Prognostic factors for the vascular components of erectile dysfunction in patients on renal replacement therapy.

Abstract:

:A total of 76 male patients on renal replacement therapy (RRT) were investigated. Erectile dysfunction (ED) was defined as insufficient erection during visual erotic stimulation (VES) or during sleep as measured with Rigiscan and Erectiometer. Data on medical history, physical examination, and laboratory variables were collected. Furthermore, penile pharmacological duplex ultrasonography (PPDU) was performed. Univariate and multivariate logistic regressions were used to determine prognostic values and to develop prognostic models. Independent prognostic factors for ED were the number of cardiovascular events, waist-hip ratio, body mass index, and acceleration time (AT) as measured with PPDU. Independent prognostic factors for an abnormal AT (>100 ms) were number of cardiovascular events, age category, and the presence of carotid bruits. Independent prognostic factors for insufficient veno-occlusion during PPDU were number of cardiovascular events and supine diastolic blood pressure. The vascular contribution to ED in patients on RRT is substantial. Data from medical history, limited physical examination, and PPDU contribute to the prediction of the vascular contribution to ED.

journal_name

Int J Impot Res

authors

Diemont WL,Hendriks JC,Lemmens WA,Langen Hv,Berden JH,Meuleman EJ

doi

10.1038/sj.ijir.3900946

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

44-52

issue

1

eissn

0955-9930

issn

1476-5489

pii

3900946

journal_volume

15

pub_type

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