title: Diabetes-related impotence and its treatment in the middle-aged and elderly: Part II.
abstract: Primary care treatment of diabetes-related impotence frequently revolves principally around patient referral and counseling. Sex or marital counseling or psychotherapy has a moderately high success rate for patients with psychogenic impotence. However, penile prosthesis implantation in properly selected patients with irreversible diabetic impotence has a final success rate, in terms of patient and partner satisfaction, of approximately 90%. Intracorporal self-administered papaverine alone or in combination with phentolamine has a limited role in producing erections satisfactory for intercourse.
mesh_terms: D000368:Aged; D003376:Counseling; D048909:Diabetes Complications; D004864:Equipment and Supplies; D007172:Erectile Dysfunction / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007267:Injections; D008297:Male; D008388:Marital Therapy; D008875:Middle Aged; D010208:Papaverine / Q000008:administration & dosage / Q000627:therapeutic use; D010413:Penis / Q000601:surgery; D019736:Prostheses and Implants; D011613:Psychotherapy; D015016:Yohimbine / Q000627:therapeutic use
chemical_list: D015016:Yohimbine; D010208:Papaverine