1330 THE USEFULNESS OF VIBRATION PERCEPTION THRESHOLD MEASUREMENT TO PREDICT ERECTILE DYSFUNCTION IN PATIENTS WITH DIABETES MELLITUS

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation1 Apr 20111330 THE USEFULNESS OF VIBRATION PERCEPTION THRESHOLD MEASUREMENT TO PREDICT ERECTILE DYSFUNCTION IN PATIENTS WITH DIABETES MELLITUS Toshiyasu Amano, Tetsuya Imao, Masaya Seki, Katsurou Takemae, Yasuharu Ohta, Sumi Sakai, and Hisae Ohta Toshiyasu AmanoToshiyasu Amano Nagano, Japan More articles by this author , Tetsuya ImaoTetsuya Imao Nagano, Japan More articles by this author , Masaya SekiMasaya Seki Nagano, Japan More articles by this author , Katsurou TakemaeKatsurou Takemae Nagano, Japan More articles by this author , Yasuharu OhtaYasuharu Ohta Nagano, Japan More articles by this author , Sumi SakaiSumi Sakai Nagano, Japan More articles by this author , and Hisae OhtaHisae Ohta Nagano, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1150AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Diabetes mellitus (DM) is one of the major risk factors in erectile dysfunction (ED). The aim of this study is to clarify the relationship of ED and DM parameters, including peripheral neuropathy. Furthermore, the most effective procedures to identify ED in DM patients are investigated. METHODS (1) The DM parameters including age, serum levels of blood sugar (BS), hemoglobin A1c (HbA1c), duration of DM and number of DM complications were obtained from 145 patients at a general DM clinic. (2) The peripheral neuropathy examinations by vibration perception threshold (VPT) and Achilles tendon reflex were also performed in 97 DM patients. Erectile functions in DM patients were evaluated by the international index of erectile function (IIEF 5). The DM patients f parameters were compared with IIEF 5 scores. RESULTS (1) The data obtained from the 145 DM patients showed IIEF 5 scores were significantly correlated with patients f age, duration of DM and number of DM complications (p<0.0001, p=0.0067 and p<0.0002; Simple regression), respectively. However, IIEF 5 scores in DM patients were not correlated either serum BS (p=0.0562) or HbA1c (p=0.5979) levels. (2) IIEF 5 scores were significantly correlated with VPT time (p=0.0008). However no significant relationship was obtained between IIEF 5 scores and Achilles tendon reflex (p=0.1258). Furthermore, multiple regression analysis revealed that patients f age and VPT time (p=0.0070 and 0.0443, respectively) were independent risk factors for predicting ED in DM patients. CONCLUSIONS It is rather well known that the severity of ED in DM patients depended on patients f age, duration of DM and number of DM complications. The major new finding of this study is that VPT had also related to the severity of ED. Significantly, age of DM patients and the measurement of VPT are considered to be simple and useful indicators to diagnose ED in DM patients. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e532 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Toshiyasu Amano Nagano, Japan More articles by this author Tetsuya Imao Nagano, Japan More articles by this author Masaya Seki Nagano, Japan More articles by this author Katsurou Takemae Nagano, Japan More articles by this author Yasuharu Ohta Nagano, Japan More articles by this author Sumi Sakai Nagano, Japan More articles by this author Hisae Ohta Nagano, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...