Analysis of factors associated with erectile dysfunction after renal transplantation / 现代泌尿外科杂志

ABSTRACT

【Objective】 To explore the factors influencing erectile dysfunction (ED) in male patients after renal transplantation, so as to provide basis for the prevention and treatment of this disease. 【Methods】 Kidney transplant recipients followed up in the Kidney Transplant Clinic of Xijing Hospital during Sep.1, 2022 and May 1, 2023 were selected as the study objects.Questionnaires were distributed, and the erectile function was measured with Sexual Health Inventory for Men (SHIM).Factors associated with ED were analyzed with multivariate logistic regression. 【Results】 A total of 300 questionnaires were distributed, and 276 valid ones were collected, including 182 cases (65.9%) suffering from ED of varying degrees.Multivariate logistic regression analysis showed that age [(50 years, OR 0.120, 95%CI 0.033-0.405, P50 years, OR 0.223, 95%CI 0.102-0.463, P40-50 years/>50 years, OR 0.320, 95%CI 0.139-0.719, P<0.01)], level of International Prostate Symptom Score (IPSS) (OR 1.95, 95%CI 1.211-3.248, P<0.01), International Prostate Symptom Score-Quality of Life item (IPSS-QoL) (OR 1.482, 95%CI 1.201-1.854, P<0.01), and income [(≥10 000 Yuan/<3 000 Yuan, OR 0.156, 95%CI 0.053-0.429, P<0.001), (5 000-<10 000 Yuan/<3 000 Yuan, OR 0.418, 95%CI 0.199-0.864, P<0.05), (≥10 000 Yuan/3 000-<5 000 Yuan, OR 0.205, 95%CI 0.069-0.573, P<0.01)] were independent and significant factors of ED. 【Conclusion】 The prevalence of ED in renal transplantation recipients is high.Age, income, IPSS and IPSS-QoL are the influencing factors.ED after renal transplantation is not only determined by physical and functional factors, but also closely related to social and psychological factors.