Diabetes is one of the most vital risk factors for erectile dysfunction. Most people with diabetes battle with ED. Also, a significant population of patients with early-stage erectile dysfunction has undiagnosed diabetes (1).

Does Diabetes Cause ED?

Diabetes disrupts nearly every part of the erection process. It causes blood vessel and nerve damage, which are crucial organs in the process of erection. Most times, diabetes leads to reduced levels of testosterone (2). It destroys the corpora cavernosa, which are the two lengthy penile cylinders that cause erections. 

Diabetes is one of the causes that trigger depression and consequently disrupts sexual performance. Lastly, diabetes raises the risk of Peyronie’s condition, which is a critical cause of erectile dysfunction.

Treating Diabetic Erectile Dysfunction

The penile prosthesis has proven to be the most effective treatment for diabetic erectile dysfunction. People with diabetes tend to battle with the most severe type of ED non-responsive to non-surgical, traditional therapies. Approximately a third of the patients that go through penile prosthesis surgery have diabetes (3). You need to first seek medical erectile dysfunction therapy before considering a penile implant. It includes testosterone supplementation, penile injection therapy, and Viagra. If such medical therapies fail to work, you become a viable candidate for a penile implant procedure.

Do Penile Prosthesis Cause Infection?

In the past, penile implant diabetes cases were seen as a complex issue. However, things have changed, and the risk of infection in penile implants placed in people with diabetes is considerably low (4). Such strides are possible thanks to the design enhancements of the penile implant and surgical techniques advancement. 

An antibiotic coating was introduced in the three-piece penile prosthesis to prevent infection. The No-Touch technique has also come in handy as the device never touches the skin of the patient before insertion.

The Risk of Prosthesis Infection in Diabetics 

The risk of penile device infection is moderately higher in people with diabetes than non-diabetics. There are multiple reasons why diabetic patients are at a greater risk of infection. For instance, the wounds of diabetics tend to heal much slower. They also have a weak immune system that puts them in a vulnerable position.

Reducing Risk of Implant Infection Among Diabetics

If your diabetes is managed properly, your risk of having a penile implant infection is reduced. HbA1c test is used to measure the management of your diabetes closely. You have a higher risk of getting a penile prosthesis infection with high HbA1c levels (5). As such, if you have diabetes, the levels of your glucose must be well-controlled. Exercise and diet will reduce cardiovascular risk factors linked to diabetes. It will also lower the risk of all anesthesia and surgery complications.

Can the Penile Device Cure Diabetes?

The penile prosthesis does not cure diabetes. Nonetheless, living an active sex life after your implant procedure can help your diabetes, given that sex is considered a type of rigorous workout. It is good to prioritize any techniques that offer a substantial reduction to the complications associated with diabetes.

Penile Implant Diabetes Link

If you are diabetic with ED, you can resume a healthy sex life through a penile implant procedure. With well-controlled glucose levels, people with diabetes can now enjoy a sexually active life.

Links to Sources Used: 

  1. Symptoms & Causes of Erectile Dysfunction https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes
  2. Men and DIabetes https://www.cdc.gov/diabetes/library/features/diabetes-and-men.html
  3. Erectile Dysfunction (ED) https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction
  4. Diabetes and ED https://healthcare.utah.edu/healthfeed/postings/2020/02/diabetes-ed.php
  5. The impact of poor glycaemic control on the prevalence of erectile dysfunction in men with type 2 diabetes mellitus: a systematic review https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776250/