Structure of sexual disorders in persons with type 2 diabetes mellitus
Romaniuk, MG1; Gurzhenko, YN1; Spiridonenko, VV1
1: Institute of Urology, Ukraine
Introduction: Diabetes mellitus is a complex disease, which is accompanied by the various complications. One of the most common complications is the violation of the sexual function of men, in the form of erectile dysfunction. Often the erectile dysfunction arisen for the first time may be a clinical debut of diabetes mellitus. Its prevalence in the world, the complexity of correction, the absence of trends towards a reduction in the epidemiology of diabetes mellitus, make the world problem in medicine.
Materials and Methods: Over 8 years, 1,090 patients with type 2 diabetes mellitus were examined and applied to the clinic complaining of a violation of their sexual status. The average age of men was 47.6±4.1 years.
Results of the Survey: At the initial examination, the bilateral atrophy of the testicles was found in 39 (3.5%), the presence of leftside varicocele in 124 (11.3%), the presence of inguinal hernia - 19 (1.7%), the presence of balanoposthitis - in 486 (44, 6%), the presence of secondary phimosis 397 (36.4%) patients. After the complete diagnostic examination, it was found the primary hypogonadism - in 21 (1.9%), secondary hypogonadism – in 62 (5.6%), chronic prostatitis – in 417 (38.2%), benign prostatic hyperplasia – in 89 (8,1%), erectile dysfunction – in 504 (46.2%), premature ejaculation – in 84 (26.0%) patients. The structure of erectile dysfunction in men with diabetes mellitus (n = 504) was as follows: vascular form - 384 (35.2%), endocrine form - 78 (7.1%), psychogenic - 42 (3.8%). The dominance of the vascular form consisted in the features of the formation of microangiopathy of cavernous bodies. Arterial insufficiency in such patients (n = 201) slightly dominated over venous insufficiency (n = 183).The structure of premature ejaculation was dominated by its secondary form (n = 211 out of 284; 74.3%), as a result of the effect of diabetes on ejaculatory disorders.
Conclusions: Thus, a significant level of sexual disorders in patients with type 2 diabetes is an important medical problem requiring the analysis of epidemiological indicators for the purpose of effective prevention and treatment. The treatment in these cases requires mandatory correction of glycemic profiles in patients with complete sexological examination and evaluation of all components of sexual status. Dynamic monitoring of the condition of such patients is also a necessary condition for effective prevention and treatment.
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