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Updated: Feb 20, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Stage effect of chronic kidney disease in erectile function
Márcio Rodrigues Costa1, Viviane Campos Ponciano2, Théo Rodrigues Costa3
1Escola Médica da Universidade Federal de Goiás, GO Brasil.
Chronic kidney disease progression worsens erectile dysfunction. Lower glomerular filtration rates and advanced disease stages correlate with a higher prevalence and severity of erectile dysfunction in men undergoing conservative treatment.
Area of Science:
- Nephrology
- Urology
- Men's Health
Background:
- Erectile dysfunction (ED) is a common comorbidity in men with chronic kidney disease (CKD).
- The impact of CKD stage and glomerular filtration rate (GFR) on ED prevalence and severity requires further elucidation.
Purpose of the Study:
- To assess the influence of CKD stage and GFR on the prevalence and degree of ED.
- To investigate the relationship between CKD progression and erectile function.
Main Methods:
- A transversal study included 245 male patients with CKD (stages III-V) on conservative treatment.
- Erectile dysfunction was assessed using the International Index of Erectile Function (IIEF).
- Statistical analyses included Chi-square tests and Pearson correlation coefficients to compare groups and assess relationships.
Main Results:
- The prevalence of ED was higher in patients with CKD stages IV/V compared to stage III.
- A positive correlation was observed between GFR and IIEF scores, indicating better erectile function with higher GFR.
- CKD progression was associated with increased ED prevalence and severity.
Conclusions:
- CKD progression, characterized by decreased GFR and advanced disease stages, negatively impacts erectile function.
- Anticipating ED diagnosis and treatment may be possible by monitoring CKD progression.
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