Erectile dysfunction in end-stage liver disease men.

Abstract : INTRODUCTION: In men, erectile dysfunction (ED) is an important issue. Data concerning ED in men with end-stage liver disease (ESLD) is limited, and the risk factors for ED in this population are still unknown. AIMS: To determine the prevalence, timescale, and risk factors for ED in ESLD patients candidates to liver transplantation. METHODS: Patients candidates for a liver transplantation were asked to participate in a mailed survey about sexual function. Among the 123 eligible men, 98 (84%) agreed to complete the questionnaire. MAIN OUTCOME MEASURES: The quality of erection was evaluated using the five-item International Index of Erectile Function (IIEF-5) score, and satisfaction for sexuality, using the patient-baseline Treatment-Satisfaction Scale (TSS) score. Other questions also focused on patient perception of changes over time. RESULTS: On the overall population, 28 patients (29%) were nonsexually active. Among the 70 patients who were sexually active, 52 patients (74%) had ED. Regarding the development of ED, 50% of the patients perceived that a deterioration of erectile function occurred within the six previous months. The absence of sexual activity was more frequent in hepatitis B or C patients (P = 0.02). The risk factors for ED were alcohol intake (P = 0.03), tobacco use (P = 0.03), and cardiovascular disease (P = 0.004). The significant risk factors for having a low TSS score were having viral hepatitis (P = 0.01), and cardiovascular disease (P = 0.01). CONCLUSION: Population of men with ESLD who are candidates for a liver transplantation is characterized by a high frequency of lack of sexual activity, and by a high prevalence of ED and should be targeted by interventions to improve sexual functioning. These preliminary data need further validation in prospective trial using more comprehensive questionnaires.
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The Journal of Sexual Medicine, 2009, 6 (5), pp.1395-401. 〈10.1111/j.1743-6109.2008.01169.x〉
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Soumis le : mercredi 5 août 2009 - 11:24:37
Dernière modification le : jeudi 20 août 2009 - 16:16:06

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Eric Huyghe, Nassim Kamar, Fabien Wagner, Aude-Hélène Capietto, Labib El-Kahwaji, et al.. Erectile dysfunction in end-stage liver disease men.. The Journal of Sexual Medicine, 2009, 6 (5), pp.1395-401. 〈10.1111/j.1743-6109.2008.01169.x〉. 〈inserm-00409055〉

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