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The Erection Connection: Diabetes and Erectile Dysfunction

The Erection Connection #18: Diabetes and Erectile Dysfunction If you're struggling with erectile dysfunction, you're not alone. Diabetes is one of the leading causes of ED, and it's a problem that affects millions of men worldwide. But there's hope. In this episode of The Erection Connection, we'll explore the link between diabetes and ED, and we'll give you some tips on how to overcome this problem. So tune in and learn more about the erection connection.

The Erection Connection #18: Diabetes and Erectile Dysfunction

Erectile Dysfunction (ED) is a common complication of Diabetes. The prevalence of ED in diabetic men is up to 35%. The exact cause of ED in diabetic men is not clear. It is thought to be related to the changes in the blood vessels and nerves that control erections.

There are two types of diabetes, type 1 and type 2. In type 1 diabetes, the body does not produce insulin. Insulin is a hormone that helps the body to use glucose (sugar) for energy. Type 2 diabetes is the most common type of diabetes. In type 2 diabetes, the body does not make enough insulin or the insulin does not work properly.

There are many risk factors for type 2 diabetes, including obesity, family history, age, and sedentary lifestyle. People with type 2 diabetes often have other health problems, such as high blood pressure and cholesterol.

Diabetes can damage the blood vessels and nerves that control erections. Diabetes can also cause low levels of testosterone, which can lead to ED.

There are many treatments for ED, including oral medications, injections, vacuum devices, and surgery. Some men may need to try more than one treatment to find one that works for them.

If you have diabetes and ED, it is important to talk to your doctor about your symptoms. ED can be a early sign of other health problems, such as heart disease.

Treating ED can improve your quality of life and your sexual relationships. It can also help you to better control your diabetes.

In this episode of The Erection Connection, Dr Brian Christine discusses Diabetes and its effects on erectile function. He also tells you how he prepares diabetic men for penile implant surgery. #diabetes #erectiledysfunction

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Video transcription:

If you’re a diabetic, man, then you’re more likely to suffer from erectile dysfunction if you’re a diabetic man and you have a wreck tile dysfunction, it’s more likely that things like pills and penile injection therapy won’t be effective, and if you’re, a diabetic man and you’re going to move on to penile implant surgery to treat your erectile dysfunction, then you have a higher risk for infection. Hello, I’m, dr. Brian Christine, with urology centers of Alabama, I’m, Director of prosthetic urology and sexual health at urology centers and today, on the erection connection, we’re going to talk about diabetes and erectile dysfunction. Over 100 million men in the United States have diabetes and about 95% of these have type 2 diabetes type 2 diabetes is the diabetes that’s associated with advancing age and associated with increased body fat and increased body weight. Diabetes is the abnormally persistent elevated levels of blood sugar. This elevated level of sugar in the blood can damage the arteries. They carry blood to the penis. During an erection. The elevated blood sugar levels will damage the nerves that are involved with erection and the nerves that are involved with carrying sensation. To the penile tissue and the elevated sugar levels will damage the tissue in the penis that fills with blood during an erection, so diabetes can absolutely cause erectile dysfunction. In fact, diabetes and hypertension are the two most common causes of erectile dysfunction. We know that penile implants have the highest patient satisfaction in the treatment of VD penile implants are very safe, they’re, reliable patients and their spouses or partners love penile implants as a treatment for edie, but there is going to be an increased risk of infection in the diabetic male. My job is that when I have a man who has diabetes who’s, looking at penile implant, surgery, I’ve got to do everything that I can do and encourage the patient to do everything that he can do to lower the potential for infection and to raise the potential for a successful satisfying outcome. Hemoglobin a1c is a blood test that we use to check sugar control. The level of hemoglobin a1c will tell us what the sugar control has been like over the past three months. A lower a1c level is better than a higher a1c level and, in my practice, I want the a1c level to be 7.5 or less. Now. If we check a patient’s a1c and it’s greater than 7.5, we don’t schedule their surgery. We send them to their diabetic doctor and we say what are the things that we can do with this patient to get that a1c level better. When that level is 7, point 5 or less we’ll go ahead and schedule the penile implant surgery. We have all of our patients, especially men with diabetes, wash themselves with the surgical, scrubs solution, the penis and the scrot and the lower abdomen in the week prior to implant surgery. What we’re trying to do is kill off skin bacteria that could potentially cause an implant infection at the time of surgery. We give all of our penile implant patients, IV antibiotics and in the diabetic men we give them an additional IV medication, specifically designed to prevent yeast or fungal infections. All of our men who have penile implants will be placed on antibiotic tablets after surgery, but in the men who are diabetic. We keep them on the tablets a little bit longer now, in the majority of my patients, I use an in for public incision. That’s a very small incision at the base of the penis, and the benefit of this incision is that it tends to cause less swelling, less pain, less bleeding and men with an in for public incision are able to get back to normal activities. Much sooner in my practice, men who have had an in for you big incision after their penile implant surgery, come back at about 3 weeks. Then we teach the patients how to inflate and deflate the implant, and they can begin to use it for sexual activity guys diabetics. You’ve got to do your part to get ready for penile implant surgery, just like I’ve got to do my part. Antibiotic impregnation, on the surface of penile, implants has been probably the greatest innovation to decrease the potential infection for all patients, especially diabetics, and this image you’re seeing you’ll notice the golden color of the implant cylinders. That’s because of the antibiotic coating. We always always always use a penile implant with antibiotic coating. Lastly, we consistently strive for efficiency and excellence in the operating room if you’re having a first-time penile implant or even the removal and replacement of a device. That’s worn out over time. You can expect a surgery, time of 30 minutes or less, but our goal is to be very efficient in the operating room and to have the shortest operative time possible, not by rushing the case but by being efficient and doing the right thing and if you’ve paid attention and you’ve watched prior episodes of the erection connection, then that my operative team is consistent. In other words, when you come into my operating feeders, it’s going to be the same scrub nurse. It’s going to be the same, circulating nurse. It’s going to be the same assistant working across the table for me during these surgeries. I really believe that this consistency in the operative team works to lower infection rates. Diabetes is a serious disease that can and does cause erectile dysfunction, but the success rates of treating Edie and diabetic men are the highest they’ve ever been, and infection rates after penile implant surgery in diabetic, men are the lowest they’ve ever been visit. My website www.marykay.co.uk/awilliam visit.

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