[Management of sexual disorders in the diabetic patient. Considerations on diagnosis and therapy based on current...

The sexual disorders in the diabetic males are quite frequent, particularly the erectil failures, which involve about 50% of these subjects. After a brief epidemiological note, the Authors review the recent advances about the pathogenesis of such a disturbance in the International Literature: values and limitations of up-to-date diagnostic examinations as well as therapeutic options are critically considered. From the diagnostic point of view the progress of the techniques involved both in the study of penile microcirculation and in the neurophysiopathology of the pelvic autonomic nervous system must be emphasized. Furthermore the great efficacy (up to 90% of satisfactory results) of vasoactive intracorporeal injections has to be stressed.