Diabetic neuropathy
ICD-10 E11.4; E10.4; G63.2 · ICD-11 8C03.0

Erectile Dysfunction Associated with Diabetic Autonomic Neuropathy in Men

Clinical Scenario

This protocol addresses male patients with diabetic neuropathy who develop erectile dysfunction as a direct consequence of diabetic autonomic nerve involvement — a recognised complication that requires targeted clinical management.

Condition

In men, diabetic autonomic neuropathy may cause erectile dysfunction (ED) and/or retrograde ejaculation. The autonomic nerve damage underlying this presentation distinguishes it from other causes of ED and shapes the available management options.

Management Approach (Partial)

The protocol outlines a range of procedural and device-based options for managing ED in this setting, including approaches that involve local or mechanical interventions. The full selection algorithm and complete regimen are available in the structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.2337/dc16-2042

In men, diabetic autonomic neuropathy may cause erectile dysfunction (ED) and/or retrograde ejaculation.

Pharmacological treatment includes phosphodiesterase type 5 inhibitors as first-line therapy and transurethral prostaglandins, intracavernosal injections, vacuum devices, and penile prosthesis in more advanced cases.

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