End‐stage renal disease and erectile dysfunction. Is there any hope?

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Abstract
A common problem that remains difficult to diagnose and treat in patients with chronic renal failure (CRF) is sexual dysfunction. Prevalence estimates of sexual dysfunction range from 9% in predialysis to 70% in dialysis patients of either sex [1,2]. The presence of erectile dysfunction ranges between 21 and 43% among dialysis and transplant patients and this prevalence has remained the same since the 1970s [3]. The causes of erectile dysfunction are frequently combinations of both organic and psychological factors. We review the pathogenesis, investigations, and treatment currently available for erectile dysfunction.