Urology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.
Urology Department at Centro Hospitalar de Lisboa Ocidental, EPE, Lisbon, Portugal.
J Sex Med. 2019 Jul;16(7):1018-1028. doi: 10.1016/j.jsxm.2019.03.266. Epub 2019 Apr 19.
10% of the world's population suffers from chronic kidney disease. Kidney transplants provide an improvement in the quality of life of those patients. Sexual dysfunction is common after kidney transplantation, and its etiology is presumed to be multifactorial. It has a negative impact on sexual satisfaction and health-related quality-of-life. The integration of a new organ into the body can imply an adjustment of body image, which may eventually have a negative influence on intimacy and sexual behaviors.
To evaluate male sexual function, sexual satisfaction, and body image satisfaction among a convenience sample of patients who have had a kidney transplant.
This is a cross-sectional study that included 460 patients, from a single healthcare center, who had undergone a kidney transplant procedure >4 weeks ago. A total of 112 respondents (mean = 55.5 years, SD = 11.4) answered the questionnaires properly.
All recruited patients answered a self-reported sociodemographic questionnaire, in addition to the International Index of Erectile function, the New Scale of Sexual Satisfaction, the Brief Symptom Inventory, and the Body Image Scale.
A correlation was found between sexual function and sexual satisfaction (r = 0.598, P < .001, n = 112), as well as between body image satisfaction and sexual function (r = -0.193, P = .042, n = 112). The length of time after a kidney transplant (≤ or >36 months) was not associated with a difference in sexual functioning or sexual satisfaction.
This study showed the obvious implications of sexual function on sexual satisfaction, which should alert healthcare professionals to the importance of identifying and managing sexual dysfunction in patients with chronic kidney disease, to optimize their global and sexual health satisfaction.
STRENGTH & LIMITATIONS: This study identified a high prevalence of sexual dysfunction among kidney transplant recipients. This should reinforce the need for the medical community to evaluate the quality-of-life domains of patients with chronic disease. There is still a lack of information concerning any longitudinal evaluation of kidney transplant patients' sexual function and the effects that this surgery has on sexuality.
This study corroborated the severe effects that kidney transplant patients often report regarding their sexuality. Among the patients who participated in the study, sexual function proved to be relevant in relation to sexual satisfaction. Mota RL, Fonseca R, Santos JC, et al. Sexual Dysfunction and Satisfaction in Kidney Transplant Patients. J Sex Med 2019;16:1018-1028.
全世界有 10%的人口患有慢性肾脏病。肾移植可提高这些患者的生活质量。肾移植后常发生性功能障碍，其病因被认为是多因素的。它对性满足感和与健康相关的生活质量有负面影响。新器官融入身体可能意味着身体形象的调整，这最终可能对亲密关系和性行为产生负面影响。
评估便利样本中肾移植患者的男性性功能、性满意度和身体形象满意度。
这是一项横断面研究，纳入了来自单一医疗中心的 460 名肾移植术后>4 周的患者。共有 112 名应答者（平均年龄 55.5 岁，标准差 11.4）正确回答了问卷。
所有入组患者均回答了一份自我报告的社会人口学问卷，此外还回答了国际勃起功能指数、新性满意度量表、简明症状量表和身体形象量表。
发现性功能与性满意度之间存在相关性（r=0.598，P<.001，n=112），身体形象满意度与性功能之间也存在相关性（r=-0.193，P=.042，n=112）。肾移植后时间（≤36 个月或>36 个月）与性功能或性满意度无差异。
本研究表明性功能对性满意度有明显影响，这应提醒医疗保健专业人员注意识别和管理慢性肾脏病患者性功能障碍的重要性，以优化其整体和性健康满意度。
本研究发现肾移植受者性功能障碍发生率较高。这应该加强医学界对评估慢性病患者生活质量领域的需求。关于肾移植患者性功能的任何纵向评估以及该手术对性行为的影响，仍缺乏信息。
本研究证实了肾移植患者常报告的严重的性行为问题。在参与研究的患者中，性功能与性满意度相关。
