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Published on: July 22, 2022
[Sexuality after kidney transplantation]
T Steiner1, H Wunderlich, U Ott
1Klinik und Poliklinik für Urologie, Universitätsklinikum Jena, Lessingstrasse 1, 07743, Jena, Deutschland. thomas.steiner@med.uni-jena.de
Der Urologe. Ausg. A
|November 19, 2009
Summary
Kidney transplant recipients experience sexual health improvements, but men may still face erectile dysfunction. Treatment options exist, and successful pregnancies are possible but require high-risk care.
Area of Science:
- Nephrology
- Urology
- Reproductive Medicine
Context:
- Quality of life after kidney transplantation is a growing concern.
- Sexual health issues are significant for patients with end-stage kidney disease.
- Prevalence of sexual dysfunction is high in patients on dialysis.
Purpose:
- To explore the impact of kidney transplantation on patient sexuality.
- To discuss management strategies for persistent sexual dysfunction post-transplant.
- To highlight considerations for pregnancy in kidney transplant recipients.
Summary:
- Sexual disorders like erectile dysfunction and libido loss affect over 50% of dialysis patients.
- While women often see symptom improvement post-transplant, men may experience persistent or worsening erectile dysfunction.
- Phosphodiesterase type 5 inhibitors are effective for treating erectile dysfunction in male transplant recipients.
- Pregnancy in women with stable kidney allografts is achievable but necessitates specialized, high-risk obstetric and nephrological care.
Impact:
- Informs clinical practice regarding sexual health management in kidney transplant patients.
- Highlights the need for targeted therapies for persistent sexual dysfunction.
- Emphasizes the importance of multidisciplinary care for pregnant kidney transplant recipients.
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