Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Significant decrease of the International Index of Erectile Function in male renal failure patients treated with hemodialysis

International Journal of Impotence Research volume 14, pages 172–177 (2002)Cite this article

Abstract

In order to evaluate the erectile function in male renal failure patients treated with hemodialysis (HD), we investigated the International Index of Erectile Function (IIEF) in patients and healthy controls. The subjects were 174 male patients treated with HD, of whom 43 had diabetes mellitus (DM) and the remaining 131 patients did not have DM. The controls were 1133 healthy males. We evaluated the prevalence of erectile dysfunction (ED) using the erectile function (EF) score, which is one of the five domains of the IIEF, in each age group (upto 39 y old, 40–49 y old, 50–59 y old, 60–69 y old). The severity of ED was classified into five categories using EF in each age group. The univariate logistic regression analysis and multiple variate analysis of IIEF in HD patients were performed. The prevalence of ED in HD patients was significantly higher than that in the controls in each age group. The severity of ED in HD patients was also significantly higher than that in the controls in each age group. In the logistic regression analysis and multiple variate analysis of IIEF in HD patients, DM and age were significant risk factors on sexual dysfunction. ED was more prevalent in male renal failure patients treated with HD than in the controls. In the patient group, ED was more prevalent in older DM patients.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Marumo K, Murai M . Epidemiology of erectile dysfunction In: Kim YC, Tan HM (ed) ASPIR Book on Erectile Dysfunction The Asia-Pacific Society for Impotence Research (ASPIR) 1999 pp 15–26

  2. Rodger RS et al. Prevalence and pathogenesis of impotence in one hundred uremic men Uremia Invest 1984 8: 89–96

    Article  Google Scholar 

  3. Breza J, Reznicek J, Pribylincova V, Zvara P . Erectile dysfunctions in patients treated with hemodialysis and kidney transplantation Bratisl Lek Listy 1993 94: 489–493

    CAS  PubMed  Google Scholar 

  4. Abram HS, Hester LR, Sheridan WF, Epstein GM . Sexual functioning in patients with chronic renal failure J Nerv Ment Dis 1975 160: 220–226

    Article  CAS  Google Scholar 

  5. Rosen RC et al. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction Urology 1997 49: 822–830

    Article  CAS  Google Scholar 

  6. Marumo K, Nagatsuma K, Murai M . Effect of aging and diseases on male sexual function associated by the international index of erectile function Jpn J Urol 1999 90: 911–919

    Article  CAS  Google Scholar 

  7. Shirai M et al. Japanese validation of the international index of erectile function (IIEF) Impotence 1999 14: 1–28

    Google Scholar 

  8. Cappelleri JC et al. Diagnostic evaluation of the erectile function domain of the international index of erectile function Urology 1999 54: 346–351

    Article  CAS  Google Scholar 

  9. Feldman HA et al. Construction of surrigate variable for impotence in the Massachusetts Male Aging Study J Clin Epidemiol 1994 47: 457–467

    Article  CAS  Google Scholar 

  10. Mannino DM, Klevence RM, Flanders WD . Cigarette smoking: an independent risk factor for impotence? Am J Epidemiol 1994 140: 1003–1008

    Article  CAS  Google Scholar 

  11. Whalley LJ . Sexual adjusment of male alcoholics Acta Phychiatr Scand 1978 58: 281–298

    Article  CAS  Google Scholar 

  12. Crowe LC, George WH . Alcohol and human sexuality: review and integration Psychol Bull 1989 105: 374–386

    Article  CAS  Google Scholar 

  13. Jungers P et al. Incidence of end-stage renal disease in Ile de France: a prospective epidemiological survey Presse Med 2000 29: 589–592

    CAS  PubMed  Google Scholar 

  14. Lawrence IG et al. Erythropoietin and sexual dysfunction Nephrol Dial Transplant 1997 12: 741–747

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We gratefully acknowledge to Dr M Maegawa and Dr M Kondo for assistance to cooperation of IIEF questionnaire of male dialysis patients.

Some of the results in this paper were presented at the third Asian and Oceanic Congress of Andrology held in Tokyo, Japan in May 2000.

Author information

Authors and Affiliations

  1. Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan

    Y Naya, J Soh, A Ochiai, Y Mizutani, S Ushijima, K Kamoi, O Ukimura, A Kawauchi, A Fujito & T Miki

  2. Department of Urology, Toujinkai Hospital, Kyoto, Japan

    T Ono

  3. Department of Urology, Kyoto First Red-Cross Hospital, Kyoto, Japan

    N Iwamoto

  4. Department of Urology, Nishijin Hospital, Kyoto, Japan

    T Aoki & N Imada

  5. Department of Urology, Keio University, School of Medicine, Tokyo, Japan

    K Marumo & M Murai

Authors
  1. Y Naya
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J Soh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A Ochiai
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Y Mizutani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S Ushijima
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. K Kamoi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. O Ukimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. A Kawauchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. A Fujito
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. T Ono
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. N Iwamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. T Aoki
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. N Imada
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. K Marumo
    View author publications

    You can also search for this author in PubMed Google Scholar

  15. M Murai
    View author publications

    You can also search for this author in PubMed Google Scholar

  16. T Miki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Y Mizutani.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Naya, Y., Soh, J., Ochiai, A. et al. Significant decrease of the International Index of Erectile Function in male renal failure patients treated with hemodialysis. Int J Impot Res 14, 172–177 (2002). https://doi.org/10.1038/sj.ijir.3900854

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijir.3900854

Keywords

This article is cited by

Search

Advanced search

Quick links