Evaluation and Treatment of Erectile Dysfunction in Men With Diabetes Mellitus

摘要: Diabetic men have a more than 3-fold increased prevalence of erectile dysfunction (ED) compared with nondiabetic men. Erectile function is primarily vascular phenomenon, triggered by neurologic controls and facilitated appropriate hormonal psychological components. Recent advances in the understanding physiology penile vasculature its role male sexual performance influenced clinical approach to ED. The pathophysiological alterations leading impotence diabetic include vasculogenic, neurogenic, etiologies. A work-up, including thorough history physical examination, an important aspect ED management. Biochemical evaluations rule out secondary causes like hypogonadism thyroid abnormalities are suggested. Oral medications acting through phosphodiesterase inhibition revolutionized treatment Because high success rate treating various etiologies, these agents choice for most patients. Safety efficacy vacuum-constriction devices, intraurethral suppositories, intracavernosal injections, other therapies discussed. algorithm evaluation management provided use primary care setting.