Narrative literature review: sexual dysfunction in the patient on hemodialysis.

Sexual dysfunction is common in patients on hemodialysis. This narrative literature review utilized Roy's Adaptation Model to identify sexual dysfunction and its effect on adaptive modes in patients on hemodialysis. The majority of studies reviewed indicated a physiologic effect in men (78%). Fewer studies reported an effect on self-concept (66%), intimate relationship (21%), or family/social roles (less than 1%). Findings also revealed minimal patient expression of sexual dysfunction to health care providers.