Autonomic nerve involvement and venous leakage in diabetic men with impotence.

Abstract:

OBJECTIVE:To determine the neurophysiological and vascular factors in diabetic impotence, particularly the role of autonomic neuropathy on venous leakage and erectile impotence. PATIENTS AND METHODS:Thirty-four diabetic men with impotence were investigated using various neurophysiological and radiological methods. The results were compared with those from patients with idiopathic penile venous leakage for autonomic neuropathy, especially for spontaneous cavernosal activity (SCA). RESULTS:Of the neurophysiological tests, the SCA was most frequently abnormal, with the loss of normal periodic oscillations. Penile venous leakage, either alone or with arterial insufficiency, was the most frequent vascular problem (67%) in patients with diabetic impotence, in whom the SCA was absent in most (83%). Conversely, the SCA was normal in all impotent patients with idiopathic venous leakage. CONCLUSION:Venous leakage in diabetic patients is probably produced by autonomic dysfunction of the penile vascular innervation or degeneration of penile smooth muscles, because the SCA was absent more often in these patients.

journal_name

BJU Int

journal_title

BJU international

authors

Colakoglu Z,Kutluay E,Ertekin C,Altay B,Killi R,Alkis A

doi

10.1046/j.1464-410x.1999.00916.x

keywords:

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

453-6

issue

4

eissn

1464-4096

issn

1464-410X

journal_volume

83

pub_type

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