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Better renal replacement therapy to improve sexual function in female patients with end-stage renal disease:A cross-sectional study

作     者:Tjahjodjati Tjahjodjati Steven Steven 

作者机构:Urology DepartmentHasan Sadikin Academic Medical CenterUniversitas PadjadjaranBandungIndonesia 

出 版 物:《Current Urology》 (当代泌尿学(英文))

年 卷 期:2024年第18卷第3期

页      面:232-236页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Female sexual dysfunction Chronic kidney disease Continuous ambulatory peritoneal dialysis Hemodialysis 

摘      要:Background Sexual dysfunction is commonly observed in patients with end-stage renal disease(ESRD).Sexual dysfunction in correlation with ESRD is associated with physiological and psychological problems resulting in low sexual desire,arousal,difficulties in achieving orgasm,and pain during *** on female sexual dysfunction(FSD)in correlation with renal replacement therapy are limited,and previous studies reporting contradictive results have indicated that the best modality for providing better outcomes(especially on FSD)remains ***,this study aimed to compare the sexual function between female patients with ESRD who were on continuous ambulatory peritoneal dialysis(CAPD)and those on hemodialysis(HD).Materials and methods This study enrolled female patients who were randomly selected from the urology and renal division of the Internal Medicine Outpatient Clinic of our hospital from January 2020 to August 2021 and divided into the following groups:predialysis,HD,CAPD,and control *** participants were asked to fill out the Female Sexual Function Index(FSFI)questionnaires,and their data were recorded and analyzed using GraphPad Prism *** Of the 280 patients,200 female patients were included in this *** rate of FSD(cutoff:26.55)was 42%in the control group,72%in the predialysis group,62%in the CAPD group,and 66%the in HD *** control group had a higher mean score in all parameters(p0.05)between the patients on HD and those on CAPD;the mean of each point was almost identical except for satisfaction,which was higher among patients on CAPD(p0.05).Significant differences in the components of desire,arousal,orgasm,and satisfaction were observed between the *** Patients on CAPD had better FSFI scores than the female patients with ESRD who were on HD,and the scores of both groups of patients were better than those of the predialysis group.

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