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Sexualität nach Nierentransplantation

Sexuality after kidney transplantation

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Zusammenfassung

Die Lebensqualität nierentransplantierter Patienten rückt zunehmend in den Mittelpunkt des Interesses. Einen nicht zu unterschätzenden Einfluss haben hierbei auch Fragen der Sexualität. Ein Großteil der dialysepflichtigen Patienten leidet unter verschiedenartigsten Störungen der Sexualfunktion, dies betrifft ca. 50% der männlichen und einen noch größeren Anteil der weiblichen Patienten. Im Vordergrund stehen bei Frauen Libido- und Zyklusstörungen, bei Männern Erektionsstörungen. Nach erfolgreicher Nierentransplantation erreicht eine Vielzahl der betroffenen Frauen eine Normalisierung der Sexualfunktion während Potenzstörungen bei Männern häufig persistieren. Hier ist heute aber in vielen Fällen eine effektive medikamentöse Therapie möglich. Frauen können bei stabiler Transplantatfunktion nach Nierentransplantation unter enger ärztlicher Kontrolle eine erfolgreiche Schwangerschaft anstreben.

Abstract

The quality of life of patients after kidney transplantation is of increasing interest. In this connection, issues of sexuality are meaningful too. Many patients with end-stage kidney disease suffer from sexual disorders. More than 50% of the male patients on dialysis and even more females are affected by disturbances such as erectile dysfunction and loss of libido or abnormal menstrual cycles. After successful kidney transplantation most symptoms in women are improved, whereas in men disturbances in erectile function often persist or even deteriorate. In these patients treatment with inhibitors of phosphodiesterase type 5 is a valid option with an effective response. In women with stable graft function pregnancy can be achieved successfully. Nevertheless, pregnant kidney allograft recipients should be considered as high-risk patients needing special care under the supervision of a team of obstetricians and nephrologists.

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Authors and Affiliations

  1. Klinik und Poliklinik für Urologie, Universitätsklinikum Jena, Lessingstraße 1, 07743, Jena, Deutschland

    T. Steiner & H. Wunderlich

  2. Klinik für Innere Medizin III/Nephrologie, Universitätsklinikum, Jena, Deutschland

    U. Ott

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  1. T. Steiner
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  2. H. Wunderlich
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  3. U. Ott
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Correspondence to T. Steiner.

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Steiner, T., Wunderlich, H. & Ott, U. Sexualität nach Nierentransplantation. Urologe 48, 1438–1442 (2009). https://doi.org/10.1007/s00120-009-2156-4

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  • DOI: https://doi.org/10.1007/s00120-009-2156-4

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