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An Underestimated Human Need After Renal Transplantation: Sexuality

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Abstract

Sexual health is a subject that can generally be overlooked in follow-up examinations after transplantation. The aim of this study was to determine the perceptions of sexuality and sexual health care requirements of patients following kidney transplantation. The data were examined of 98 patients who underwent renal transplantation in the Nephrology Polyclinic between May and October 2019. The data were collected using a data collection form prepared by the researchers with the benefit of previous literature. The data obtained were evaluated using percentages, mean and standard deviation values and the Chi-square test. The patients comprised 57.1% males and 42.9% females with a mean age of 42.2 ± 12.09 years (range 21–71 years), Following transplantation, 52% of the patients reported an improvement in the quality of sex life, 79.6% an increase in sexual desire, and 70.5% an increase in sexual satisfaction. We determined that 52.0% of the patients could not comfortably ask healthcare personnel about sex-life-related problems. Sexuality after transplantation was stated to have had an effect on sex life. The researchers also found that support of the spouse and a change in the relationship with the spouse affected sex life after transplantation. We determined that the sex lives of both male and female patients were affected after renal transplantation. Despite problems related to sexual functioning in the period after renal transplantation, there was seen to be a need for information and counselling about sexual problems by all the patients, regardless of gender.

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References

  1. Körükcü, Ö., Arıkan, F., Küçükçakal, A., Coskun, H.Ş.: Determination of sexual perceptions and sexual care needs of cancer patients receiving chemotherapy treatment. Akdeniz Medical Journal 4(1), 25–34 (2018)

    Google Scholar 

  2. Muehrer, R.J.: Sexuality, an important component of the quality of life of the kidney transplant recipient. Transplant. Rev. 23(4), 214–223 (2009)

    Article  Google Scholar 

  3. Van Ek, G.F., Krouwel, E.M., Van Der Veen, E., Nicolai, M.P.J., Ringers, J., Den Oudsten, B.L., et al.: The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon. Prog. Transplant. 27(4), 354–359 (2017)

    Article  PubMed  Google Scholar 

  4. Aksoy, N., Demet, D.: Sexual problems and counseling needs of the patients admitted to the kidney transplantation. Nefroloji Hemşireliği Dergisi 13(2), 85–90 (2018)

    Google Scholar 

  5. Pertuz, W., Castaneda, D.A., Rincon, O., Lozano, E.: Sexual dysfunction in patients with chronic renal disease: does it improve with renal transplantation? Transplant. Proc. 46(9), 3021–3026 (2014)

    Article  PubMed  Google Scholar 

  6. Coelho-Gonçalves, P.R., Loureiro, L.M., Domingues Fernandes, M.I.: Sexual function of kidney transplant recipients. Revista de Enfermagem Referência 4(21), 47–56 (2019)

    Article  Google Scholar 

  7. Filocamo, M.T., Zanazzi, M., Li Marzi, V., Del Popolo, G., Mancini, G., Salvadori, M., et al.: Sexual dysfunction in women during dialysis and after renal transplantation. J. Sex. Med. 6(11), 3125–3131 (2009)

    Article  PubMed  Google Scholar 

  8. Raggi, M.C., Siebert, S.B., Friess, H., Schremmer-Danninger, E., Thorban, S., Dinkel, A.: Sexual and relationship functioning before and after renal transplantation: a descriptive study with patients and partners. Scand. J. Urol. Nephrol. 46(6), 431–436 (2012)

    Article  PubMed  Google Scholar 

  9. Kucuk, L., Turkmen, A., Kucuk, M.: Sexual dysfunction in women after renal transplantation. Sex. Disabil. 31(2), 155–166 (2013)

    Article  Google Scholar 

  10. Antonucci, M., Palermo, G., Recupero, S.M., Bientinesi, R., Presicce, F., Foschi, N., et al.: Male sexual dysfunction in patients with chronic end-stage renal insufficiency and in renal transplant recipients. Arch. Ital. Urol. Androl. 87(4), 299–305 (2016)

    Article  PubMed  Google Scholar 

  11. McKay, D.B., Josephson, M.A., Armenti, V.T., August, P., Coscia, L.A., Davis, C.L., et al.: Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation. Am. J. Transplant. 5(7), 1592–1599 (2005)

    Article  PubMed  Google Scholar 

  12. Cabral, J.F., Cavadas, V., Ramos, M.S., Fraga, A., La Sarete Martins, M., Rocha, A., et al.: Female sexual function and depression after kidney transplantation: comparison between deceased-and living-donor recipients. Transplant. Proc. 47(4), 989–991 (2015)

    Article  PubMed  Google Scholar 

  13. Chandra, A., Midtvedt, K., Asberg, A.: Immunosuppression and reproductive health after kidney transplantation. Transplantation 103(11), 325–332 (2019)

    Article  Google Scholar 

  14. Basok, E.K., Atsu, N., Rifaioglu, M.M., Kantarci, G., Yildirim, A., Tokuc, R.: Assessment of female sexual function and quality of life in predialysis, peritoneal dialysis, haemodialysis and renal transplant patients. Int. Urol. Nephrol. 41(3), 473–481 (2009)

    Article  PubMed  Google Scholar 

  15. Branco, F., Cavadas, V., Rocha, A., Vidinha, J., Osorio, L., Martins, L., et al.: Living versus cadaveric-donor renal transplant recipients: a comparison on sexual function. Transplant. Proc. 45(3), 1066–1069 (2013)

    Article  PubMed  Google Scholar 

  16. Fiuk, J.V., Tadros, N.N.: Erectile dysfunction in renal failure and transplant patients. Transl. Androl. Urol. 8(2), 155–163 (2019)

    Article  PubMed  PubMed Central  Google Scholar 

  17. Josephson, M.A., McKay, D.B.: Women and transplantation: fertility, sexuality, pregnancy, contraception. Adv. Chronic Kidney Dis. 20(5), 433–440 (2013)

    Article  PubMed  Google Scholar 

  18. McGuire, C., Kannathasan, S., Lowe, M., Dow, T., Bezuhly, M., et al.: Patient survival following renal transplantation in Indigenous populations: a systematic review. Clin. Transplant. 34(1), e13760 (2020)

    Article  PubMed  Google Scholar 

  19. Sousa, H., Ribeiro, O., Paúl, C., Costa, E., Miranda, V., Riberio, F., et al.: Social support and treatment adherence in patients with end-stage renal disease: a systematic review. Semin. Dial. 32(6), 562–574 (2019)

    Article  PubMed  Google Scholar 

  20. Schulz, T., Niesing, J., Homan van der Heide, J.J., Westerhuis, R., Ploeg, R.J., Ranchor, A.V.: Great expectations? Pre-transplant quality of life expectations and distress after kidney transplantation: a prospective study. Br. J. Health Psychol. 19(4), 823–838 (2014)

    Article  PubMed  Google Scholar 

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Correspondence to Ömer Faruk Boran.

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The authors declare that there is no conflict of interests.

Research Involving Human Participants and/or Animals

Ethical confirmation for this study was obtained from the Clinical Research Ethics Committee of Kahramanmaraş Sütcü Imam University Medical Faculty (Decision No. 10, dated: 30/04/2019).

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Informed consent was obtained from all individual participants for taking part in this study and tape-recording the interviews.

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Körükcü, Ö., Boran, Ö.F., Güngör, Ö. et al. An Underestimated Human Need After Renal Transplantation: Sexuality. Sex Disabil 38, 699–714 (2020). https://doi.org/10.1007/s11195-020-09647-y

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