Sexual Impotence: The Overlooked Complication of a Second Renal Transplant

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Abstract
The incidence of sexual impotence in 20 men who have received at least 2 kidney transplants was 65% compared to 10% after the 1st transplant. The impotence was transient (2-4 mo.) in both affected men after the 1st transplant but permanent (2-10 yr) in 6 min after the 2nd operation. This increased percentage of impotence is attributed to the 2nd end-to-end arterial anastomosis that requires division of the internal iliac arteries. The 2nd transplant should be placed end-to-side into the common iliac artery.