ERECTILE DYSFUNCTION IN 6 MONTHS AFTER KIDNEY TRANSPLANT RECIPIENTS AT MILITARY HOSPITAL 103
Main Article Content
Abstract
Objectives:
To assess the changes in erectile dysfunction (ED) before and after kidney transplantation using the IIEF-5 score and analyze the relationship with some clinical and paraclinical characteristics in men patients 6 months after kidney transplantation from living donors. Methods: Prospective descriptive study, longitudinal follow-up in 45 men kidney transplant recipients from March 2023 to May 2024 at Military Hospital 103.Results: IIEF-5 score after 6 months of kidney transplantation was 22 (18 - 23), improved compared to pre-transplantation, p<0.001; the ED rate was 44.44%, in which mild, moderate, severe levels were 26.67%, 17.78%, 0%, respectively. IIEF-5 score has a significant positive correlation with glomerular filtration rate, r = 0.356, p<0.05. In Logistic regression, age and Testosterone concentration were two independent factors associated with ED in men after kidney transplantation with OR = 1.11 (95%CI: 0.99 - 1.247), p = 0.032 and 0.896 (95%CI: 0.742 - 1.081), p = 0.028, respectively. Conclusion: The rate of ED in men kidney transplantation is still high, associated with age, testosterone concentration and glomerular filtration rate after transplantation.
Article Details
Keywords
Kidney transplantation, Erectile dysfunction, IIEF-5 score
References
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2. Tian X, Xue W, Li D, et al. Impacts of kidney transplantation on erectile function and its contributing factors evaluation. Zhonghua Nan Ke Xue. 2007; 13(5):431-434.
3. Perri A, Izzo G, Lofaro D, et al. Erectile dysfunction after kidney transplantation. JCM. 2020; 9(6):1991.
4. Rosen R, Cappelleri J, Smith M, et al. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999; 11(6):319-326.
5. Espinoza R, Gracida C, Cancino J, et al. Prevalence of erectile dysfunction in kidney transplant recipients. Transplantation Proceedings. 2006; 38(3):916-917.
6. Tian Y, Ji Z, Tang Y, et al. Prevalence and influential factors of erectile dysfunction in male renal transplant recipients: A multiple center survey. Chinese Medical Journal. 2008; 121(9):795-799.
7. Jabali SS, Saleem ZSM, Mohammed AA, et al. Erectile dysfunction pre and post kidney transplant recipients in Duhok city; cross-sectional study. Annals of Medicine and Surgery. 2020; 55:107-110.
8. Rahman IA, Rasyid N, Birowo P, et al. Effects of renal transplantation on erectile dysfunction: A systematic review and meta-analysis. Int J Impot Res. 2022; 34(5):456-466.
9. Lofaro D, Perri A, Aversa A, et al. Testosterone in renal transplant patients: Effect on body composition and clinical parameters. J Nephrol. 2018; 31(5):775-783.
10. Hoàng Tiên Phong. Nghiên cứu nồng độ testosterone, globulin gắn hormone sinh dục trong huyết tương và rối loạn cương dương ở bệnh nhân mắc bệnh thận mạn tính giai đoạn 3-5. Luận án tiến sĩ y học, Học viện Quân y. 2023.
11. DeLay KJ, Haney N, and Hellstrom WJ. Modifying risk factors in the management of erectile dysfunction: A review. World J Mens Health. 2016; 34(2):89.