Erectile sexual dysfunction and diabetes mellitus
Erectile sexual dysfunction (ED) is defined as the inability to have a man to achieve and / or maintain an erection adequate enough to achieve satisfactory sexual activity. The frequency of DSE is significantly higher in the diabetic population when compared with the general population. The aim of this paper is to review of the literature ED and diabetes mellitus (DM), and it includes the following: anatomy of the penis, clinical-physiological aspects and pathogenic mechanisms.
Different studies indicate that the prevalence of DSE in people with diabetes between 20 and 80%, although this varies depending on the age of the patients. In subjects aged 20 to 29 years, its prevalence is 9%, and increases up to 90% in those who reach age 70. The SD is classified according to their causes into three groups: 1) organic, 2) psychogenic and 3) mixed.
Among the most important pathogenic factors cited neurologists, vascular and muscle, among others. The relaxation of the smooth muscle of the corpora cavernosa and penile erection depends on a complex balance between intracellular events and extracellular signals that control the contraction and relaxation of the tone of smooth muscle cells of the corpora cavernosa. Hemodynamic and electrophysiological measurements allow an accurate assessment of sexual function. The therapeutic management requires close monitoring and maintenance of blood glucose. The DSE is a common complication in people with DM. Its etiology is usually due to multifactorial causes. It requires developing clinical-epidemiological representative population sample, to know precisely the magnitude of this problem. Early identification and appropriate treatment determined a significant improvement in quality of life of these people.
Keywords: sexual dysfunction, diabetes mellitus, diabetic neuropathy.
Erectile sexual dysfunction (ED) is a medical condition that is defined as the inability to achieve and / or maintain an erection sufficient for satisfactory sexual activity. The term DSE define more precisely the nature of the sexual dysfunction than impotencia1 Obviously there is no doubt that the ED, for its social impact is a major cause of decreased quality of life in men with diabetes mellitus.
Its frequency is significantly higher in the diabetic population when compared with the general population. The DSE is associated with increased age-4 ,2 poor metabolic control, 4 to a longer history of DM, 4.5 to smoking, 6 alcohol consumption, 7 depression, 8 to use some fármacos9 and microvascular complications of DM, 10 among others.
It is suggested that the prevalence of moderate to complete DSE is a 20-85% .10 The Massachusetts study on aging masculino11 ED communicates a frequency of 50% in the population 40-70 years of age. However, the emergence of DSE in diabetic men is earlier and its prevalence is also higher, so it can reach up to 75%. It has been reported that the DSE can be present in more than 50% of diabetics within 10 years following the diagnosis of DM, and may even be present at the debut clínico.12 Its frequency in patients between 23 and 29 years is 9%, and increases to 90% when it reaches 70 years.12 currently estimated to exist in the world between 100-150 million people affected by ED, and is expected to increase by 2025 of 322 million.13, 14 These approaches show that the ED is a health problem, which requires the development of programs for prevention and treatment.
The purpose of this paper is to review literature on this subject, and insist on the anatomy of the penis, general clinical aspects and pathogenesis.
Tags: diabetes mellitus, dysfunction, Erectile, sexual