Significant decrease of the International Index of Erectile Function in male renal failure patients treated with hemodialysis

• Published in: Int J Impot Res Vol. 14; no. 3; pp. 172 - 177
• Main Authors: Naya, Y, Soh, J, Ochiai, A, Mizutani, Y, Ushijima, S, Kamoi, K, Ukimura, O, Kawauchi, A, Fujito, A, Ono, T, Iwamoto, N, Aoki, T, Imada, N, Marumo, K, Murai, M, Miki, T
• Format: Journal Article
• Language: English
• Published: London Springer Science and Business Media LLC 01.06.2002; Nature Publishing Group UK; Nature Publishing; Nature Publishing Group
• Subjects: Adult; Age groups; Aged; Aging; Aging - physiology; Biological and medical sciences; Erectile Dysfunction; Erectile Dysfunction - diagnosis; Erectile Dysfunction - epidemiology; Erectile Dysfunction - etiology; Erectile Dysfunction - physiopathology; Gynecology. Andrology. Obstetrics; Hemodialysis; Humans; International Cooperation; Kidney Failure, Chronic; Kidney Failure, Chronic - complications; Kidney Failure, Chronic - therapy; Life Style; Male; Male genital diseases; Medical sciences; Medicine; Medicine & Public Health; Middle Aged; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Non tumoral diseases; Prevalence; Regression analysis; Renal Dialysis; Renal failure; Reproductive Medicine; rology; Severity of Illness Index; Urology; hemodialysis; IIEF; chronic renal failure; erectile dysfunction; Endocrinopathy; Human; Kidney disease; Urinary system disease; Prevalence; Erection disorders; Hemodialysis; Diabetes mellitus; Male; Epidemiology; Extrarenal dialysis; Chronic; Clinical stage; Risk factor; Renal failure; Adult; Complication; Elderly; Age
• ISSN: 0955-9930; 1476-5489
• DOI: 10.1038/sj.ijir.3900854

In order to evaluate the erectile function in male renal failure patients treated with hemodialysis (HD), we investigated the International Index of Erectile Function (IIEF) in patients and healthy controls. The subjects were 174 male patients treated with HD, of whom 43 had diabetes mellitus (DM) and the remaining 131 patients did not have DM. The controls were 1133 healthy males. We evaluated the prevalence of erectile dysfunction (ED) using the erectile function (EF) score, which is one of the five domains of the IIEF, in each age group (upto 39 y old, 40–49 y old, 50–59 y old, 60–69 y old). The severity of ED was classified into five categories using EF in each age group. The univariate logistic regression analysis and multiple variate analysis of IIEF in HD patients were performed. The prevalence of ED in HD patients was significantly higher than that in the controls in each age group. The severity of ED in HD patients was also significantly higher than that in the controls in each age group. In the logistic regression analysis and multiple variate analysis of IIEF in HD patients, DM and age were significant risk factors on sexual dysfunction. ED was more prevalent in male renal failure patients treated with HD than in the controls. In the patient group, ED was more prevalent in older DM patients.