impotence in diabetics

Etiology

• vascular disease
• neuropathy
• medications
  • antihypertensive agents
    • beta-blockers
    • diuretic agents
    • centrally-acting agents (clonidine)
  • tricyclic antidepressants
• hypogonadism
• psychogenic

Epidemiology

• impotence is 3 times more common in diabetic men
• psychogenic impotence occurs in 10% of diabetic men

Management

• sildenafil (Viagra) - diabetics are less likely to respond
• injection of prostaglandin E2 (alprostadil)
• commercially available mechanical devices
  • vacuum to produce an erection
  • rubber band to constrict venous return at the base of the penis
• penile prosthesis - highest rate of complications

More general terms

• impotence
• diabetes mellitus complication

Additional terms

• diabetes mellitus