Brunner G A, Pieber T R, Schattenberg S, Ressi G, Wieselmann G, Altziebler S, Krejs G J
Medizinischen Universitätsklinik, Graz.
Wien Med Wochenschr. 1995;145(21):584-6.
To improve diabetes care according to the St. Vincent Declaration an interdisciplinary working group on erectile dysfunction in patients with diabetes was installed in the Departments of Internal Medicine, Urology and Psychiatry at the University of Graz. The screening and basic diagnostic procedures are performed in the diabetes clinic in the Department for Internal Medicine. To inform the patients about the options of treatment of diabetic erectile dysfunction and to determine prevalence data an anonymous questionnaire with a pre-stamped envelope was sent to 133 male patients with diabetes mellitus type I (IDDM). 59 (44%) of the questionnaires were returned and could be analyzed. Mean age and diabetes duration were representative for the male diabetes population. The prevalence of erectile dysfunction in this group was 49%. 7% of the patients were completely impotent. None of the patients reported the use of erection aids as a vacuum device or intracavernosal injection of smooth muscle-relaxant drugs. The prevalence of erectile dysfunction is high among patients with diabetes mellitus type I. Modern management offers satisfactory success in most cases, therefore screening for erectile dysfunction and adequate therapy should be offered to all patients.
为了根据《圣文森特宣言》改善糖尿病护理，格拉茨大学内科、泌尿科和精神科设立了一个糖尿病患者勃起功能障碍跨学科工作组。筛查和基本诊断程序在内科的糖尿病门诊进行。为了让患者了解糖尿病性勃起功能障碍的治疗选择并确定患病率数据，向133名I型糖尿病男性患者（IDDM）发送了一份附有预印邮票信封的匿名问卷。59份（44%）问卷被收回并可进行分析。平均年龄和糖尿病病程代表了男性糖尿病群体。该组勃起功能障碍的患病率为49%。7%的患者完全阳痿。没有患者报告使用勃起辅助器具如真空装置或海绵体内注射平滑肌松弛药物。I型糖尿病患者中勃起功能障碍的患病率很高。现代治疗在大多数情况下能取得令人满意的效果，因此应向所有患者提供勃起功能障碍筛查和适当治疗。
