Pr évalence et facteurs de risque de la dysfonction érectile chez les insuffisants rénaux chroniques

Conclusions La prévalence élevée de la DE et la multiplicité des facteurs de risque sont une nouvelle illustration de la gravité de ce trouble sexuel chez les insuffisants rénaux chronique. Objective To screen for erectile dysfunction in patients with chronic renal failure and to identify its risk factors. Patients and methods A cross sectional study was carried out in 30 patients with chronic renal failure. Erectile dysfunction was assessed by using the International Index of Erectile Function (IIEF-5). Results Patients mean age was 49.6 ± 9 years. The average IIEF score was 15.62 ± 6.03. The diagnosis of erectile dysfunction was retained in 23 patients (76.7%). The prevalence of ED was significantly higher in patients with chronic end-stage renal failure (89.5%) than in those with stage 3 and 4 (54.5%) (p = 0.04). Furthermore, an age ≥ 50 years, smoking, diabetes, hypertension, dyslipidemia, obesity or overweight, peripheral vascular disease and anemia were found in 60.9%, 73.9%, 43.5%, 78.3%, 75%, 60.9%, 30.4% and 82.6% of cases, respectively. Statistical analysis showed that smoking (OR = 17, CI [1.68 to 171.7]; p = 0.009), end-stage CKD (OR = 7.08; 95% CI: [1.07 to 46.67]; p = 0.04) and low HDL (OR = 18; 95% CI [1.19 to 271.46]; p = 0.04) were the only risk factors of ED in our patients. Conclusions The high prevalance of erectile dysfunction and the increasing number of the risk factors confront the seriousness of this sexual disorder in patients with chro...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research