Journal
DIABETES CARE
Volume 26, Issue 4, Pages 1093-1099Publisher
AMER DIABETES ASSOC
DOI: 10.2337/diacare.26.4.1093
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Objective-Little is known regarding how diabetic men with erectile dysfunction (ED) differ from the general population of impotent men. The primary objective of this study was to compare disease-specific health-related quality of life (HRQOL) and severity of ED in impotent men with and without diabetes. Research Design and Methods-Validated functional and HRQOL questionnaires (including the International Index of Erectile Function, the Sexual Self-Efficacy Scale, and the Psychological Impact of Erectile Dysfunction scales) were administered to patients in an ED disease registry. Men with ED and a history of diabetes (n=20) were compared with men with ED and no history of diabetes (n=90) at baseline and at the 12-month follow-up. Results-Diabetic impotent men reported worse erectile function and intercourse satisfaction at baseline, and ED had a greater impact on their emotional life-Diabetic men with ED had significantly different trends over time in the Erectile Function (P<0.001.), Intercourse Satisfaction (P<0.013), Sexual Desire (P<0.016), Overall Satisfaction (P<0.023), and the. Sexual Experience-Psychological Impact domains (P<0.002). In addition, there was a trend toward a difference over time in the Emotional Life-Psychological impact domain (P<0.0067). Conclusions-impotent men with diabetes present with worse ED than nondiabetic men with ED, resulting in worse disease-specific HRQOL in the diabetic men. Although diabetic patients initially respond well to ED treatment, responses do not appear to be durable over time. Therefore, clinicians must provide longer-term follow-up when treating ED in diabetic patients.
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