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[ Article ] Determinants of Erectile Dysfunction in Hemodialysis Patients, CNHU-HKM Cotonou

Date de soumission: 02-02-2018
Année de Publication: 2017
Entité/Laboratoire Unité de Médécine Interne (UMI)
Document type : Article
Discipline(s) : Urologie & Néphrologie
Titre Determinants of Erectile Dysfunction in Hemodialysis Patients, CNHU-HKM Cotonou
Auteurs AGBOTON Bruno Leopold [1], AVAKOUDJO J [2], AZONBAKIN S [3], HAZOUME Rodrigue [4], TOSSOULEGUE Alexine [5], BIGOT C [6], AHOUI S [6],
Journal: Journal of Kidney
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 3
DOI:
Resume Objective: The purpose of this study is to identify determinants of erectile dysfunction in hemodialysis patients in CNHU-HKM, Cotonou. Method: It was a cross-sectional, descriptive and analytical study conducted over a period of six months, from 1st March to 30th August 2017. Prospective data collection was carried out, along with a comprehensive census of hemodialysis patients meeting inclusion criteria. Sexual function was assessed through full version of International Index of Erectile Function (IIEF). Results: 114 hemodialysis patients were included in the study, with mean age estimated at 51.05 years ± 11.66. Among the study population, 100 patients (87.7%) had hypertension as comorbidity, hypertensive Nephropathy (67.5%) and Diabetic Nephropathy (14%). The average duration on dialysis was 74.34 ± 55.74. Forty-three hemodialysis patients (37.7%) were with depression, 56 (49.1%) had lower testosterone, 38 (33.3%) high rate of LH and 63 (55.3%) high FSH. 98 (86%) of them experienced erectile dysfunction, 97(85.1%) sexual desire disorder and 80 (70.2%) orgasm disorder. Determinants of erectile dysfunction in hemodialysis patients included age (p<0.001; OR=1.168), hypertension (p<0.001; OR=10,111), seniority in hemodialysis (p=0.008; OR=1.024), depression (p=0.022; OR=11,250) and testosteronemia (p=0.038; OR=0.740). Conclusion: Sexual dysfunction prevalence is high in patients receiving dialysis. There is need to include care and support in these patient’s treatment strategies.
Mots clés Determinants; Hemodialysis; Erectile dysfunction
Pages 159 - 165
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