%0 Journal Article
%T Profile of Sexual Disorders in Chronic Hemodialysis Patients at the Boubacar Diallo National Hospital in Niamey (Niger)
%A Moussa Tondi Zeinabou Maiga
%A Bonkano Baoua Djibrilla
%A Idrissa Massi Abdoul Wahab
%A Moussa Diongole Hassane
%A Ide Abdou
%A Ousmane Manzo Mamane Sani
%A Illiasou Idrissa
%J Open Journal of Nephrology
%P 206-218
%@ 2164-2869
%D 2025
%I Scientific Research Publishing
%R 10.4236/ojneph.2025.152021
%X <b>Introduction: </b>Hemodialysis has favorably improved the prognosis of patients with end-stage renal failure. However, this heavy therapy is accompanied by an imbalance in various aspects of these patients&#8217; lives. Sexuality is one of the most affected areas. <b>Aim: </b>To study the epidemiological, clinical and biological profile of chronic hemodialysis patients with sexual dysfunction in the Nephrology department of the Amirou Boubacar Diallo National Hospital in Niamey (HNABD). <b>Method: </b>This was a prospective, cross-sectional, analytical study of 100 cases collected over a period of six months from February to July 2023. <b>Results: </b>The frequency of sexual disorders was 98%; male gender represents 80% of cases. The mean age of our patients was 44.2 &#177; 1.2 years. AVF was used in 90% of cases. 98% of cases had two four-hour sessions per week. Hypertension was the comorbidity found in 67% of patients. Chronic glomerulonephritis was the etiology of end-stage chronic renal failure in more than half of the patients in 52% of cases. Functionally, libido disorder represented 87% of cases, sexual asthenia 68%, orgasm disorder 54%, ejaculation disorder 41%, menstrual disorder in 8% of cases, and sterility 2%. According to the IIEF5, erectile dysfunction was severe in 28%, moderate in 33%, and mild in 30%. According to the FSFI, 95.6% of female patients had sexual dysfunction. More than a quarter of patients (36% or n = 36) had hypogonadism in men. Almost all patients (92% or n = 92) had a hemoglobin level below 11 g/dl. Severe and moderate sexual dysfunction were positively correlated in patients over 60 years of age (p = 0.009 and p = 0.02), but also in hypertensive patients with mild sexual dysfunction and those whose IIEF was uninterpretable (p = 0.03 and p = 0.04). This association was also statistically significant in male diabetic patients with severe and moderate disorders (p = 0.02 and p = 0.04), but also in anemic patients (p = 0.05). <b>Conclusion: </b>Sexual disorders must be considered as a major factor affecting patients&#8217; quality of life, and their management must be included in the therapeutic strategies of these patients.
%K Hemodialysis Patients
%K Sexual Dysfunction
%K Niger
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=143117