Patterns and predictors of sexual function after liver donation: The adult-to-adult living donor liver transplantation cohort study

Andrea F. DiMartini*, Mary Amanda Dew, Zeeshan Butt, Mary Ann Simpson, Daniela P. Ladner, Abigail R. Smith, Peg Hill-Callahan, Brenda W. Gillespie

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Although sexual functioning is an important facet of a living donor's quality of life, it has not received an extensive evaluation in this population. Using data from the Adult-to-Adult Living Donor Liver Transplantation Cohort Study, we examined donor sexual functioning across the donation process from the predonation evaluation to 3 months and 1 year after donation. Donors (n = 208) and a comparison group of nondonors (n = 155) completed self-reported surveys with specific questions on sexual desire, satisfaction, orgasm, and (for men) erectile function. Across the 3 time points, donor sexual functioning was lower at the evaluation phase and 3 months after donation versus 1 year after donation. In the early recovery period, abdominal pain was associated with difficulty reaching orgasm [odds ratio (OR), 3.98; 95% confidence interval (CI), 1.30-12.16], concerns over appearance were associated with lower sexual desire (OR, 4.14; 95% CI, 1.02-16.79), and not feeling back to normal was associated with dissatisfaction with sexual life (OR, 3.58; 95% CI, 1.43-8.99). Efforts to educate donors before the surgery and prepare them for the early recovery phase may improve recovery and reduce distress regarding sexual functioning.

Original languageEnglish (US)
Pages (from-to)670-682
Number of pages13
JournalLiver Transplantation
Volume21
Issue number5
DOIs
StatePublished - May 1 2015

ASJC Scopus subject areas

  • Surgery
  • Hepatology
  • Transplantation

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