Suggest treatment for erectile dysfunction
Needs to evaluate further .
Hello Thanks for your query,based on the facts that you have posted it appears that your husband who is known to be diabetic is facing problem of Erectile Dysfunction and anjaculation since five years .
I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Is he diabetic since childhood (Juvenile Diabetes)?
2) Is diabetes well controlled ?
Erectile Dysfunction in a diabetic person is mostly due to Diabetic Neuritis and Diabetic Vasculitis.
Since he has poor response with Sildenafil (Viagra) and Cialis .I would suggest to consult qualified Urologist for clinical assessment and get Color Doppler Scan of the Penis done to confirm the Vasculogenic cause for his ED which could be either Arterial Insufficiency or Venous leak .
Further treatment will depend upon the result of this test .
He will get good erection with taking Intra Cavernosal Injection of Caverjet.
Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
In relation to speaking to a urologist, he did no tests but suggested the injections. I am trying to determine whether or not nerve function can be restored (if it is the problem) or if there is another underlying problem or if any surgery can be done to replace the nerves I needed
Read detail answer below .
Thanks for follow up
Erection is a complex process that involves nervous system and vascular system .
The prime factor in erection process is filling up of blood in erectile tissue with large volume of blood (120 ml)by relaxation of the arterioles in erectile tissue.
There is no surgery that can correct the nerves that are involved in long standing Diabetes or any infective pathology .
Basically it is filling of the erectile tissue with blood is important aspect in achieving erection .
When one does not get erection with drugs like Viagra or Cialis we recommend to take Intra Cavernosal Injection (Caverjet )directly in to penis which helps to dilate arterioles to get filled with blood and there by achieve desired erection to have penetrative sex .
Thanks and Regards.
Vasculitis due to Diabetes is the cause for reduced blood flow to penis .
Thanks for follow up .
Vasculitis and Neuritis due to Diabetes prevents relaxation of arterioles and there by incomplete filling of blood in erectile tissue is the prime cause for Ed in a person with Diabetes .
Erection ,ejaculation and production of sperm are three separate processes .
One can have normal sperm count even with ED or ejaculation problem .
Get his semen analysis done to confirm the sperm count ,sperm motility and morphology of sperms .
Thanks and Regards,
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