Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study
Introduction Chronic renal failure is a public health issue. It leads to a degradation of physical integrity, hormonal disorders and a great psychological impact, which can lead to sexual disorders. Objectives The aim of this study was to identify risk factors of sexual dysfunction in patients on d...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2023-03-01
|
| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823023258/type/journal_article |
| _version_ | 1797616538549747712 |
|---|---|
| author | G. Tlili A. Loghmari K. Bouassida M. Ben Othmen E. Acacha W. Ben Abdallah M. Kahloul W. Hmida M. Jaidane |
| author_facet | G. Tlili A. Loghmari K. Bouassida M. Ben Othmen E. Acacha W. Ben Abdallah M. Kahloul W. Hmida M. Jaidane |
| author_sort | G. Tlili |
| collection | DOAJ |
| description |
Introduction
Chronic renal failure is a public health issue. It leads to a degradation of physical integrity, hormonal disorders and a great psychological impact, which can lead to sexual disorders.
Objectives
The aim of this study was to identify risk factors of sexual dysfunction in patients on dialysis and renal transplant patients.
Methods
This is a cross-sectional survey conducted in nephrology department of Sahloul teaching hospital (Sousse) and Fattouma Bourguiba teaching hospital (Monastir) over two-month period. Patients on dialysis and renal transplant patients were included. Sexuality was assessed by FSFI and IIEF 15
Results
This study enrolled 137 patients (99 patients with chronic renal failure and 38 renal transplant patients). The incidence of erectile dysfunction of men on dialysis was 57% and was associated to a decrease in testosterone level (11%) and an increase in LH level (50%). Its main risk factors were age (p=0.000), the duration (p=0.009), the cardiovascular diseases (p=0.03), the anxiety (p=0.000), the depression (p=0.000) and the different aspects of erectile dysfunction (p=0.000. In women on dialysis, the most common sexual disorder noticed was sexual arousal disorder (78.8%).
In the transplant, erectile dysfunction was found in 18.2% of transplant men and was associated to age was a predictive factor (p=0.03). In women, orgasm and desire disorders were the most common (69%).
Renal transplantation improved erectile dysfunction in men with IIEF score rising from 14 to 27 (p=0.021). It also improved sexual life in women: increase of desire (p=0.042) and orgasm scores (p=0.034).
Conclusions
Sexual disorders remain common in patients on dialysis and with renal transplant. Their management requires a systematic screening to improve patients’ outcome
Disclosure of Interest
None Declared |
| first_indexed | 2024-03-11T07:42:38Z |
| format | Article |
| id | doaj.art-e4a32a8aecc6488883934c6dc498c1b5 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:42:38Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-e4a32a8aecc6488883934c6dc498c1b52023-11-17T05:08:17ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S1094S109510.1192/j.eurpsy.2023.2325Assessing sexuality of patients on dialysis and renal transplant: A Tunisian studyG. Tlili0A. Loghmari1K. Bouassida2M. Ben Othmen3E. Acacha4W. Ben Abdallah5M. Kahloul6W. Hmida7M. Jaidane8UrologyUrologyUrologyUrologyUrologyUrologyAnesthesiology department, Sahloul teachin Hospital Sousse, Sousse, TunisiaUrologyUrology Introduction Chronic renal failure is a public health issue. It leads to a degradation of physical integrity, hormonal disorders and a great psychological impact, which can lead to sexual disorders. Objectives The aim of this study was to identify risk factors of sexual dysfunction in patients on dialysis and renal transplant patients. Methods This is a cross-sectional survey conducted in nephrology department of Sahloul teaching hospital (Sousse) and Fattouma Bourguiba teaching hospital (Monastir) over two-month period. Patients on dialysis and renal transplant patients were included. Sexuality was assessed by FSFI and IIEF 15 Results This study enrolled 137 patients (99 patients with chronic renal failure and 38 renal transplant patients). The incidence of erectile dysfunction of men on dialysis was 57% and was associated to a decrease in testosterone level (11%) and an increase in LH level (50%). Its main risk factors were age (p=0.000), the duration (p=0.009), the cardiovascular diseases (p=0.03), the anxiety (p=0.000), the depression (p=0.000) and the different aspects of erectile dysfunction (p=0.000. In women on dialysis, the most common sexual disorder noticed was sexual arousal disorder (78.8%). In the transplant, erectile dysfunction was found in 18.2% of transplant men and was associated to age was a predictive factor (p=0.03). In women, orgasm and desire disorders were the most common (69%). Renal transplantation improved erectile dysfunction in men with IIEF score rising from 14 to 27 (p=0.021). It also improved sexual life in women: increase of desire (p=0.042) and orgasm scores (p=0.034). Conclusions Sexual disorders remain common in patients on dialysis and with renal transplant. Their management requires a systematic screening to improve patients’ outcome Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823023258/type/journal_article |
| spellingShingle | G. Tlili A. Loghmari K. Bouassida M. Ben Othmen E. Acacha W. Ben Abdallah M. Kahloul W. Hmida M. Jaidane Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study European Psychiatry |
| title | Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study |
| title_full | Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study |
| title_fullStr | Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study |
| title_full_unstemmed | Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study |
| title_short | Assessing sexuality of patients on dialysis and renal transplant: A Tunisian study |
| title_sort | assessing sexuality of patients on dialysis and renal transplant a tunisian study |
| url | https://www.cambridge.org/core/product/identifier/S0924933823023258/type/journal_article |
| work_keys_str_mv | AT gtlili assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT aloghmari assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT kbouassida assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT mbenothmen assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT eacacha assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT wbenabdallah assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT mkahloul assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT whmida assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy AT mjaidane assessingsexualityofpatientsondialysisandrenaltransplantatunisianstudy |