Stage effect of chronic kidney disease in erectile function

 Vol. 43 (x): 2017 October 10.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2017.0228


ORIGINAL ARTICLE

Márcio Rodrigues Costa 1, Viviane Campos Ponciano 2, Théo Rodrigues Costa 3, Caio Pereira Gomes 1, Enio Chaves de Oliveira 1
1 Escola Médica da Universidade Federal de Goiás, GO Brasil; 2 Mercy Holy House, Goiânia, GO, Brasil; 3 Hospital Geral de Goiânia Doutor Alberto Rassi, GO, Brasil

ABSTRACT

Purpose: The study aims to assess the influence of the stage of chronic kidney disease and glomerular filtration rate on prevalence and degree of erectile dysfunction.

Materials and Methods: This transversal study, conducted from May 2013 to Decem­ber 2015, included patients with chronic kidney disease in conservative treatment, stages III/IV/V. Erectile dysfunction was evaluated by the International Index of Erec­tile Function. Data classically associated with erectile dysfunction were obtained by medical record review. Erectile dysfunction, degree of erectile dysfunction, and other main variables associated with erectile dysfunction were compared between patients with chronic kidney disease on conservative treatment stages III versus IV/V using the Chi-square test. The relationship between score of the International Index of Erectile Dysfunction and glomerular filtration rate was established by Pearson correlation coef­ficient.

Results: Two hundred and forty five patients with chronic kidney disease in con­servative treatment participated of the study. The prevalence of erectile dysfunction in patients with chronic kidney disease in stages IV/V was greater than in stage III. Glomerular filtration rate positively correlated with score of the International Index of Erectile Dysfunction.

Conclusions: The study suggests that chronic kidney disease progression (glomerular filtration rate decrease and advance in chronic kidney disease stages) worsen erectile function. Hypothetically, diagnosis and treatment of erectile dysfunction may be an­ticipated with the analysis of chronic kidney disease progression.

Keywords:  Renal Insufficiency, Chronic; Kidney Failure, Chronic; Erectile Dysfunction

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