El-Bahnasawy M S, El-Assmy A, El-Sawy E, Ali-El Dein B, Shehab El-Dein A B, Refaie A, El-Hammady S
Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Int J Impot Res. 2004 Dec;16(6):521-6. doi: 10.1038/sj.ijir.3901222.
A total of 400 male renal transplant recipients (RTR) were investigated. Data on medical, sexual history, clinical examination and laboratory variables were collected. The severity of erectile dysfunction (ED) was assessed using the International Index of Erectile Function questionnaire. Univariate and multivariate logistic regression analyses were used to determine prognostic variables, which have independent impact on erectile function. ED was detected in 35.8% of the whole group. Current erectile function as compared to pretransplant status was improved, deteriorated or remained static in 44, 12.5 and 43.5% of the evaluated transplant recipients, respectively. After logistic regression analysis, age, hemoglobin level and presence of DM and/or peripheral neuropathy had significant and independent negative impact on erectile function. We concluded that renal transplantation has varying effects on erectile function. ED is highly prevalent among RTR and its pathogenesis is multifactorial.
共对400名男性肾移植受者（RTR）进行了调查。收集了有关病史、性史、临床检查和实验室变量的数据。使用国际勃起功能指数问卷评估勃起功能障碍（ED）的严重程度。采用单因素和多因素逻辑回归分析来确定对勃起功能有独立影响的预后变量。在整个研究组中，35.8%的患者检测出ED。与移植前状态相比，在44%、12.5%和43.5%的评估移植受者中，当前勃起功能分别得到改善、恶化或保持不变。经过逻辑回归分析，年龄、血红蛋白水平以及糖尿病和/或周围神经病变的存在对勃起功能有显著且独立的负面影响。我们得出结论，肾移植对勃起功能有不同影响。ED在RTR中非常普遍，其发病机制是多因素的。
