La dysfonction érectile chez les patients hémodialysés au CNHU-HKM de Cotonou: profil épidémiologique

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• 作者：J. Avakoudjo (1)
  A. Paré (1)
  J. Vigan (2)
  I. Gandaho (1)
  P. Hounasso (1)
  R. Hodonou (1)
  C. Akpo (1)
  
• 关键词：Dysfonction sexuelle ; érection ; Hémodialyse ; IIEF ; 5 ; Cotonou ; Erectile dysfunction ; Hemodialysis ; IIEF ; 5 Cotonou
• 刊名：Basic and Clinical Andrology
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：22
• 期：4
• 页码：246-251
• 全文大小：174KB
• 参考文献：1. National Institute of Health (1992) Consensus development panel on impotence. J Am Med Ass 270:83-0
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• 作者单位：J. Avakoudjo (1)
  A. Paré (1)
  J. Vigan (2)
  I. Gandaho (1)
  P. Hounasso (1)
  R. Hodonou (1)
  C. Akpo (1)
  
  1. Clinique universitaire d’urologie-andrologie, CNHU Hubert-K.-Maga, Cotonou-FSS, université Abomey-Calavi, BP 188, Cotonou, Bénin
  2. Clinique universitaire de néphrologie, unité de dialyse, CNHU Hubert-K.-Maga, Cotonou, Bénin
  

文摘

Objective To study the epidemiological profile of erectile dysfunction (ED) in hemodialysis patients at CNHU. Materials and methods This was a descriptive crosssectional study conducted by the team of Urology with the hemodialysis unit of University Hospital of Cotonou on 58 hemodialysis patients. The abridged International Index of Erectile Function (IIEF-5) was used for the assessment of ED. A pre-established questionnaire was used to gather data on the epidemiological profile of patients. Results Patients ranged in age from 27 to 78 years with a mean age of 56.3 years. 96.6% of our patients were married and 10.3% of them were polygamous. The etiology of chronic renal failure (CRF) was: high blood pressure with a poor follow-up in 87.9% and diabetes in 12.1%. The ED prevalence was 75.9% including 29.3% of severe ED. Some etiological factors were found with regard to ED, such as alcoholism (36.2%) and tobacco use (12.1%). ED was present in 9.1% of patients before the discovery of kidney failure, and 72.7% of patients said they had found ED with the onset of dialysis. For 39 patients (88.6%) ED would have increased during dialysis sessions. Sexual problems were associated with a decreased libido in 25% of patients (11/44) and premature ejaculation in 34.1% (15/44). Hypotension was noted in 25% of patients (11/44). Hyperglycemia was found in 22.7% (10/44). Conclusion ED, a common complication occurring on lands of chronic renal failure, has a negative impact on the quality of sexuality in our hemodialysis patients. A support for this disorder should improve the quality of life of the latter.