Prevalence of erectile dysfunction among renal failure patients whom underwent hemodialysis or renal transplantation; a local study

Khalid Ismael  Sufi; Shawqi George Gazala; Tarq Aziz  Toma; Yadgar Abduljabbar  Karim

doi:10.56056/amj.2020.121

Authors

Khalid Ismael Sufi KHCMS trainee of urology, Rizgary Teaching Hospital, Erbil
Shawqi George Gazala M.B.Ch.B, MRCS, LRCP, FRCS Ed. , FRCS Ld. Consultant Urologist, Hawler medical university College of Medicine, Department of Urology
Tarq Aziz Toma M.B.Ch.B, C.A.B.U, lecturer Hawler Medical University, College of Medicine, Department of Urology
Yadgar Abduljabbar Karim M.B.Ch.B, F.I.B.M.S (urology), lecturer Hawler Medical University, College of Medicine, Urology Department

DOI:

https://doi.org/10.56056/amj.2020.121

Keywords:

Erectile dysfunction, Hemodialysis, Renal transplantation

Abstract

Background and objectives: Renal failure is considered as a risk for erectile dysfunction, and habitually the causes are polygenic including those that are vasculogenic, neurologic, endocrinologic, psychological, biochemical, and pharmacologic. The aim of the present study is to evaluate the prevalence of erectile dysfunction and its degree of severity in kidney transplant patients.

Methods: The study was carried out on 41 male patients in Rizgary Teaching Hospital and Zheen International Hospital, over 18 years of age, with end-stage renal disease, bearing a functioning kidney transplant at least 3 months post-renal transplant and were attending the transplant clinic from 1st September 2018 to 30th April 2019 (group one). A control group was selected consisting of age-matching patients on hemodialysis (group two). Patient`s characteristics, blood tests, and international index of erectile function were evaluated.

Results: Totally; 76 patients were included consisting of 41 renal transplant recipients and 35 patients on hemodialysis. About 80% of hemodialysis patients and 39% of renal transplant recipient patients complained from erectile dysfunction Renal transplant recipient group had statistically significant lower erectile dysfunction as compared with hemodialysis group. Diabetes mellitus, anemia, neuropathy were more likely to be observed in those with erectile dysfunction compared to potent transplant, the severity of erectile dysfunction increased with aging.

Conclusions: in spite of successful renal transplantation, the prevalence of erectile dysfunction remains high. Age, anemia and presence of diabetes and/or peripheral neuropathy were shown to be the main variables associated with erectile dysfunction in the renal transplant recipients.

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