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Perspectives

Diabetes and erectile dysfunction

Jeff Ahn, Thomas Cromer

Figures

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© BOWDENIMAGES/ ISTOCKPHOTO.COM MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY

Abstract

Erectile dysfunction is a common condition affecting men with diabetes. Thorough medical assessment is necessary to exclude secondary causes and classic risk factors should be managed concurrently. 

Key Points

  • Erectile dysfunction affects more than 50% of men with diabetes.
  • Poor glycaemic control and longer duration of diabetes confer greater risk and severity of erectile dysfunction.
  • Phosphodiesterase type 5 inhibitors are the first-line pharmacotherapies.
  • Treatment failure may be higher in men with diabetes, depending on extent of microvascular and macrovascular complications.

Figures

© BOWDENIMAGES/ ISTOCKPHOTO.COM MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY
© BOWDENIMAGES/ ISTOCKPHOTO.COM MODELS USED FOR ILLUSTRATIVE PURPOSES ONLY