End Stage Renal Disease

Improved Essays
End-stage renal disease (ESRD) and dialysis have negative impact on lifestyle. Renal transplantation improves many facets of daily life. Male sexuality is a significant predictor of quality of life. This brief review summarizes the impacts of ESRD and renal replacement on a range of sexual domains as presented at the European Association of Urology meeting in Vienna.

In choosing renal transplantation, men expect superior long-term survival compared to other means of renal replacement. Moreover, men undergoing renal transplantation can expect improvements in quality of life, increased activity, and hopefully see a return to normality in their lives. For many men, sex is an important contributor to quality of life. This review looks at the complex
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Regression analysis was then performed looking at health-related quality of life (HRQOL). They found after adjusting for age, gender, and time since transplantation that sexuality accounted for the most variance in life satisfaction (16.5% of variance), followed by headaches (15.7%), altered body shape (13.6%), and swelling of hands and feet (13%). A further study from the same center followed a cohort of patients posttransplant longitudinally over 1 year. On regression analyses, again they found that impaired sexuality correlated well with HRQOL.2 Clearly, sexuality is a strong predictor of perceived quality of …show more content…
The home circumstances of patients who are on hemodialysis, CAPD or who have had a renal transplant compared to another chronic illness, rheumatoid arthritis were described by Toorians et al.5 Patients undergoing hemodialysis have higher rates of divorce than the other three conditions. Of those receiving renal replacement who are in relationships, 79% to 93% describe themselves as sexually active and between 92% and 100% as having happy relationship. There are several ways renal replacement therapy impacts

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