糖尿病男性的勃起功能障碍

Erectile dysfunction in men with diabetes mellitus.

作者信息

Maatman T J, Montague D K, Martin L M

出版信息

Urology. 1987 Jun;29(6):589-92. doi: 10.1016/0090-4295(87)90097-5.

Abstract

During a fourteen-month period, 497 men were evaluated for a primary complaint of erectile dysfunction. The initial evaluation consisted of a history taken in a conventional manner and supplemented by a patient-completed sexual function questionnaire, a physical examination, and serum testosterone, serum prolactin, and nocturnal penile tumescence studies. When appropriate, additional evaluations, including penile vascular studies, two-hour oral glucose tolerance tests, and psychiatric consultation were obtained. Abnormal glucose metabolism was present in 161 men (32%). Five men (1%) had insulin-dependent diabetes mellitus (IDDM), 80 men (16%) had noninsulin-dependent diabetes mellitus (NIDDM), 55 men (11.1%) had newly diagnosed noninsulin-dependent diabetes mellitus, and 21 men (4.2%) had impaired glucose tolerance tests. One hundred forty-seven of these men (91.3%) had organic pattern impotence, and 14 (8.7%) had psychogenic pattern impotence.

摘要

在为期14个月的时间里，对497名以勃起功能障碍为主诉的男性进行了评估。初始评估包括以传统方式采集病史，并辅以患者填写的性功能问卷、体格检查以及血清睾酮、血清催乳素和夜间阴茎肿胀研究。在适当的时候，还进行了其他评估，包括阴茎血管研究、两小时口服葡萄糖耐量试验和精神科会诊。161名男性（32%）存在糖代谢异常。5名男性（1%）患有胰岛素依赖型糖尿病（IDDM），80名男性（16%）患有非胰岛素依赖型糖尿病（NIDDM），55名男性（11.1%）为新诊断的非胰岛素依赖型糖尿病，21名男性（4.2%）葡萄糖耐量试验受损。这些男性中有147名（91.3%）患有器质性阳痿，14名（8.7%）患有心因性阳痿。