You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation, Vascular Surgery I1 Apr 20122132 IMPACT OF RENAL TRANSPLANT ON VASCULOGENIC AND NEUROGENIC DETERMINANTS OF ERECTILE DYSFUNCTION IN PATIENTS WITH CHRONIC RENAL FAILURE Bhuvanesh Nanjappa, Shrawan Kumar Singh, Ravimohan Mavuduru, Manish Modi, Mukut Minz, Arup Kumar Mandal, and Vinay Sakhuja Bhuvanesh NanjappaBhuvanesh Nanjappa Chandigarh, India More articles by this author , Shrawan Kumar SinghShrawan Kumar Singh Chandigarh, India More articles by this author , Ravimohan MavuduruRavimohan Mavuduru Chandigarh, India More articles by this author , Manish ModiManish Modi Chandigarh, India More articles by this author , Mukut MinzMukut Minz Chandigarh, India More articles by this author , Arup Kumar MandalArup Kumar Mandal Chandigarh, India More articles by this author , and Vinay SakhujaVinay Sakhuja Chandigarh, India More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2302AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Erectile dysfunction (ED) is common in chronic renal failure, it has multifactorial causes which may get reverse following transplantation. Present study was conducted to assess endothelial dysfunction by flow mediated dilatation (FMD) and neuropathy by sympathetic skin response (SSR) and nerve conduction studies (NCS) in uremics before and after renal transplantation. METHODS Patients awaiting transplantation were subjected to history, clinical evaluation, IIEF-5 questionnaires. SSR and NCS were assessed using Nicolet Biomedical EA-4. FMD of brachial artery estimated using high resolution ultrasound after occluding brachial artery for 5 minutes, expressed as maximum percentage increase in diameter. Patients were evaluated again for above parameters, 3 months after successful transplantation. The statistical analysis was performed by paired 't' test and Pearson coefficient of correlation. RESULTS Total 171 male patients underwent renal transplantation during the study period. Thirty nine patients with diabetes mellitus, four with graft dysfunction and one with multiple myeloma were excluded from the study. Data of remaining 127 patients were analyzed. Prevalence of ED before and after transplantation was 75.6% and 55.9% respectively (p < 0.001). Serum testosterone levels, FMD and IIEF scores improved significantly (8.05±1.70 to 9.43±2.16, p < 0.000), (12.61±6.15% vs 20.10±8.60, p<0.000 and 17.47±4.30 vs. 19.26±4.41, p<0.000). IIEF scores correlated significantly with age (r= −0.298, p<0.001), FMD (r=444, p<0.000) & cholesterol (r=−0.178, p<0.045). FMD correlated negatively with age (r=−0.284, p<0.001). There was no significant difference in IIEF score with respect to the type of renal arterial anastomosis (Internal iliac 19.78±4.52 vs. External iliac 18.79±4.28; p=0.984). SSR and NCS were abnormal in 20 and 28 patients before and 9 and 8 patients after transplantation, respectively. IIEF and FMD were significantly low in patients with abnormal NCS and SSR. CONCLUSIONS Prevalence of ED is high in uremics and improves following transplantation. The improvement is associated with improvement in vasculogenic and neurogenic determinants of erectile function. A substantial number of them still may continue to have ED. It may improve with passage of time in patients with normal graft function. However, it requires further study with longer follow-up. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byPyrgidis N, Mykoniatis I, Sokolakis I, Minopoulou I, Nigdelis M, Sountoulides P, Verze P, Hatzichristodoulou G and Hatzichristou D (2020) Renal Transplantation Improves Erectile Function in Patients with End-Stage Renal Disease: A Systematic Review and Meta-AnalysisJournal of Urology, VOL. 205, NO. 4, (1009-1017), Online publication date: 1-Apr-2021. Volume 187Issue 4SApril 2012Page: e861 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bhuvanesh Nanjappa Chandigarh, India More articles by this author Shrawan Kumar Singh Chandigarh, India More articles by this author Ravimohan Mavuduru Chandigarh, India More articles by this author Manish Modi Chandigarh, India More articles by this author Mukut Minz Chandigarh, India More articles by this author Arup Kumar Mandal Chandigarh, India More articles by this author Vinay Sakhuja Chandigarh, India More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
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