebalo

Jagiello

et al. 2021

Life

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Patient survival continues to increase with the growing quality of dialysis and management of chronic kidney disease (CKD). As such, chronic therapy must include considerations of quality of life (QOL), and this includes the disproportionate prevalence of sexual dysfunction (SD) in this patient population. This review aims to describe the pathophysiological and the psychosocial causes of SD with regard to renal replacement therapy, particularly hemo- and peritoneal dialysis. The differences in its manifestation in men and women are compared, including hormonal imbalances—and therefore fertility, libido, and sexual satisfaction—the experience of depression and anxiety, and QOL. The impact of comorbidities and the iatrogenic causes of SD are described. This review also presents validated scales for screening and diagnosis of SD in CKD patients and outlines novel therapies and strategies for the effective management of SD. Increased prevalence of CKD invariably increases the number of patients with SD, and it is crucial for health care professional teams to become familiar with the clinical tools used to manage this sensitive and under-quantified field. As a known predictor of QOL, sexual function should become a point of focus in the pursuit of patient-centered care, particularly as we seek to achieve as “normal” a life as possible for individuals who receive dialysis.

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“…This study is a continuation of research for which some results have already been presented [ 6 , 13 ]. It is organized as a non-randomized clinical study in patients treated with chronic hemodialysis in whom erectile dysfunction had been recorded.…”

Section: Methodsmentioning

confidence: 80%

“…Likewise, the univariate and multivariate logistic regression models established that survival of patients with erectile dysfunction is longer for those with preserved residual diuresis. In the available literature we found no data concerning correlation between erectile dysfunction and residual diuresis, except in our previous work where we recorded a significantly higher rate of erectile dysfunction in patients without residual diuresis [ 13 ].…”

Section: Discussionmentioning

confidence: 88%

“…The importance of residual renal function is increasingly recognized as an independent survival parameter in patients on dialysis. Some studies have concluded that patients with hemodialysis with a urine output greater than 100 mL have a reduced mortality rate and better hemodialysis [ 13 , 33 , 34 , 35 ]. In our case, more than 50% of the patients with erectile dysfunction who completed the study had residual diuresis.…”

Section: Discussionmentioning

confidence: 99%

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Survival of Patients on Hemodialysis with Erectile Dysfunction

et al. 2020

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Background and objectives: In patients on hemodialysis, erectile dysfunction is an independent mortality factor. This study aimed to determine the risk factors that affect the survival of hemodialysis patients with erectile dysfunction. Materials and Methods: During a seven-year period, erectile dysfunction was identified among the fatalities reported in patients receiving chronic hemodialysis, on the basis of the International Index of Erectile Function questionnaire. The study covered 70 patients of mean age 57 ± 6.7 years. During the examined period, 42 (60%) patients died at the mean age 57 ± 6.8 years. The study was completed by 28 (40%) patients, aged 57 ± 6.55 years. Laboratory, demographic, anthropometric, and clinical characteristics were recorded using standard methods. Results: Statistically significant differences between the two groups of respondents were found concerning dialysis duration (p < 0.001), number of leukocytes (p = 0.003), adequacy of hemodialysis (p = 0.004), intima media thickness of the carotid artery (p < 0.001), presence of cardiovascular disease (p = 0.03), residual diuresis (p = 0.04), and hemodiafiltration (p < 0.001). Hemodialysis adequacy (B = −9.634; p = 0.017), intima media thickness (B = 0.022; p = 0.003), residual diuresis (B = −0.060; p = 0.007), and lower rates of cardiovascular disease (B = 0.176; p = 0.034) were significant survival predictors among our patients with erectile dysfunction. Conclusions: Risk factors that are associated with improved survival of patients on hemodialysis with erectile dysfunction in our study are: preserved diuresis, high-quality hemodialysis, lower incidence of cardiovascular disease, and less thickening of the intima media of the carotid arteries.

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Residual renal function and erectile dysfunction in patients on hemodialysis

Abstract: Hemodialysis patients with preserved diuresis retain erectile function better.

Cited by 7 publications

References 19 publications

Prevalence of Psychosexual Dysfunctions Among Hemodialysis Male Patients

Prevalence of Psychosexual Dysfunctions Among Hemodialysis Male Patients

Multifaceted Sexual Dysfunction in Dialyzing Men and Women: Pathophysiology, Diagnostics, and Therapeutics

Survival of Patients on Hemodialysis with Erectile Dysfunction

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