In male patients, autonomic neuropathy is associated with erectile dysfunction — a complication that warrants a dedicated, structured management approach.
This protocol applies to men with autonomic neuropathy who present with difficulty achieving or maintaining an erection. Autonomic nerve involvement can disrupt erectile function, making it a direct complication to evaluate and treat in this population.
Management addresses relevant hormonal factors where present, together with targeted interventions for erectile dysfunction — multiple treatment modalities may be considered depending on the clinical picture. The full sequenced regimen, including all applicable options, is available in the structured protocol below.
In men, diabetic autonomic neuropathy may cause erectile dysfunction and/or retrograde ejaculation.
In addition to treatment of hypogonadism if present, treatments for erectile dysfunction may include phosphodiesterase type 5 inhibitors, intracorporeal or intraurethral prostaglandins, vacuum devices, or penile prostheses.
DOI: 10.2337/dc26-S012
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