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Author: Admin | 2025-04-28
Cells in diabetics occur in approximately 50% of men with diabetes. Elevated blood sugar levels cause injury to the blood vessel lining (endothelial) cells. This has an adverse effect on repair mechanisms, enhancing the progressive damage to the lining cells and ultimately lead to arterial blockage (atherosclerosis). Insulin is thought to enhance endothelial cell function.Most patients with ED can benefit from treatment today. Treatment options include sexual counseling, drug treatment and mechanical or surgical interventions. However, diabetic men with erectile dysfunction tend to be less responsive to treatment, perhaps because the cause of diabetes-associated erectile dysfunction is likely to be multi-factorial.Although sex therapy is a wonderful tool for couples, men with diabetes mellitus normally have vascular damage and therefore require medical intervention. Drug treatment comes in different forms. The easiest treatment is by oral phosphodiesterase type 5 (PDE-5) inhibitor. Currently the only PDE-5 inhibitor available in the US is Viagra, which tends to be less effective in the diabetic than in the non-diabetic ED patient. In the future Vardenafil, which has shown very good efficacy and tolerability in the population with diabetes mellitus, and Tadalafil will be available by prescription.For those patients who do not respond to oral therapy, drugs can be injected directly into the penis. This is a different type of drug which is used which works in a different way. If you take Viagra you still need sexual stimulation. Intracavernosal injection therapy requires no sexual stimulation. We are able to work with you through a series of appointments to find the best mixture to give you an injection and teach you (or your partner) how to inject yourself in order to have sexual relations when you so desire.If intracavernosal injection therapy does not work for you our patients have success with insertion of a penile prosthesis. Unlike early prostheses that left you with a permanent erection, modern prostheses allow your penis to look flaccid (soft), and then have an erection on demand by activating the internal pump.If you have a penis, we can help you achieve an erection. There is no reason to suffer, or assume that because you have diabetes mellitus you can no longer have a satisfying sex life.
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