Arslan D, Aslan G, Sifil A, Cavdar C, Celebi I, Gamsari T, Esen A A
Department of Urology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
Int J Impot Res. 2002 Dec;14(6):539-42. doi: 10.1038/sj.ijir.3900937.
In this study we determine the sexual problems and the prevalence of erectile dysfunction (ED) in male hemodialysis patients by means of the International Index of Erectile Function (IIEF). A total of 187 male patients were included in the study. All of the patients who underwent hemodialysis were asked to complete the IIEF questionnaire. The IIEF domain scores were calculated and erectile dysfunction grading was determined on erectile function domain. Patients were also asked to report whether they had disclosed their sexual problems to physicians or not.The mean age was 49.3+/-13.2 y and the duration of hemodialysis was 38.1+/-8.4 months. By means of the IIEF, the prevalence of erectile dysfunction of any degree was 80.7%. The prevalence of any ED for the patients <50 y and >or=50 y was 74.5% and 86.6%, respectively. The prevalence and the severity of ED was significantly higher in patients >or=50 y. The frequency of intercourse attempts during the last four weeks was 1-2 in 130 (69.5%) of patients. Only 1% of patients disclosed their erectile problems and sought medical assistance prior to our study.Erectile dysfunction is highly prevalent in hemodialysis patients. The prevalence and the severity of ED increased with age. Evaluations for ED should be included in routine assessment of hemodialysis patients.
在本研究中，我们通过国际勃起功能指数（IIEF）来确定男性血液透析患者的性问题及勃起功能障碍（ED）的患病率。共有187名男性患者纳入本研究。所有接受血液透析的患者均被要求完成IIEF问卷。计算IIEF各领域得分，并根据勃起功能领域确定勃起功能障碍分级。患者还被要求报告他们是否已向医生透露过自己的性问题。平均年龄为49.3±13.2岁，血液透析时长为38.1±8.4个月。通过IIEF评估，任何程度勃起功能障碍的患病率为80.7%。年龄<50岁和≥50岁患者的任何ED患病率分别为74.5%和86.6%。≥50岁患者的ED患病率及严重程度显著更高。在过去四周内，130名（69.5%）患者的性交尝试频率为1 - 2次。在我们的研究之前，只有1%的患者透露过自己的勃起问题并寻求过医疗帮助。勃起功能障碍在血液透析患者中非常普遍。ED的患病率及严重程度随年龄增长而增加。对ED的评估应纳入血液透析患者的常规评估中。
