Abstract
Background and Objectives: Dialysis is the last treatment of renal failure. Regard the increasing patients undergoing dialysis because of increasing survival, sexual dysfunction is a common finding in male hemodialysis patients. In the USA 82% of dialytic patients have importence but in Iran we have no statistics about this problem and this is the reason for doing this research.
Material and Methods: This is a clinical trial A total of 148 male patients were included in the study. We studied married men, aged 18 years or older, who were treated with chronic (hemodialysis, HD) for at least six months. The IIEF domain scores were calculated and erectile dysfunction grading was determined on erectile function domain and relation of some parameters such as diabetes duration of dialysis, cigarette smoking with importance by use of odd Ratio and SPSS was assayed.
Results: The prevalence of any level of (Erectile dysfunction, ED) was 92.5% for all hemodialysis subjects. The prevalence of severe ED was 61.5% There was no problem in 7.4 percent of cases. Prevalence of another features of impotence were calculated; premature ejaculation (33.1%), anejaculation (45.27%), retrograde ejaculation (5.4%) and decreased libido(70.2%). There was significant relation between parameters such as age, duration of dialysis, diabetes, depression, smoking, frequency of dialysis, cause of renal failure, drug usage, hypertension with impotence.
Conclusion: ED is extremely prevalent among HD patients. Increaseng age, prolonged duration on dialysis, depression, diabetes and non use of ACEIs, were associated with higher prevalence of ED. Evaluation for ED should be included, in routine assessment of hemodialysis patients. Because the most of organic changes are irrevessibe and the treatment becomes problematic, charging the style of life and sexual assesnment is recommonded.