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Coronary artery calcifications in hemodialysis patients and their correlation with the prevalence of erectile

K Inci1, T Hazirolan, F T Aki

  • 1Department of Urology, Hacettepe University, School of Medicine, Shihiye, Ankara, Turkey. kuinci@hacettepe.tr

Transplantation Proceedings
|February 12, 2008
PubMed

Insights

Erectile dysfunction (ED) is highly prevalent in hemodialysis patients, with 82.9% experiencing some form of ED. Severe ED correlates with higher coronary artery calcium scores (CACS).

Area of Science:

  • Nephrology
  • Cardiology
  • Urology

Background:

  • Hemodialysis patients frequently experience comorbidities.
  • Erectile dysfunction (ED) is a common concern in this population.
  • Coronary artery calcium scores (CACS) indicate cardiovascular calcification.

Purpose of the Study:

  • To determine the prevalence of ED in hemodialysis patients.
  • To investigate the correlation between ED severity and CACS.

Main Methods:

  • Thirty-five male hemodialysis patients were assessed.
  • Coronary artery calcium scores (CACS) were measured using computed tomography.
  • Erectile function was evaluated using the International Index of Erectile Function (IIEF) questionnaire.

Main Results:

  • The prevalence of any ED was 82.9%, with 40% experiencing severe ED.
  • Patients with severe ED had significantly higher CACS (P = .032).
  • A moderate negative correlation was found between IIEF-5 scores and CACS (r = -.420, P = .012).

Conclusions:

  • Erectile dysfunction (ED) is highly prevalent among hemodialysis patients.
  • Increased CACS is associated with greater ED severity in this cohort.
  • While multiple factors may contribute to ED, CACS is a significant correlate.
Abstract

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