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nd-stage renal disease (ESRD) is a multi-organ process. Sexual dysfunction is a common patient complaint but often under-
recognized and poorly managed sequelae. Complications from the treatment of ESRD include hypogonadism, erectile
dysfunction, and orgasmic dysfunction as described in the literature. Immuno-suppression from renal transplantation is
also associated with sexual side effects along with decreased fertility. Emerging evidence on fertility preservation and fertility
optimization are now available in the literature. A critical review of the literature can provide insight into this complication and
update on the available effective treatment options for physicians caring for ESRD patients
T. Mike Hsieh has completed his urology residency at George Washington University Hospital and a fellowship in Male Reproductive Medicine
and Microsurgery at Baylor College of Medicine. He is currently an assistant professor of surgery at UCSD. He is a specialist of Male Infertility,
Hypogonadism, Erectile Dysfunction, Peyronie's disease, and Sexual Dysfunction.
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