Erectile dysfunction in hemodialysis patients with diabetes mellitus: association with age and hemoglobin A1c levels

International Journal of Urology : Official Journal of the Japanese Urological Association
Yasuyoshi MiyataHiroshi Kanetake

Abstract

Erectile dysfunction (ED) is common in patients with diabetes mellitus (DM) as well as those undergoing hemodialysis (HD). The purpose of this study is to investigate the frequency and severity of ED in HD patients with DM and those without DM. In addition, we examined the relationship between erectile function and several risk factors, including presence of DM and hemoglobin A1c levels in HD patients. This study involved 180 patients on HD, including 66 HD patients with DM (DM-HD) and 114 patients without DM (non-DM-HD). We evaluated erectile function using an abridged five-item version of the international index of erectile function (IIEF-5). Logistic regression analysis was used to investigate the relationship between presence of ED and several risk factors. The total score of IIEF-5 in DM-HD patients (9.5 +/- 4.2) was significantly lower than in non-DM-HD patients (13.5 +/- 5.7). The prevalence of severe ED was 42.4% and 18.4% in DM-HD patients and non-DM-HD patients, respectively. Age, cardiovascular disease history, and DM were identified as independent risk factors for the presence of ED. Furthermore, age and elevated hemoglobin A1c levels were identified as independent risk factors for the presence of severe ED. DM-HD p...Continue Reading

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Citations

Aug 1, 2008·International Journal of Impotence Research·S A M KhatanaW-C Wu
Dec 31, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Mariacristina VecchioGiovanni F M Strippoli
Sep 3, 2010·The Journal of Sexual Medicine·Gisele Vajgel FernandesAdriano Almeida Calado
Aug 31, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sankar D NavaneethanGiovanni F M Strippoli
Feb 27, 2008·International Journal of Andrology·Farqad B Hamdan, Hisham Y Al-Matubsi
Nov 6, 2007·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Leonardo E MessinaMiguel Srougi

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