Modern view on the epidemiology, structure and significance of erectile dysfunction in patients with diabetes mellitus
According to the different authors the frequency of ED is more than 40 % in diabetic men, and it increased with aging and duration of diabetes. The frequency of ED in diabetic men is higher compare with men without diabetes in 3 times. The different authors revealed connection between ED and diabetes compensation and its complications. There was negative effect of ED on psychological status. The main pathogenetic factor of ED in patients with diabetes mellitus type 1 and 2 was neuropathy and cavernosal arteries atherosclerosis (vasculogenic ED). We studied 276 and 335 men with diabetes mellitus type 1 and 2, respectively. The total frequency of ED among patients with diabetes type 1 and 2 is 38,7 % and 66,2 %, respectively. Neurogenic ED in diabetic men develops earlier than first clinical signs of distal neuropathy in 46,1 % of cases. Vasculogenic ED develops in diabetic men earlier than first clinical signs of pe-ripheral occlusive arterial disease, stenocardia and myocardial infarction in 53 %, 18 % and 25,7 % of cases, respectively. ED can be used as an early clinical marker of neurogenic and vasculogenic complications of diabetes.