Prevalence and prognostic factors for erectile dysfunction in renal transplant recipients
DOI:
https://doi.org/10.5489/cuaj.446Abstract
Introduction: The purpose of this study was to determine the prevalence of erectile
dysfunction (ED) at our institution in the postrenal transplant population
and to compare those patients who had ED with those who did not have ED, with respect to several patient characteristics.
Methods: We conducted a cross-sectional study of male renal transplant recipients
who were in attendance at the transplant clinic from April 1, 2004, to
March 31, 2006. Erectile function was evaluated using the International Index
of Erectile Function short form questionnaire. Patients were also screened for
depression using the Beck Depression Inventory. We performed a chart review
to obtain various patient characteristics.
Results: This study involved 55 patients. Their average age was 50 years old
and the mean duration of the current transplant was 7.9 years. ED was identified
in 28 of the patients (51%). More patients with ED were over age 50 years
(64% v. 26%, p = 0.004). There was a higher prevalence of diabetes mellitus
(39% v. 11%, p = 0.02) in patients with ED compared with those patients without
ED. More patients with ED were depressed compared with those patients
who did not have ED (29% v. 7%, p = 0.04). These 3 factors were significantly
associated with ED and this relationship was confirmed on multivariate
analysis.
Conclusion: ED remains a common problem in the renal transplant population.
The cause of ED is multifactorial, with increasing age and the presence
of diabetes mellitus and depression increasing the risk of ED.
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