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Erectile Dysfunction (ED) is defined as the inability to achieve ormaintain an erection sufficient for sexual intercourse. The frequency of erectiledysfunction in patients with kidney failure is estimated at 50% to 70%. Theobjective of this work was to determine the frequency of sexual dysfunction inchronic hemodialysis patients, to evaluate the psycho-social impact and to describehormonal disturbances. Patients and Methods: This was a descriptiveprospective study carried out from 3 April to 31 August 2017 in the nephrologyand haemodialysis department of the Point G University Hospital. She has beeninterested in men over the age of 18 who have been on chronic hemodialysis formore than a year. Sexual dysfunction was assessed using the questionnaire:International Index of Erectile Function (IIEF-5). Results: Sixty-fivepatients were included. Forty-six (70.8%) had severe (30.8%), moderate (13.8%)and mild (26.2%) ED. 56.9%of patients had libido disorders, with decreased sexual desire (38.5%); absentsexual desire (18.5%). Sexual desire was normal in 43.1% of patients. Sexualactivity was absent in 20 patients (30.8%). Sexual rigidity was reduced in 28patients (43.1%) and normal in 24 patients (36.9%). The mean age of ourpatients was 42.55 years with a median age of 40 years and extremes of 23 and74 years. Eighty percent were married. Nine patients (13.8%) were usingsildenafil-basedmedications. Antihypertensives were prescribed in 93.9% and erythropoietin in30.8% of patients. The main impact groups were anxiety (53.8%), fear of failure(27.7%), insomnia (7.7%) and anxiety (6.1%). And defence mechanisms included:understanding (54.7%); isolation (24.6%); repression (7.7%); quarrel (7.7%);and divorce in 1 case (1.5%). The occurrence of ED was related tohypotestosterolemia (p = 0.030), and between low libido and testosterone (p = 0.001).Nutritional status was satisfactory in 78.4% of our patients. Moderate and atand severe undernutrition was found in equal proportions (10.8%) in ourpatients with a statistically significant relationship with the occurrence oferectile dysfunction (p = 0.015). There was no correlation between ED andduration of dialysis (p = 0.715), the existence of inflammatory syndrome (p = 0.870),age (p = 0.249) and diabetes, hypertension, smoking (p = 0.442). Sexualactivity was decreased in 41 patients with Hb  10 g/dl (p = 0.340). Conclusion: Sexual disorders are common in hemodialysispatients. Psychological support of the patient is essential throughout the therapeutic sequence of erectile dysfunction,whatever the molecule or physical means considered.

Erectile Dysfunction in Chronic Hemodialysis Patients at the University Hospital Center of Point-G in Mali