Transplantados renais têm melhor função erétil do que pacientes em hemodiálise na doença renal crônica
Kidney transplant recipients have better erectile function than patients on hemodialysis in chronic kidney disease
DOI:
https://doi.org/10.34119/bjhrv5n6-129Keywords:
disfunção erétil, insuficiência renal crônica, transplante renalAbstract
Objetivo: Comparar prevalência e grau de disfunção erétil (DE) entre os pacientes com Doença Renal Crônica (DRC) transplantados renais e em hemodiálise. Métodos: Estudo analítico e transversal, incluindo 92 indivíduos do sexo masculino em serviço de referência, com idade de 20 a 68 anos. Investigou-se presença de DE pelo Índice Internacional de Função Erétil (IIEF-5), e informações sobre idade, etiologia, medicações, tabagismo e tempo em substituição renal pelo prontuário. Resultados: A idade média foi 53.4±14.82 no grupo hemodiálise (HD) e 48.2±14.34 no grupo transplante (TR). Em HD, 78% apresentaram DE, e em 57.2% em TR. A classificação no IIEF-5 demonstrou 28% HD com DE moderada e 21.5% TR com DE leve/moderada. O tempo médio em hemodiálise foi 3.4 anos para HD e 4 anos para TR. O tempo em hemodiálise ≥ 4 anos afetou a pontuação IIEF-5 em ambos os grupos (p=0.0474). Faixa etária ≥ 50 anos teve associação com DE em HD (p=0.0411) e em TR (p=0.0045). Uso de inibidores de 5-fosfodiesterase foi encontrada em 30.9% TR e 10% HD, tendo impacto sobre o IIEF médio de ambos os grupos (p=0.0193). Conclusão: A prevalência de DE é alta em pacientes em terapia de substituição renal, sendo mais frequente na hemodiálise. O transplante renal aparece como alternativa para melhora e estabilização da função renal nos pacientes estudados, com impacto positivo na saúde mental e bem-estar dos renais crônicos.
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