Predominant factors affecting sexual dysfunction on patients with continuous ambulatory peritoneal dialysis

BACKGROUND: Sexual dysfunction is a complication of chronic kidney disease. In addition, sexual dysfunction can also be experienced in patients undergoing peritoneal dialysis which may be related to metabolic syndrome or other factors. AIM: This study aims to find out the most dominant factor affecting the sexual dysfunction of men who undergo continuous ambulatory peritoneal dialysis (CAPD). METHODS: The design of this study was cross-sectional analysis with a sample of 70 men CAPD patients aged 26–65 years, no having comorbidities, married, no previous urological surgery history, and no depression using a purposive sampling technique from February to May 2020. Data collection was carried out offline and online by filling in the questionnaire sheets for respondent characteristics, International Index of Erectile Function, and looking at laboratory result. Data were analyzed using multivariate logistic regression. RESULTS: The majority of respondents experienced sexual dysfunction (75.7%). The results showed that there was a correlation between age (p = 0.0024), plasma urea (p = 0.018), and albumin (p = 0.001) with sexual dysfunction in male patients using CAPD. There was no significant correlation between length of time undergoing CAPD (p = 0.678), fasting glucose (0.051), triglycerides (p = 0.536), and cholesterol (p = 0.183) with sexual dysfunction in male patients who undergo CAPD. The most dominant factor affecting is albumin, where patients who have albumin levels <3.5 g/dL are at risk of experiencing sexual dysfunction 9.3 times greater than patients with albumin levels 3.5–5 g/dL after being adjusted by age variables. CONCLUSION: The incidence of sexual dysfunction is high in male patients undergoing CAPD, and the most influencing metabolic factor is albumin.