Whitehead E D
Geriatrics. 1987 Aug;42(8):77-80, 85.
Primary care treatment of diabetes-related impotence frequently revolves principally around patient referral and counseling. Sex or marital counseling or psychotherapy has a moderately high success rate for patients with psychogenic impotence. However, penile prosthesis implantation in properly selected patients with irreversible diabetic impotence has a final success rate, in terms of patient and partner satisfaction, of approximately 90%. Intracorporal self-administered papaverine alone or in combination with phentolamine has a limited role in producing erections satisfactory for intercourse.
糖尿病相关性阳痿的初级保健治疗通常主要围绕患者转诊和咨询展开。性咨询或婚姻咨询或心理治疗对于心因性阳痿患者有中等偏高的成功率。然而，对于经过恰当选择的不可逆性糖尿病阳痿患者，阴茎假体植入术在患者及其伴侣满意度方面的最终成功率约为90%。单纯阴茎海绵体内自我注射罂粟碱或联合酚妥拉明在产生满意性交勃起方面作用有限。
