Erectile dysfunction as a manifestation of urogenital autonomic neuropathy in patients with type 1 diabetes: epidemiology, classification, pathophysiology, diagnosis and treatment options

Abstract

Sexual dysfunction characterized by a significant decline in the quality of life of patients and leading to infertility and problems in social life is diagnosed in more than 40% of patients with diabetes mellitus (DM). Erectile dysfunction is the most common sexual disorder in DM patients. The article describes epidemiology, classification, pathophysiology, diagnostic and treatment of erectile dysfunction in T1DM patients.

Keywords

• urogenital diabetic polyneuropathy
• erectile dysfunction
• neurogenic erectile dysfunction
• vasculogenic erectile dysfunction
• mixed erectile dysfunction
• pde-5 inhibitors