The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon

Gaby F. Van Ek, Esmée M. Krouwel, Els Van Der Veen, Melianthe P. J. Nicolai, Jan Ringers, Brenda L. Den Oudsten, Hein Putter, Rob C. M. Pelger, Henk W. Elzevier

Research output: Contribution to journalArticleScientificpeer-review

1 Downloads (Pure)

Abstract

Introduction:
Sexual dysfunction (SD) is a common problem in chronic kidney disease (CKD) and endures in 50% of patients after kidney transplantation (KTx), diminishing patients' expectations of life after KTx. Unfortunately, SD is often ignored by renal care providers. Research questions as part of a research project among all renal care providers, transplant surgeons' perspectives were obtained on sexual health care for KTx recipients, including their opinion on who should be accountable for this care. In addition, surgeons' practice and knowledge regarding SD were evaluated.
Design:
A 39-item questionnaire was sent to all Dutch surgeons and residents specialized in KTx (n = 47).
Results:
Response was 63.8%. None of the respondents discussed SD with their patients, before or after surgery. Most important barrier was that surgeons do not feel accountable for it (73.9%); 91.7% thought this accountability should lie with the nephrologist. Another barrier was insufficient knowledge (39.1%). In 75% of the respondents, (almost) no knowledge regarding SD was present and 87.5% noticed education on SD was insufficient during residence training.
Discussion:
Dutch renal transplant surgeons rarely discuss SD with their patients with CKD, as they do not feel accountable for it; this accountability was appointed to the nephrologist. Knowledge and education regarding SD were found insufficient in enabling surgeons and for some it reflects in barriers toward discussing SD. Results emphasize that accountability for providing sexual health care to patients with CKD should lie elsewhere; however, surgeons could briefly provide information on sexual health after KTx, so unfulfilled expectations may be prevented.
Keywords: practice patterns; quality of life; questionnaires; renal transplant surgeons; sexual dysfunction
Original languageEnglish
Pages (from-to)354-359
JournalProgress in Transplantation
Volume27
Issue number4
DOIs
Publication statusPublished - 1 Dec 2017

Fingerprint

Kidney Transplantation
Kidney
Reproductive Health
Delivery of Health Care
Education
Surveys and Questionnaires

Cite this

Van Ek, Gaby F. ; Krouwel, Esmée M. ; Van Der Veen, Els ; Nicolai, Melianthe P. J. ; Ringers, Jan ; Den Oudsten, Brenda L. ; Putter, Hein ; Pelger, Rob C. M. ; Elzevier, Henk W. / The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon. In: Progress in Transplantation. 2017 ; Vol. 27, No. 4. pp. 354-359.
@article{6626cd7325714f3090f339d27ceb8e57,
title = "The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon",
abstract = "Introduction: Sexual dysfunction (SD) is a common problem in chronic kidney disease (CKD) and endures in 50{\%} of patients after kidney transplantation (KTx), diminishing patients' expectations of life after KTx. Unfortunately, SD is often ignored by renal care providers. Research questions as part of a research project among all renal care providers, transplant surgeons' perspectives were obtained on sexual health care for KTx recipients, including their opinion on who should be accountable for this care. In addition, surgeons' practice and knowledge regarding SD were evaluated.Design:A 39-item questionnaire was sent to all Dutch surgeons and residents specialized in KTx (n = 47).Results: Response was 63.8{\%}. None of the respondents discussed SD with their patients, before or after surgery. Most important barrier was that surgeons do not feel accountable for it (73.9{\%}); 91.7{\%} thought this accountability should lie with the nephrologist. Another barrier was insufficient knowledge (39.1{\%}). In 75{\%} of the respondents, (almost) no knowledge regarding SD was present and 87.5{\%} noticed education on SD was insufficient during residence training.Discussion: Dutch renal transplant surgeons rarely discuss SD with their patients with CKD, as they do not feel accountable for it; this accountability was appointed to the nephrologist. Knowledge and education regarding SD were found insufficient in enabling surgeons and for some it reflects in barriers toward discussing SD. Results emphasize that accountability for providing sexual health care to patients with CKD should lie elsewhere; however, surgeons could briefly provide information on sexual health after KTx, so unfulfilled expectations may be prevented.Keywords: practice patterns; quality of life; questionnaires; renal transplant surgeons; sexual dysfunction",
author = "{Van Ek}, {Gaby F.} and Krouwel, {Esm{\'e}e M.} and {Van Der Veen}, Els and Nicolai, {Melianthe P. J.} and Jan Ringers and {Den Oudsten}, {Brenda L.} and Hein Putter and Pelger, {Rob C. M.} and Elzevier, {Henk W.}",
year = "2017",
month = "12",
day = "1",
doi = "10.1177/1526924817731885",
language = "English",
volume = "27",
pages = "354--359",
journal = "Progress in Transplantation",
issn = "1526-9248",
publisher = "SAGE Publications Inc.",
number = "4",

