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Factors associated with erectile dysfunction in male kidney transplant recipients
P Rebollo1, F Ortega, C Valdés
1Servicio de Nefrología-1, del Hospital Universitario Central de Asturias, e Instituto "Reina Sofía", de Investigación Nefrológica de la FRIAT, Spain. pablo@hca.es
International Journal of Impotence Research
|December 13, 2003
Summary
Erectile dysfunction (ED) affects over half of kidney transplant recipients. Key factors include older age, longer dialysis time before transplant, and peripheral artery disease.
Area of Science:
- Nephrology
- Urology
- Andrology
Background:
- Erectile dysfunction (ED) is a common complication in patients with chronic kidney disease and after kidney transplantation.
- Understanding the prevalence and associated factors of ED in kidney transplant recipients is crucial for improving post-transplant quality of life.
Purpose of the Study:
- To determine the prevalence of erectile dysfunction (ED) in adult kidney transplant patients.
- To identify sociodemographic, analytic, and clinical factors associated with ED in this population.
Main Methods:
- A transversal study included 199 adult kidney transplant patients.
- Erectile dysfunction was assessed using the Spanish five-item version of the International Index of Erectile Function (IIEF-5).
- Data on sociodemographics, clinical factors, and 12 cardiovascular risk factors were collected.
Main Results:
- The prevalence of ED was 54.9% (106 out of 199 patients).
- Factors associated with ED included higher age, longer pre-transplant dialysis duration, higher comorbidity, diabetes mellitus, prostatic surgery, peripheral artheriopathy, lower diastolic pressure, and certain antihypertensive drugs.
- Logistic regression identified age, time on dialysis, and peripheral artheriopathy as independent predictors of ED.
Conclusions:
- Erectile dysfunction is highly prevalent in kidney transplant recipients.
- Age, duration of dialysis prior to transplantation, and peripheral artheriopathy are significant independent risk factors for ED in this patient group.