Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia

<p dir="ltr">In this study, we investigated the prevalence of sexual dysfunction among males with advanced chronic kidney disease and the effect of treating hyperprolactinemia among these patients. In this prospective study, patients were assessed with history, physical examination,...

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Main Author: Haitham Elbardisi (14058048) (author)
Other Authors: Ahmad Majzoub (14058045) (author), Christiana Daniel (14779213) (author), Fadwa Al.Ali (14779216) (author), Mohamed Elesnawi (14779219) (author), Kareim Khalafalla (14148807) (author), Ashok Agarwal (325619) (author), Ralf Henkel (8192964) (author), Alia Alattar (14779222) (author), Ibrahim Al‐Emadi (14779225) (author), Mohamed Arafa (14058042) (author)
Published: 2021
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_version_ 1864513565189210112
author Haitham Elbardisi (14058048)
author2 Ahmad Majzoub (14058045)
Christiana Daniel (14779213)
Fadwa Al.Ali (14779216)
Mohamed Elesnawi (14779219)
Kareim Khalafalla (14148807)
Ashok Agarwal (325619)
Ralf Henkel (8192964)
Alia Alattar (14779222)
Ibrahim Al‐Emadi (14779225)
Mohamed Arafa (14058042)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Haitham Elbardisi (14058048)
Ahmad Majzoub (14058045)
Christiana Daniel (14779213)
Fadwa Al.Ali (14779216)
Mohamed Elesnawi (14779219)
Kareim Khalafalla (14148807)
Ashok Agarwal (325619)
Ralf Henkel (8192964)
Alia Alattar (14779222)
Ibrahim Al‐Emadi (14779225)
Mohamed Arafa (14058042)
author_role author
dc.creator.none.fl_str_mv Haitham Elbardisi (14058048)
Ahmad Majzoub (14058045)
Christiana Daniel (14779213)
Fadwa Al.Ali (14779216)
Mohamed Elesnawi (14779219)
Kareim Khalafalla (14148807)
Ashok Agarwal (325619)
Ralf Henkel (8192964)
Alia Alattar (14779222)
Ibrahim Al‐Emadi (14779225)
Mohamed Arafa (14058042)
dc.date.none.fl_str_mv 2021-06-05T06:00:00Z
dc.identifier.none.fl_str_mv 10.1111/and.14135
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Endocrine_contribution_to_the_sexual_dysfunction_in_patients_with_advanced_chronic_kidney_disease_and_the_role_of_hyperprolactinemia/22258435
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Reproductive medicine
end-stage renal disease
erectile dysfunction
hyperprolactinemia
hypogonadism
premature
dc.title.none.fl_str_mv Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">In this study, we investigated the prevalence of sexual dysfunction among males with advanced chronic kidney disease and the effect of treating hyperprolactinemia among these patients. In this prospective study, patients were assessed with history, physical examination, hormonal assessment, and two questionnaires, IIEF and AIPE. Patients with hyperprolactinemia received treatment with cabergoline 0.5 mg once per week for 6 months and were re-evaluated. A total of 102 patients were included in this study, 75 (73.53%) were on hemodialysis, 13 (12.75%) on peritoneal dialysis and 14 (13.73%) on medical treatment alone. Ninety (88.24%) patients had premature ejaculation, 85 (83.33%) had anything from mild-to-moderate-to-severe erectile dysfunction. The incidence of hypogonadism and hyperprolactinemia was 34.4%. Patients treated with cabergoline (<i>n</i> = 26) showed a significant increase in LH levels (<i>p</i> = .003) and a significant decrease in prolactin levels (<i>p</i> = .003). Testosterone levels and the incidence of erectile dysfunction or premature ejaculation did not improve significantly. There is a high incidence of sexual dysfunction among patients. Treatment of hyperprolactinemia is effective in correcting prolactin levels, but does not improve erectile dysfunction or premature ejaculation. Therefore, treating hyperprolactinemia is not an overall effective treatment for erectile dysfunction in these patients.</p><h2>Other Information</h2><p dir="ltr">Published in: Andrologia<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1111/and.14135" target="_blank">http://dx.doi.org/10.1111/and.14135</a></p>
eu_rights_str_mv openAccess
id Manara2_13a0ace29a3fcb119f70ae976d3aa0bc
identifier_str_mv 10.1111/and.14135
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/22258435
publishDate 2021
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rights_invalid_str_mv CC BY 4.0
spelling Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemiaHaitham Elbardisi (14058048)Ahmad Majzoub (14058045)Christiana Daniel (14779213)Fadwa Al.Ali (14779216)Mohamed Elesnawi (14779219)Kareim Khalafalla (14148807)Ashok Agarwal (325619)Ralf Henkel (8192964)Alia Alattar (14779222)Ibrahim Al‐Emadi (14779225)Mohamed Arafa (14058042)Biomedical and clinical sciencesClinical sciencesReproductive medicineend-stage renal diseaseerectile dysfunctionhyperprolactinemiahypogonadismpremature<p dir="ltr">In this study, we investigated the prevalence of sexual dysfunction among males with advanced chronic kidney disease and the effect of treating hyperprolactinemia among these patients. In this prospective study, patients were assessed with history, physical examination, hormonal assessment, and two questionnaires, IIEF and AIPE. Patients with hyperprolactinemia received treatment with cabergoline 0.5 mg once per week for 6 months and were re-evaluated. A total of 102 patients were included in this study, 75 (73.53%) were on hemodialysis, 13 (12.75%) on peritoneal dialysis and 14 (13.73%) on medical treatment alone. Ninety (88.24%) patients had premature ejaculation, 85 (83.33%) had anything from mild-to-moderate-to-severe erectile dysfunction. The incidence of hypogonadism and hyperprolactinemia was 34.4%. Patients treated with cabergoline (<i>n</i> = 26) showed a significant increase in LH levels (<i>p</i> = .003) and a significant decrease in prolactin levels (<i>p</i> = .003). Testosterone levels and the incidence of erectile dysfunction or premature ejaculation did not improve significantly. There is a high incidence of sexual dysfunction among patients. Treatment of hyperprolactinemia is effective in correcting prolactin levels, but does not improve erectile dysfunction or premature ejaculation. Therefore, treating hyperprolactinemia is not an overall effective treatment for erectile dysfunction in these patients.</p><h2>Other Information</h2><p dir="ltr">Published in: Andrologia<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1111/and.14135" target="_blank">http://dx.doi.org/10.1111/and.14135</a></p>2021-06-05T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1111/and.14135https://figshare.com/articles/journal_contribution/Endocrine_contribution_to_the_sexual_dysfunction_in_patients_with_advanced_chronic_kidney_disease_and_the_role_of_hyperprolactinemia/22258435CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/222584352021-06-05T06:00:00Z
spellingShingle Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
Haitham Elbardisi (14058048)
Biomedical and clinical sciences
Clinical sciences
Reproductive medicine
end-stage renal disease
erectile dysfunction
hyperprolactinemia
hypogonadism
premature
status_str publishedVersion
title Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
title_full Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
title_fullStr Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
title_full_unstemmed Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
title_short Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
title_sort Endocrine contribution to the sexual dysfunction in patients with advanced chronic kidney disease and the role of hyperprolactinemia
topic Biomedical and clinical sciences
Clinical sciences
Reproductive medicine
end-stage renal disease
erectile dysfunction
hyperprolactinemia
hypogonadism
premature