Say Goodbye To Erectile Dysfunction With GAINSWave Therapy If you're one of the 30 million men in the United States who suffer from erectile dysfunction (ED), you may feel like...Read More
What Should Diabetic Men with Erectile Dysfunction Do?
Erectile dysfunction (ED) is a common complication of diabetes. The prevalence of ED is 37% in men with diabetes, and it has been estimated that up to 75% of men with diabetes will experience ED. The etiology of ED in diabetic men probably involves both vascular and neurogenic mechanisms. Evidence indicates that endothelial dysfunction plays a role in the development of ED in diabetes. The pathogenesis of diabetic ED remains uncertain, and multiple factors are implicated in its development. Diabetic men are more likely to have subclinical CVD, and ED amplifies the adverse vascular effects of diabetes. Diabetic men with ED have greater impairment in endothelial function than men with diabetes without ED. Although a causal relationship between microvascular damage and ED in diabetes has not been established, it is likely that there is a relationship between the two. Diabetic men with ED have a higher prevalence of CV risk factors than men without ED. In the Massachusetts Male Aging Study (MMAS), ED was present in 39% of men with diabetes and in 22% of men without diabetes. The prevalence of erectile dysfunction was higher in men with diabetes (39%) than in men without diabetes (22%), but this difference was not statistically significant. There are a number of effective treatments for ED in diabetic men, including oral phosphodiesterase type 5 inhibitors, intracavernosal injections of vasoactive agents, vacuum devices, and penile prostheses. In conclusion, diabetic men with ED have a high prevalence of CV risk factors and CV morbidity. They should be counseled on lifestyle changes, including smoking cessation, weight loss, and increased physical activity. Oral phosphodiesterase type 5 inhibitors and intracavernosal injections of vasoactive agents are effective treatments for ED in diabetic men. Penile prostheses should be considered in men who are not responsive to medical or surgical treatments.