Abstract
Number of patiens suffering from type 2 diabetes mellitus dramatically increases. Its effects on sexuality are serious sexual dysfunction and infertility.
Erectile dysfunction is highly prevalent in type two diabetes mellitus, and is associated with the endothelial dysfunction and/or with the atherosclerosis and silent myocardial ischemia. Case report describes a diabetic man suffering from ED and endothelial dysfunction.
The treatment of erectile dysfunction with PDE5 inhibitors was unsuccessfully. The treatment with intracavernosal Alprostadil (prostaglandin E1) 20 μcg was successfull.
Diagnosis of the endothelial dysfunction and the higher index of Cardio-Ankle Vascular Stiffness Index (CAVI) is associated with the risk of the serious cardiovascular complications including coronary artery diseases and stroke in diabetic patient suffering from erectile dysfunction.