Abstract
EpidemiologyErectile dysfunction is common among diabetic men, and is related to the duration of diabetes, age and vascular and neurological complications. EtiopathogenesisThe production of erectile dysfunction arises from combined effects of endothelial dysfunction, arterial damage and autonomic neuropathy. Diagnostic assessmentIt is based on the profile of the symptoms, the definition of the psychosocial context of the patient, the identification of risk factors and the knowledge of individual needs. The objective measurement of erectile response after intracavernous injection of vasodilators plus Doppler ultrasound are useful diagnostic tests to check the mechanisms involved. TreatmentThe first line of treatment are the specific inhibitors of phosphodiesterase type 5. Erections can be induced by vasodilator drugs administered intracavernous or intraurethral. Vacuum constriction devices do not require either drugs or injections. Surgical penile prostheses may be implanted into the carvernous corpora when other treatments are not effective.
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