Abstract
The proposal of this study was to determine the prevalence and the associated factors of erectile dysfunction (ED) among hemodialysis (HD) patients. This was a cross-sectional study based on data collected from HD male patients. Clinical, demographic and laboratory data of all patients were collected in three HD clinics from December 2010 to June 2011. Patients answered questions of erectile function domain from International Index of Erectile Function. Data were evaluated by descriptive analysis and by univariate (ULRA) and multivariate logistic regression analysis (MLRA). Three hundred and five patients participated of the study. The prevalence of ED was 68.19%. ED was associated with diabetes (DM), benign prostatic hyperplasia, glomerulonephritis as cause of chronic renal failure (CRF), smoking habits, lower creatinine levels (ULRA), use of calcium channel blocker (MLRA), aging, lower education level, alcohol consumption, DM (as cause of CRF) and coronary insufficiency (ULRA and MLRA). ED was highly prevalent in the HD men. It was independently associated with aging, current use of alcohol, long alcohol use (even for those who do not drink more), lower education level, diabetes as cause of CRF, coronary insufficiency and use of channel blockers calcium.
Highlights
Erectile dysfunction (ED) is a medical problem that alters patient’s quality of life due to association with many problems as anxiety, loss of self-esteem, depression and marital misfit [1]
The underlying etiologies of renal failure of the patients who participated in the study included hypertension (34.42%), Diabetes Mellitus (18.36%), glomerulonephritis (7.54%), polycystic kidney (5.24%), abuse of medications (3.93%), unknown (24.59%) and others (5.57%)
The degree of ED among HD patients was mild in 9.83%, mild to moderate in 6.22%, moderate in 9.18%, and severe in 42.95% of patients
Summary
Erectile dysfunction (ED) is a medical problem that alters patient’s quality of life due to association with many problems as anxiety, loss of self-esteem, depression and marital misfit [1]. The population of CRF patients in hemodialysis (HD) is growing, in part, because of longer survival [3]. This fact has highlighted the importance of quality of life of the HD patients [4], including the erectile function (EF). The determinants are not fully known and the prevalence ranges from 43 to 87% [5,6,7,8,9,10,11,12,13] These facts occur due to the lack of standardization of assessment of ED by previous researches [8,9,10]
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