Published online Jul 6, 2015. doi: 10.5527/wjn.v4.i3.379
Peer-review started: November 22, 2014
First decision: December 12, 2014
Revised: April 3, 2015
Accepted: May 27, 2015
Article in press: May 28, 2015
Published online: July 6, 2015
Core tip: Erectile dysfunction is highly prevalent among patients with chronic kidney disease in rates that reach even 70%, especially in those suffering from end stage renal disease. The rates of patients suffering from sexual dysfunction tend to be higher when additional risk factors, such as coronary artery disease, diabetes mellitus, hypertension or prescription of antihypertensive drugs, coexist. Integrated management of these patients through lifestyle measures, hormonal replacement, and use of drugs such as phosphodiesterase-5 inhibitors, is essential in order to improve sexual function among these patients, thereby maintaining a satisfactory quality of life.