Diabetes is an endocrine disease where the body does not produce enough insulin, or cannot properly apply it, to regulate the blood glucose level. The lack of glucose dissolution causes arterial damage and neural changes.
In this blog you will find out how Diabetes influences sexual impotence and the urological treatments availableexist to solve this problem.
What are the consequences of Hyperglycemia?
As the body does not produce enough insulin to dilute the glucose as it should, sugar builds up in the blood. This accumulation is called Hyperglycemia and causes serious consequences in the body, namely:
Nerve damage (neuropathy);
Damage to the blood vessels of the retina (retinopathy), which can result in blindness;
Bone and joint problems;
Skin problems, such as fungal and non-healing wounds;
Circulatory problems in the feet, which can result in amputation;
Gum infection and teeth problems;
Candidiasis, because the fungus feeds on glucose stored in the cells of the genitals of diabetic patients.
What is the relationship between diabetes and sexual impotence?
A satisfactory erection for sexual intercourse depends on three factors: good hormonal functioning, transmission of the nerve impulse as far as the penile artery and arterial dilation.
Diabetes directly interferes with the neural mechanism, preventing the nervous impulse and penile sensitivity, and with the vascular mechanism, preventing penile dilation and pressurization. That is, the penis does not have sufficient erection and caliber for penetration without injury.
What are the medical treatments for sexual impotence caused by diabetes?
There are measures that can be taken to control diabetes and thus prevent or contain sexual impotence, namely:
Blood glucose control
Blood pressure control
Practice physical exercises
What are the clinical treatments for Sexual Impotence of a diabetic person?
Oral medications are indicated when erection problems are not severe enough to go for more radical methods.
Penile injections are indicated when oral medications no longer have the expected effect. The patient needs to be guided by his urologist on how to use it without causing major problems to the penis. Improper use of penile injections can result in fibrosis due to incorrect application of the drug.
Surgical treatments for sexual impotence in a diabetic person
There are also surgical treatments that solve sexual impotence. When the patient with diabetes cannot solve the problem of dysfunction with the use of drugs and injections, he can opt for penile reconstruction and the prosthesis that, if applied together, can recover not only the rigidity of the penis, but also its caliber and size.
Diabetes causes penile deformities such as: decrease in size, thinning, penile curvature and erectile dysfunction. These problems make it difficult or impossible for the penis to function properly and, therefore, for the patient to have an erection and penetration with sufficient quality for sexual intercourse.
Diabetes can shrink, thin or bend the penis! Does this have a solution?
If the penile prosthesis is implanted without the penis being reconstructed, the patient may have some complications not only functional but also aesthetic, such as lack of rigidity, decrease in size, thinning and penile curvature.
Penile Reconstruction with the Egydio Technique, is applied in order to achieve maximum lengthening and maximum thickness of the penis. If combined with the penile prosthesis, the patient will not only have enough rigidity for the sexual act, but also a greater caliber and size of his penis.
What care is needed for penile prosthesis implantation in a diabetic person?
Patients with diabetes have healing difficulties and are more likely to have infections. The Egydio Technique uses the No-Touch method, developed to avoid contact between the surgeon's hands and the skin of the patient's penis and scrotum. This method drastically reduces the chances of infections and post-surgical complications.
In addition to using theNo-Touch method, there are other precautions that must be taken so that the patient does not have problems both during penile reconstruction surgery and in recovery. Care like:
Use of specific implants with added antibiotics;
If the vascularization inside the penis is low, vasodilators can be used together with the prosthesis to facilitate the arrival of antibiotics inside the penis;
If the skin is infected, the infection is treated before the procedure.
Below you will find a video where I talk about sexual impotence caused by diabetes and explain the procedures used to solve the problem.
Now that you already know the possible treatments for erectile dysfunction in diabetic patients, how about evaluating your condition and starting a conversation that will bring your sex life back?
For that, I need to know a little better. Click the button below and fill out the erectile dysfunction form.
To learn more about the work developed at the clinic by Dr. Paulo, check out:
MD, PhD, Dedicado no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482, RQE 19514. - Vencedor do Debate do Sobrevivente da AUA em 2019.