Corrélations entre la dysfonction sexuelle et le profil clinicobiologique de l’insuffisant rénal en hémodialyse

Conclusion Certains facteurs cliniques et perturbations biologiques peuvent aider à la compréhension de l’étiopathogénie de ces troubles. Une approche globale peut être proposée basée sur une optimisation des facteurs intervenants. Notre étude souligne l’intérêt d’une surveillance clinique, biologique et hormonale de ces patients. Objective To determine the correlation between sexual dysfunction and the clinical and biological profiles of chronic renal failure patients on hemodialysis (HD) at the Hassan II university teaching hospital, Fez, Morocco Patients and methods We conducted a descriptive and analytical crosssectional study that included male and female patients over 18 years of age diagnosed with end stage renal disease requiring hemodialysis. All patients answered a personal questionnaire on their sexuel activity. We studied clinical parameters such as age, comorbidities, hemodialysis duration, initial nephropathy and biological parameters such as hemoglobin, ferritin, LH, FSH, prolactin, estradiol and testosterone. Results The present study was conducted on 73 patients. The mean age of our patients was 45,5+/-1,5. Diabetic nephropathy (11 patients, 15%) and nephrosclerosis (14 patients, 19.2%) were the most frequent initial nephropathies. The mean duration of dialysis was 101.9+/-6.17 months. The prevalence of sexual dysfunction was 78%. Ageing, years of hemodialysis and hormonal abnormalities correlated significantly with the appearance of sex...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research