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Impotence in diabetic men.

F E Kaiser1, S G Korenman

  • 1Department of Medicine, Sepulveda Veterans Administration Medical Center, California 91343.

The American Journal of Medicine
|November 28, 1988
PubMed
Summary
This summary is machine-generated.

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Diabetic men experience high rates of erectile dysfunction due to vascular complications. All diabetic men should be evaluated for impotence, as effective treatments are available.

Area of Science:

  • Endocrinology
  • Urology
  • Vascular Medicine

Background:

  • Erectile dysfunction (ED) affects 50-75% of diabetic patients, increasing with age.
  • Pathogenesis involves vascular, endocrine, and neurologic factors, but comprehensive analyses are scarce.
  • Diabetic ED shares similarities with non-diabetic ED, particularly atherosclerotic vascular changes.

Purpose of the Study:

  • To review pathogenetic mechanisms of impotence in diabetic subjects.
  • To analyze clinical and hormonal alterations in diabetic versus non-diabetic impotent men.
  • To determine the role of vascular complications in diabetic impotence.

Main Methods:

  • Review of studies on impotence in diabetic subjects.
  • Analysis of 301 veterans presenting to a sexual dysfunction clinic.

Related Experiment Videos

  • Comparison of diabetic patients based on management (insulin, oral agents, diet).

    • Main Results:

    • Diabetic impotence prevalence increases with age.
    • Diabetic and non-diabetic impotent men show similar clinical and hormonal alterations.
    • Atherosclerosis is a significant predisposing factor for impotence.
    • Differences in associated medical conditions exist based on diabetes management.

    Conclusions:

    • High prevalence of impotence in diabetics is linked to vascular complications.
    • Therapeutic approaches for impotence warrant evaluation in all diabetic men.
    • Mandatory evaluation for impotence in diabetic men is recommended due to available treatments.