Barroso L V S, Miranda E P, Cruz N I, Medeiros M A S, Araújo A C O, Mota Filho F H A, Medeiros F C
Federal University of Ceara, Faculty of Medicine, Fortaleza, Ceara, Brazil.
Transplant Proc. 2008 Dec;40(10):3489-91. doi: 10.1016/j.transproceed.2008.07.141.
Sexual dysfunction among renal failure and kidney transplant patients remains controversial. The aim of this study was to evaluate sexual functions of men on hemodialysis compared with patients undergoing kidney transplantation.
Our study was based on 36 end-stage renal disease (ESRD) patients undergoing hemodialysis versus 32 kidney transplanted patients. A control group was composed of 23 healthy patients. The patients underwent an anamnesis, a physical examination, and the International Index of Erectile Function about sexual performance. Statistical analysis was performed by Student's t-test or the chi-square test with the level of significance set at P < .05. Data are reported as mean values +/- standard error of the means.
The mean scores of the control, ESRD, and transplanted group were, respectively: for erectile function, 27.4 +/- 0.5, 22.4 +/- 1.3, 23.4 +/- 1.3; for orgasmic function, 9.5 +/- 0.1, 7.6 +/- 0.5, 8.9 +/- 0.5; for sexual desire function 9.4 +/- 0.1, 7.1 +/- 0.3, 9.0 +/- 0.5; for intercourse satisfaction 12.8 +/- 0.3, 9.4 +/- 0.7, 11.0 +/- 0.7; and for satisfaction related to sexual life 9.2 +/- 0.2, 7.7 +/- 0.3, 8.6 +/- 0.6, proving that there were significant differences regarding orgasmic function, sexual desire, and intercourse satisfaction.
It was possible to conclude from our study that kidney transplants do improve sexual function of patients with ESRD on hemodialysis.
肾衰竭和肾移植患者的性功能障碍仍存在争议。本研究的目的是评估接受血液透析的男性与接受肾移植的患者的性功能。
我们的研究基于36例接受血液透析的终末期肾病(ESRD)患者与32例肾移植患者。对照组由23名健康患者组成。患者接受了问诊、体格检查以及关于性功能的国际勃起功能指数评估。采用学生t检验或卡方检验进行统计分析,显著性水平设定为P <.05。数据以平均值±均值标准误差表示。
对照组、ESRD组和移植组的平均得分分别为:勃起功能方面,27.4±0.5、22.4±1.3、23.4±1.3;性高潮功能方面,9.5±0.1、7.6±0.5、8.9±0.5;性欲功能方面,9.4±0.1、7.1±0.3、9.0±0.5;性交满意度方面,12.8±0.3、9.4±0.7、11.0±0.7;以及性生活满意度方面,9.2±0.2、7.7±0.3、8.6±0.6,证明在性高潮功能、性欲和性交满意度方面存在显著差异。
从我们的研究中可以得出结论,肾移植确实能改善接受血液透析的ESRD患者的性功能。