1. Effects of Renal Transplantation on Female Sexual Dysfunction: Comparative Study With Hemodialysis and a Control Group
- Author
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Mehmet Yilmaz Salman, B. Fazlioglu, Fatih Kurtuluş, Adem Fazlioglu, and Giresun Üniversitesi
- Subjects
Adult ,medicine.medical_specialty ,Sexual Behavior ,medicine.medical_treatment ,Female sexual dysfunction ,030232 urology & nephrology ,Urology ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Renal Dialysis ,Internal medicine ,medicine ,Humans ,Sexual Dysfunctions, Psychological ,030212 general & internal medicine ,Depression (differential diagnoses) ,Psychiatric Status Rating Scales ,Transplantation ,Depression ,business.industry ,Beck Depression Inventory ,Case-control study ,Middle Aged ,medicine.disease ,Kidney Transplantation ,Sexual Dysfunction, Physiological ,Treatment Outcome ,Sexual dysfunction ,Case-Control Studies ,Kidney Failure, Chronic ,Female ,Surgery ,Hemodialysis ,medicine.symptom ,Sexual function ,business - Abstract
WOS: 000416202300023 PubMed: 29149968 Objectives. Sexual dysfunction occurs commonly in individuals with end-stage renal disease. Chronic renal failure as well as the treatments used for it generally has a negative impact on sexual function with a subsequent increase in the risk of depression. There is scarcity of published data on female sexual dysfunction and the degree of improvement in patients on hemodialysis (HD) and transplant (Tx) recipients. The aim of this study was to compare the sexual function and degree of depression in HD and Tx patients with control group. For this purpose, we used the validated Female Sexual Function Index (FSFI) and Beck Depression Inventory (BDI). Materials and Methods. A total of 23 renal Tx, 29 HD, and 30 control patients were enrolled in the study. HD patients were required to be undergoing HD for >= 6 months, and for renal Tx recipients, the Tx had to be performed >= 6 months before study entry. All women underwent a general and urogynecologic examination. Demographic and clinical variables were documented. FSFI and BDI scale scores were compared among groups. Results. The rates of female sexual dysfunction were 56.7%, 89.7%, arid 73.9% in the control, HD, and Tx, patients respectively. Total FSFI scores in HD group were significantly lower than those in Tx and control patients (P < .05). FSFI scores improved significantly in the Tx group. BDI scores in HD and control subjects were. 23.24 and 14.17, respectively, with a significant difference between the 2 groups (P < .005). BDI score in the Tx group was 16.65 and the difference was statistically insignificant. Conclusions. This preliminary study documented that successful Tx may positively affect sexual life in women with chronic renal failure. A diagnosis of female sexual dysfunction should be made routinely in patients with chronic renal failure.
- Published
- 2017
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