}

Van Ek, GF, Krouwel, EM, Van Der Veen, E, Nicolai, MPJ, Ringers, J, Den Oudsten, BL, Putter, H, Pelger, RCM & Elzevier, HW 2017, 'The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon', Progress in Transplantation, vol. 27, no. 4, pp. 354-359. https://doi.org/10.1177/1526924817731885

The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon. / Van Ek, Gaby F.; Krouwel, Esmée M.; Van Der Veen, Els; Nicolai, Melianthe P. J.; Ringers, Jan; Den Oudsten, Brenda L.; Putter, Hein; Pelger, Rob C. M.; Elzevier, Henk W.

In: Progress in Transplantation, Vol. 27, No. 4, 01.12.2017, p. 354-359.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The discussion of sexual dysfunction before and after kidney transplantation from the perspective of the renal transplant surgeon

AU - Van Ek, Gaby F.

AU - Krouwel, Esmée M.

AU - Van Der Veen, Els

AU - Nicolai, Melianthe P. J.

AU - Ringers, Jan

AU - Den Oudsten, Brenda L.

AU - Putter, Hein

AU - Pelger, Rob C. M.

AU - Elzevier, Henk W.

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Introduction: Sexual dysfunction (SD) is a common problem in chronic kidney disease (CKD) and endures in 50% of patients after kidney transplantation (KTx), diminishing patients' expectations of life after KTx. Unfortunately, SD is often ignored by renal care providers. Research questions as part of a research project among all renal care providers, transplant surgeons' perspectives were obtained on sexual health care for KTx recipients, including their opinion on who should be accountable for this care. In addition, surgeons' practice and knowledge regarding SD were evaluated.Design:A 39-item questionnaire was sent to all Dutch surgeons and residents specialized in KTx (n = 47).Results: Response was 63.8%. None of the respondents discussed SD with their patients, before or after surgery. Most important barrier was that surgeons do not feel accountable for it (73.9%); 91.7% thought this accountability should lie with the nephrologist. Another barrier was insufficient knowledge (39.1%). In 75% of the respondents, (almost) no knowledge regarding SD was present and 87.5% noticed education on SD was insufficient during residence training.Discussion: Dutch renal transplant surgeons rarely discuss SD with their patients with CKD, as they do not feel accountable for it; this accountability was appointed to the nephrologist. Knowledge and education regarding SD were found insufficient in enabling surgeons and for some it reflects in barriers toward discussing SD. Results emphasize that accountability for providing sexual health care to patients with CKD should lie elsewhere; however, surgeons could briefly provide information on sexual health after KTx, so unfulfilled expectations may be prevented.Keywords: practice patterns; quality of life; questionnaires; renal transplant surgeons; sexual dysfunction

AB - Introduction: Sexual dysfunction (SD) is a common problem in chronic kidney disease (CKD) and endures in 50% of patients after kidney transplantation (KTx), diminishing patients' expectations of life after KTx. Unfortunately, SD is often ignored by renal care providers. Research questions as part of a research project among all renal care providers, transplant surgeons' perspectives were obtained on sexual health care for KTx recipients, including their opinion on who should be accountable for this care. In addition, surgeons' practice and knowledge regarding SD were evaluated.Design:A 39-item questionnaire was sent to all Dutch surgeons and residents specialized in KTx (n = 47).Results: Response was 63.8%. None of the respondents discussed SD with their patients, before or after surgery. Most important barrier was that surgeons do not feel accountable for it (73.9%); 91.7% thought this accountability should lie with the nephrologist. Another barrier was insufficient knowledge (39.1%). In 75% of the respondents, (almost) no knowledge regarding SD was present and 87.5% noticed education on SD was insufficient during residence training.Discussion: Dutch renal transplant surgeons rarely discuss SD with their patients with CKD, as they do not feel accountable for it; this accountability was appointed to the nephrologist. Knowledge and education regarding SD were found insufficient in enabling surgeons and for some it reflects in barriers toward discussing SD. Results emphasize that accountability for providing sexual health care to patients with CKD should lie elsewhere; however, surgeons could briefly provide information on sexual health after KTx, so unfulfilled expectations may be prevented.Keywords: practice patterns; quality of life; questionnaires; renal transplant surgeons; sexual dysfunction

U2 - 10.1177/1526924817731885

DO - 10.1177/1526924817731885

M3 - Article

VL - 27

SP - 354

EP - 359

JO - Progress in Transplantation

JF - Progress in Transplantation

SN - 1526-9248

IS - 4

ER -