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Lowest Price Buy Vardenafil India OnlineSubgroup IIB: 55 cases 64%, who presented with sexual dysfunction after the onset of hemodialysis after a mean duration of 27.18 31.72 months. The comparison between group II and group I revealed significant difference in age 50 15.5 years vs. 34 8.0 years, p0.00005, sexual activity before HD 100% vs. 76.2%, p0.0006, more frequent sexual intercourse 55.3% with 2-3 intercourseweek vs. 33.3%, p0.0005. We noted more diabetic and vascular nephropathies in patients in group II 21.5% vs. 4.7%, p 0.02. We did not note significant differences between the Group I and II regarding HD regimen, clinical examination findings, biologic parameters or the presence or absence of other causes of sexual dysfunction comorbidity, drug use and pelvic surgery except a more frequent alcohol ingested in the Group II 52.3% vs. 23.8%, p0.02. The comparison between patients presenting with sexual dysfunction before Group IIA and after starting HD IIB group, did not reveal significant differences regarding the different parameters of sexual activity, SD frequency, HD regimens, the use of tobacco or drugs affecting sexual function. On the other hand, patients of group IIA, were more recently dialysed 3.4 1.6ys vs 6.7 3.1 vs, p0.0005.

They were significantly older than those of group IIB 62.3 12.6 vs 48.0 15.1 vs, p0.009, heavier 70.1 16.8 kg vs 60.4 8.6 kg, p0.04. They had more frequently a female morphology 30.0% vs 5.5%, p0.04. The diabetic or vascular nephropathies were more frequently present in group IIA 70.0% vs 12.7%, p0.003, and they had significantly more co-morbidity: hypertension, heart disease, 83.3% vs 20.7%, p0.01. The performance of a surgical or endoscopic intervention on the pelvis was more frequently seen in group IIA 20% vs 3.6%, p0.04. The clinical examination revealed a significantly more frequent reduction of perineal sensitivity 30.0% vs 12.7%, p 0.04. We introduced sildenafil 50 mg tablet half hour before sexual intercourses, randomly, in 10 patients of group II 5 from subgroup IIA and 5 from subgroup IIB if there was no contraindication to the use the drug. We noted the subjective improvement in all the patients. The efficiency of the drug was, however, different in the 2 subgroups all the patients of subgroup IIB improved their erectile function vs. 1 patient of the subgroup IIA. We didnt note any side effect of the drug in these 10 patients especially hypotension or headache. Several definitions have been proposed for sexual dysfunction according to its different causes endocrinological, urological, psychological and neurological. reserve the term of sexual dysfunction only to sexual behaviour of psychological origin. On the basis of these observations, we defined the sexual dysfunction as all disturbances of one or more stages of the sexual response that results in a disturbance of the patients sexual life.

The subjectivity of this definition may be a source of imprecision; however, the studied problem is defined extensively by subjective elements in the literature. the available studies lack rigorous methodology standardisation of definitions and technical measures. This explains the great variability in the reported prevalence of sexual dysfunction in these patients 20 to 100% of cases; but in most publications the rate exceeds 50% of cases.

In our study, the sexual function has been evaluated using two complementary approaches:

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Please click the seal on the left to verify our membership. Cialis generic name: Tadalafil is an oral medication indicated for treating sexual problems in men like impotence and erectile dysfunction. Tadalfil belongs to the category of PDE5 inhibitors and works by relaxing the blood vessels in the penis and increasing blood flow to its muscular tissues. In this way, erection is achieved and maintained as long as the effects of the drug last. You can buy Cialis oral tablets in 2.5mg, 5mg, 10mg and 20mg strengths, and a higher dose of the drug can also be used for treating pulmonary artery hypertension.

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