MP629SEXUAL DYSFUNCTION IN HEMODIALYSIS PATIENTS

Abstract

Introduction and Aims: End-stage renal disease and dialysis have negative impact on lifestyle. Male and female sexuality are a significant predictor of quality of life. The proposal of this study was to determine the prevalence and the associated factors of sexual dysfunction among hemodialysis patients. Methods: This was a study based on data collected from male and female patients undergoing hemodialysis. Demographic, clinical and laboratory data of all patients were collected and eligible patients were asked three questionnaires: the International Index of Erectile Function (IIEF) or the Index of Female Sexual Function (IFSF) to evaluate sexual function; the Hospital Anxiety and Depression Scale (HADS) to rate the severity of depressive symptoms; and the 36-item Short Form Health Survey Questionnaire (SF-36) to survey their quality of life. Results: 105 hemodialysis patients (55 men and 50 women) were enrolled. All patients had been dialyzed for more than six months. The mean age was 48.5 +/- 11.9 years old. Seniority in dialysis was 4, 33± 3, 65 years. Erectile dysfunction, orgasmic, desire and satisfaction disorders were found in 76,4%(42 patients), 67,3% (37patients), 70,9%(34 patients) et 78,2%(43 patients) respectively. The majority of male patients were dissatisfied with their performance at intercourse after progressing to end stage renal disease. Advance age, diabetes, benign prostatic hyperplasia, anxiety and depression were independent risk factors for the development of erectile dysfunction. The mean IFSF score was 24.7 +/- 8.3. Hypoactive sexual disorder, sexual arousal and orgasmic disorders, and aversion sexual disorder were prevalent, found in 93%, 86.2% and 85.1% of female patients. Increasing age, duration of hemodialysis, anemia and depression were the independent factors of dysfunction in each sexual functional dimension. Patients with higher IFSF or IIEF scores had significantly higher scores in physical functioning and mental health. Conclusions: Sexual dysfunction is frequent in the hemodialysis population. The subjects with sexual dysfunction had poorer quality of life. The diagnosis and treatment of sexual dysfunction should be included in the clinical assessment.