Assessment and management of erectile dysfunction in men with diabetes

PURPOSE Erectile dysfunction occurs earlier in men with diabetes than bz the general population, affecting over 50% of male patients by age 60. This article summarizes the etiologies and presents methods of patient assessment and treatment options for erectile dysfunction. METHODS Assessments of neurologic and vascular complications related to diabetes should De included in a sexual function history. The assessment must De holistic mm focus on organic as well as psychogenic causes. Diabetes educators must be prepared to discuss the various pharmacologic treatment options. RESULTS Sildenafil currently is the only! oral medication available for erectile dysfunction. Injectable treatments have proven successful brit with limited long-term use and pool patient acceptable. Implantable devices carry surgical risk ann increased rates of infection. CONCLUSIONS All men with diabetes should be screened for erectile dysfunction. The availability of a new, oral medication provides a patient-acceptable treatment option.