The Effect of Renal Transplantation for End-Stage Renal Disease on Female Sexual Function and Depression


Selahittin Çayan, MD, Department of Urology, University of Mersin School of Medicine, 33079-Mersin, Turkey. Tel: 90-532-346-0509; Fax: 90-324-337-4311; E-mail:


Introduction.  Studies have suggested that women with end-stage renal disease (ESRD) had higher risk of sexual dysfunction than healthy women.

Aims.  To prospectively determine the effect of renal transplantation for ESRD on female sexual function and depression.

Methods.  During a 5-year period, the study included 21 sexually active women who underwent renal transplantation for ESRD at a single university hospital. After obtaining demographic characteristics, female sexual function was evaluated with a detailed 19-item questionnaire (The Female Sexual Function Index, FSFI), and depression was assessed using Beck Depression Inventory (BDI) scale.

Main Outcome Measures.  In all women, FSFI and BDI scores were compared before and after the renal transplantation surgery.

Results.  The mean age of the women was 35.04 ± 9.6 years, and mean follow-up duration after renal transplantation was 27.5 ± 20.4 months. Mean total sexual function score increased from 17.57 ± 7.07 to 25.3 ± 3.28, revealing significant difference (P = 0.001). Compared with preoperative period, sexual function domains including sexual desire (P = 0.001), arousal (P = 0.001), lubrication (P = 0.003), orgasm (P = 0.001), satisfaction (P = 0.001), and pain (P = 0.02) significantly improved after renal transplantation. Mean BDI score significantly decreased from 17.91 ± 8.56 to 3 ± 4.17 after renal transplantation (P = 0.001).

Conclusions.  Successful renal transplantation may improve female sexual functions and depression. Therefore, life quality increases as sexual functions and depression improve after the renal transplantation surgery. Kettaş E, Çayan F, Efesoy O, Akbay E, and Çayan S. The effect of renal transplantation for end-stage renal disease on female sexual function and depression. J Sex Med 2010;7:3963–3968.