(P3) sexual health in Dialysis and renal transplant patients: insights from a Tunisian study

Abstract Background Chronic renal failure poses a significant public health challenge in Tunisia, contributing to physical deterioration, hormonal imbalances, and profound psychological effects. These factors frequently lead to sexual dysfunction in both male and female patients. This study aimed to evaluate the incidence and various manifestations of sexual dysfunction among dialysis and renal transplant patients, identify predictive factors of erectile dysfunction, and assess the impact of renal transplantation on sexual function. Methods This cross-sectional study included 137 patients (99 with chronic kidney disease and 38 renal transplant recipients) recruited from the nephrology and urology departments of Sahloul Sousse Hospital. Results Dialysis Patients: Male: 57% experienced erectile dysfunction (ED). Low testosterone, elevated luteinizing hormone (LH), anxiety, and depression were associated with ED. Age, dialysis duration, cardiovascular disease, anxiety, depression, and various ED aspects were identified as predictors of ED. Female: 78.8% reported sexual arousal disorder as the most common dysfunction. Renal transplant recipients: Male: 18.2% experienced ED. Age was identified as a predictive factor. Female: 69% reported issues with orgasm and desire. Renal transplantation was associated with significant improvements in both male and female sexual function. Conclusion Sexual dysfunction is a prevalent issue in dialysis and renal transplant patients, significantly impacting quality of life. Systematic assessment and targeted management are crucial to improve treatment outcomes and overall well-being in these Tunisian patient populations.