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Improved erectile function and sex hormone profiles in male Chinese recipients of kidney transplantation.

AbstractBACKGROUND:
Few studies have reported the relationship between duration of dialysis and effect of kidney transplantation on sex hormone levels and erectile dysfunction (ED) in Chinese patients.
METHODS:
Our study included 24 patients with uremia who underwent kidney transplantation. Erectile function in these patients was assessed using the 5-item version of the International Index of Erectile Function (IIEF-5), and serum sex hormone levels were measured pre- and post-transplantation. Post-transplantation changes in IIEF-5 scores were analyzed according to duration of dialysis.
RESULTS:
Twenty-one (87.5%) and 11 (45.9%) of the 24 patients suffered from varying degrees of ED during the pre- and post-transplantation periods, respectively. The pre- vs. post-transplantation IIEF-5 scores were significantly different (p < 0.05) among patients who had undergone dialysis for less than six months. Following transplantation, serum levels of prolactin and β-estradiol decreased significantly (24.35 ± 11.62 vs. 13.93 ± 7.16 ng/mL, p = 0.027; 42.20 ± 15.04 vs. 17.7 ± 7.15 pg/mL, p = 0.000, respectively), whereas levels of testosterone increased (3.07 ± 0.94 vs. 6.54 ± 3.14 ng/mL, p = 0.004).
CONCLUSIONS:
Successful kidney transplantation can significantly ameliorate ED in Chinese patients, especially in individuals with a shorter time on dialysis. Changes in sex hormone levels may contribute to this improvement in ED.
AuthorsLi Chen Teng, Chang Xi Wang, Lizhong Chen
JournalClinical transplantation (Clin Transplant) 2011 Mar-Apr Vol. 25 Issue 2 Pg. 265-9 ISSN: 1399-0012 [Electronic] Denmark
PMID20331686 (Publication Type: Journal Article)
Copyright© 2010 John Wiley & Sons A/S.
Chemical References
  • Gonadal Steroid Hormones
Topics
  • Adolescent
  • Adult
  • Asian People
  • Erectile Dysfunction (prevention & control)
  • Gonadal Steroid Hormones (metabolism)
  • Humans
  • Kidney Transplantation
  • Male
  • Middle Aged
  • Treatment Outcome
  • Uremia (therapy)
  • Young Adult

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