ERECTILE DYSFUNCTION IN HAEMODIALYSIS PATIENTS- A CROSS-SECTIONAL STUDY AT VAATSALYA HOSPITAL, SHIMOGA, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 4
Abstract
BACKGROUND With the advancement in the medical treatment and haemodialysis techniques, life expectancy of ESRD patients has increased significantly, and this fact has highlighted the importance of quality of life of HD patients. Sexual dysfunction is most commonly seen in patients with ESRD on maintenance haemodialysis in the form of erectile dysfunction, decreased libido and decreased frequency of sexual intercourse. The proposal of this study was to determine the prevalence of erectile dysfunction (ED) among haemodialysis (HD) patients. MATERIALS AND METHODS A cross-sectional study was conducted to determine the prevalence of ED among a community-based haemodialysis (HD) population at Vaatsalya Hospital, Shimoga. The presence and severity of ED were assessed among 50 ESRD patients using the selfadministered International Index of Erectile Function-5 (IIEF-5). Clinical, demographic and laboratory data of all patients were collected from June 2017 to November 2017. RESULTS 60 patients on MHD were assessed. 5 were excluded due to cognitive dysfunction. 3 did not consent. 2 had problems with communication. 50 patients were included in the final cohort. Nearly, all were hypertensive (94%) and 58% had diabetes. The cause of ESRD was Diabetes (58%), Hypertension (6%), Nephritis (20%) and others (16%). The prevalence of ED was 82% (CI, 76 to 87%) for all HD subjects. Majority of the patients had mild-to-moderate dysfunction (48%) and about 34% of patients had severe erectile dysfunction. CONCLUSION ED is extremely prevalent among HD patients. Early intervention may change quality of life of these patients.
Authors and Affiliations
Girish I, Malvade Praveen
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