Many factors lead to erectile dysfunction in the diabetic patient. Neuropathy and microangiopathy are involved in loss of potency in this group of patients. Diabetic patients with erectile dysfunction who have failed clinical treatment are candidates to intracavernosal injections or penile prosthesis. In these cases the risk of infection related to poor immunity cause concerns related to prosthesis loss and treatment security. We analyzed prospectively the evolution of five diabetic patients with erectile dysfunction treated by inflatable penile prosthesis implant (AMS 700 CX). All cases received prophylactic antibiotics and had the same surgical approach. We had no complications in the post-op period and no infections were seen. All patients have satisfactory regular sexual activity. The study shows that treating erectile dysfunction in the diabetic patient by inflatable penile prosthesis implant is a safe procedure.
Erectile dysfunction; Diabetes Mellitus; Treatment; Inflatable penile prosthesis