Erectile function of renal failure patients after hemodialysis or kidney transplantation : A comparative study
OBJECTIVE: To study the changes in the erectile function of the male patients with renal failure after hemodialysis (HD) or kidney transplantation (KT) and explore the causes of these changes.
METHODS: From January 2015 to January 2021, 160 male patients with renal failure complaining of ED underwent HD (n = 80) or KT (n = 80) in the General Hospital of Eastern Theater Command. The patients were aged 25－45 (31.7 ± 4.8) years, 32 ± 4.5 years in the HD group and 31.4 ± 5.1 years in the KT group. We recorded the levels of serum T, E2, FSH and LH and the scores on IIEF-5, Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) of the patients, and compared them between the two groups.
RESULTS: Compared with the patients in the HD group, those in the KT group showed a significantly higher T level (［7.45 ± 3.54］ vs ［17.75 ± 7.32］ nmol/L, P < 0.01) and a lower E2 level (［151.37 ± 20.89］ vs ［94.17 ± 40.79］ pmol/L, P < 0.01), but no statistically significant difference from the former group in the levels of FSH (［8.12 ± 5.12］ vs ［8.97 ± 2.36］ IU/L, P > 0.05) and LH (［5.16 ± 3.87］ vs ［4.69 ± 2.18］ IU/L, P > 0.05). There were fewer cases of severe ED in the KT than in the HD group (3.75% vs 16.25%, P < 0.05). Different degrees of anxiety and depression were observed in both groups, with fewer severe cases of anxiety (6.25% vs 30.00%, P < 0.05) and depression (6.25% vs 31.25%, P < 0.05) and more mild cases of anxiety (68.75% vs 47.50%, P < 0.05) and depression (70.00% vs 48.75%, P < 0.05) in the KT than in the HD group, but no statistically significant difference in the incidence of moderate anxiety (25.00% vs 22.50%, P > 0.05) and depression (23.75% vs 20.00%, P > 0.05) between the KT and HD groups.
CONCLUSION: For male patients with renal failure, kidney transplantation can evidently improve erectile function, while hemodialysis has a poorer effect. The altered hormone levels, anxiety and depression of the patients are important causes of the changes in their erectile function.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Zhonghua nan ke xue = National journal of andrology - 28(2022), 4 vom: 01. Apr., Seite 314-320 |
| Sprache: |
Chinesisch |
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| Beteiligte Personen: |
Wang, Zu-Heng [VerfasserIn] |
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| Themen: |
English Abstract |
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| Anmerkungen: |
Date Revised 20.10.2023 published: Print Citation Status PubMed-not-MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359778097 |
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| 100 | 1 | |a Wang, Zu-Heng |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Erectile function of renal failure patients after hemodialysis or kidney transplantation |b A comparative study |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
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| 500 | |a Date Revised 20.10.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a OBJECTIVE: To study the changes in the erectile function of the male patients with renal failure after hemodialysis (HD) or kidney transplantation (KT) and explore the causes of these changes | ||
| 520 | |a METHODS: From January 2015 to January 2021, 160 male patients with renal failure complaining of ED underwent HD (n = 80) or KT (n = 80) in the General Hospital of Eastern Theater Command. The patients were aged 25－45 (31.7 ± 4.8) years, 32 ± 4.5 years in the HD group and 31.4 ± 5.1 years in the KT group. We recorded the levels of serum T, E2, FSH and LH and the scores on IIEF-5, Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) of the patients, and compared them between the two groups | ||
| 520 | |a RESULTS: Compared with the patients in the HD group, those in the KT group showed a significantly higher T level (［7.45 ± 3.54］ vs ［17.75 ± 7.32］ nmol/L, P < 0.01) and a lower E2 level (［151.37 ± 20.89］ vs ［94.17 ± 40.79］ pmol/L, P < 0.01), but no statistically significant difference from the former group in the levels of FSH (［8.12 ± 5.12］ vs ［8.97 ± 2.36］ IU/L, P > 0.05) and LH (［5.16 ± 3.87］ vs ［4.69 ± 2.18］ IU/L, P > 0.05). There were fewer cases of severe ED in the KT than in the HD group (3.75% vs 16.25%, P < 0.05). Different degrees of anxiety and depression were observed in both groups, with fewer severe cases of anxiety (6.25% vs 30.00%, P < 0.05) and depression (6.25% vs 31.25%, P < 0.05) and more mild cases of anxiety (68.75% vs 47.50%, P < 0.05) and depression (70.00% vs 48.75%, P < 0.05) in the KT than in the HD group, but no statistically significant difference in the incidence of moderate anxiety (25.00% vs 22.50%, P > 0.05) and depression (23.75% vs 20.00%, P > 0.05) between the KT and HD groups | ||
| 520 | |a CONCLUSION: For male patients with renal failure, kidney transplantation can evidently improve erectile function, while hemodialysis has a poorer effect. The altered hormone levels, anxiety and depression of the patients are important causes of the changes in their erectile function | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a erectile dysfunction; hemodialysis; kidney transplantation; renal failure | |
| 700 | 1 | |a Liu, Zhe |e verfasserin |4 aut | |
| 700 | 1 | |a Zhao, Xiao-Dong |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Yu-Hao |e verfasserin |4 aut | |
| 700 | 1 | |a Gu, Yu-Feng |e verfasserin |4 aut | |
| 700 | 1 | |a Cheng, Dong-Rui |e verfasserin |4 aut | |
| 700 | 1 | |a Dong, Jie |e verfasserin |4 aut | |
| 700 | 1 | |a DA, Jian-Ping |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Song |e verfasserin |4 aut | |
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