Objectives: To determine the prevalence and risk factors of erectile
dysfunction (ED) in men on
hemodialysis in Togo. Methods: Prospective cross-sectional study, descriptive and analytical ranging from December 2015 to February 2016 in the hemodialysis unit of CHU SO, only dialysis center in the country. The
evaluation of the ED was made through IIEF-5 questionnaire. Results: 39 men (67.2%) of 58
hemodialysis is a sex ratio M/F of 2.05. The average age was 43.5 years with
extremes of 25 and 59 years. The majority of
men had a profession in 19 cases (48.7%). The mean duration of dialysis
was 30 months with a range of 4 months and 90 months. Initial glomerular
nephropathy was in 19 cases (48.7%) and vascular in 14 cases (35.9%). 38 patients were hypertensive (97.4%) and 6 diabetic
men (15.4%). Theprevalenceof EDwas
74.3%(29cases).EDscorewas lessthan 10 points in 14 cases (35.9%); 01 case (2.6%) between 11 and 16 points; 06 cases (15.4%) between 17 to 21
points; 08 cases (20.5%) between 22 and 25
points; and 10 cases (25.6%) between 26 and 30 points. Age, profession and duration of dialysis were risk
factors associated with ED (P <
References
[1]
American Psychiatric Association (2003) DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. 4th Edition, Masson, Paris, 629-631.
[2]
Feldman, H.A., Goldstein, I., Hatzichristou, D.G., et al. (1994) Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study. The Journal of Urology, 151, 54-61.
[3]
Fedele, D., Coscelli, C., Santeusanio, F. et al. (1998) Erectile Dysfunction in Diabetic Subjects in Italy. Diabetes Care, 21, 1973-1977. https://doi.org/10.2337/diacare.21.11.1973
[4]
Antonucci, M., Palermo, G., Recupero, S.M., Bientinesi, R., Presicce, F., Foschi, N., Bassi, P. and Gulino, G. (2016) Male Sexual Dysfunction in Patients with Chronic End-Stage Renal Insufficiency and in Renal Transplant Recipients. Italian Archive of Urology and Andrology, 87, 299-305. https://doi.org/10.4081/aiua.2015.4.299
[5]
Giuliano, F., Leriche, A., Jaudinot, E.O., et al. (2004) Prevalence of Erectile Dysfunction among 7689 Patients with Diabetes or Hypertension, or Both. Urology, 64, 1196-1201. https://doi.org/10.1016/j.urology.2004.08.059
[6]
Delavierre, D. (2002) Epidemiology of Erectile Dysfunction: Risk Factors. Andrologie, 12, 323-331. https://doi.org/10.1007/BF03034649
[7]
Kleinclauss, F., Kleinclauss, C. and Bittard, H. (2005) Erectile Dysfunction in Patients with Renal Impairment and Renal Transplant. Progrès en urologie, 15, 447-456.
[8]
Diallo, D., Fongoro, S., Doumbia, S., et al. (2011) Study of the Quality of Life for Hemodialysis Patients at the University Hospital of Point G in Bamako: About 30 Cases. Mali Medical, 26, 16-20.
[9]
Arslan, D., Aslan, G., Sifil, A., et al. (2002) Sexual Dysfunction in Male Patients on Hemodialysis: Assessment the International Index of Erectil Function (IIEF). International Journal of Impotence Research, 14, 539-542. https://doi.org/10.1038/sj.ijir.3900937
[10]
Bouattar, T., Benamar, L., Ouzeddoun, N., et al. (2009) Erectile Dysfunction in Kidney Transplant. Morocco Journal of Urology, 15, 11-14.
[11]
Pereira Mesquita, J.F., Ramos, T.R., Pereira Mesquita, F., et al. (2012) Prevalence of Erectile Dysfunction in Chronic Renal Disease Patients on Conservative Treatments. Clinics, 67, 181-183. https://doi.org/10.6061/clinics/2012(02)15
[12]
Avakoudjo, J., Pare, A., Vigan, J., et al. (2012) Erectile Dysfunction in Patients Undergoing Hemodialysis in CNHU-HKM Cotonou: Epidemiological Profile. Andrologie, 22, 246-251.
[13]
Costa, P., Grivel, T., Guiliano, F., et al. (2005) Erectile Dysfunction: A Sentinel Symptom. Progrès en urologie, 15, 203-207.
[14]
Droupy, S. (2005) Epidemiology and Physiology of Erectile Dysfunction. Annales d’urologie, 39, 71-84. https://doi.org/10.1016/j.anuro.2005.04.004
[15]
Krishnan, R., Izatt, S., Bargman, J.M., et al. (2003) Prevalence and Determinants of Erectile Dysfunction in Patients on Peritoneal Dialysis. International Urology and Nephrology, 35, 553-556. https://doi.org/10.1023/B:UROL.0000025649.54702.a6