[Erectile function in male kidney transplant recipients and effects of different methods of renal arterial anastomosis].
OBJECTIVE
To evaluate erectile function in men with renal failure before and after kidney transplantation and the effects of different methods of renal arterial anastomosis.


METHODS
Fifty-five married males, aged 22-50 years, who had received kidney transplantation at least one year before and whose serum creatinine was under 200 micromol/L , were selected in the study. The end-to-end revascularization to the internal iliac artery was accomplished in 39 of them, and the end-to-side revascularization to the external iliac artery was conducted in 16. Their erectile function was investigated according to the International Index of Erectile Function-5 (IIEF-5) before kidney transplantation and 3, 6 and 9 months after it. The effects of different methods of renal arterial anastomosis were evaluated and hypophyseal hormones determined in 25 of them.


RESULTS
IIEF-5 was higher in the patients 3, 6 and 9 months after transplantation than before it (P < 0.05) and 6 and 9 months after transplantation than 3 months after it (P < 0.05) , so was it in the patients with less than 12 months hemodialysis than those with over 12 months (P < 0.05) and in the patients with end-to-side revascularization to the external iliac artery than those with end-to-end revascularization to the internal iliac artery (P < 0.05). The differences between the level of hypophyseal hormones and that of sex hormones before transplantation were significant (P < 0.05).


CONCLUSIONS
Erectile function and the level of hypophyseal hormones were improved after kidney transplantation, and the patients who received end-to-side revascularization to the external iliac artery experienced better erectile function recovery than those who underwent end-to-end revascularization to the internal iliac artery.
Peng
Tao
T
Department of Urology, Drum Tower Hospital Affiliated to Nanjing University Medcial College, Nanjing, Jiangsu 210008, China.
Zhang
Gu-tian
GT
Chen
Ming
M
Chen
Shu-qiu
SQ
Sun
Ze-yu
ZY
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010907:Pituitary Hormones / Q000378:metabolism; D012077:Renal Artery / Q000601:surgery*; D011795:Surveys and Questionnaires
D010907:Pituitary Hormones