IMPACT OF RENAL TRANSPLANTATION ON ERECTILE DYSFUNCTION DUE TO CHRONIC RENAL FAILURE IN MALE PATIENTS
AbstractBackground: Erectile dysfunction can be defined as the persistent inability of man to achieve penileerection and maintain it sufficient for satisfactory coitus. The objectives of this study were to find outthe impact of successful renal transplantation on the degree and frequency of erectile dysfunction.Methods: Thirty patients of end stage renal disease that were on regular haemodialysis and candidatesof renal transplantation of age range 20–55 years were included in the study after getting informedconsent. Erectile functions were assessed by history, examination, investigations and internationalindex of erectile function (IIEF) before and 3 and 6 months after renal transplantation, otherinformation regarding disease and patient were collected in the performa. Results: Out of thirty patients14 (46.6%) patients had sever erectile dysfunction while 16 (53.3%) patients had moderate erectiledysfunction in the pre renal transplantation period. After three months of renal transplantation 15 (50%)had severe erectile dysfunction, 6 (20%) patients moderate erectile dysfunction and 9 (30%) patientsmild erectile dysfunction. After six months 11 (36.6%), 10 (33.3%) and 8 (26.6%) patients had severe,moderate and mild erectile dysfunction respectively. Conclusion: There was improvement in 40%, nochange in 53.3% and deterioration in 6.6% patients in the erectile functions after getting renaltransplantation for end stage renal disease.Keywords: Erectile Dysfunction, End-stage Renal Disease, International Index of ErectileFunction, IIEF
Barrou B, Cuzin B, Malavaud B, Petit J, Pariente JL, Buchler M,
et al. Early experience with Sildenafil for the treatment of erectile
dysfunction in renal transplant recipients. Nephrol Dial
Abdel- Hameed IA. Mechanism of vasculogenic erectile
dysfunction after kidney transplantation. BJU Int.2004;94:497–500.
Ayub W, Fletcher S. End-stage renal disease and erectile
dysfunction. Is there any hope? Nephrol Dial Transplant
Carson CC, Patel MP. The epidemiology, anatomy, physiology,
and treatment of erectile dysfunction in chronic renal failure
patients. Adv Rev Replace Ther 1999;6:296–309.
Lue TF. Physiology of penile erection and pathophysiology of
erectile dysfunction and priapism. In: Walsh PC, Retik AB,
Vaughan Jr ED, Wein AJ editors. Campbell’s Urology.8th ed.
Philadelphia: WB Saunders Co, 1998; p.1157–79.
Rhoden EL, Teloken C, Sogari PR, Vargas Souto CA. The use of
the simplified International Index of Erectile Function (IIEF-5) as
a diagnostic tool to study the prevalence of erectile dysfunction.
Int J Impot Res 2002;14:245–50.
Arslan D , Aslan G, Sifil A, Cavdar C, Celebi I, Gamsari T, et al.
Sexual dysfunction in male patients on HD : assessment with the
International Index of Erectile Function (IIEF). Int J Impot Res
Zamd M, Gharibi MB, Ramadni B Zaid D. Sexual dysfunction in
male patients under going HD in Morocco. Saudi J. Kidney Dis
Ali ME, Abdel-Hafez HZ, Mahran AM, Mohamed HZ,
Mohamed ER, El-Shazly AM, et al. Erecrile dysfunction in
chronic renal failure patients under going HD in Egypt. Int J
Impot Res 2005;17:180–5.
Musone D, Cindolo L, Altieri V, Russo D. Erectile dysfunction
in kidney transplanted patients. Minerva Urol Nefrol
El- Bahnasawy MS, El- Assmy A, El-Sawy E, Ali-El Dein B, ElDein ABS, Rafaie A et al. Critical evaluation of the factors
influencing erectile function after renal transplantation. Int J
Impot Res 2004;16:521–6 .
Burgos FJ, Pascual J, GomezV, Orofino L, Liano F, Ortuno J.
Effect of kidney transplantation and cyclosporine treatment on
male sexual performance and hormonal profile: A Prospective
study. Transplant Proc1997;29:227–8.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.