ISSN:1357-8170    

DOI:10.1002/pdi.1960080502

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080503

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

摘要:

AbstractAn audit of diabetic inpatients in a district general hospital over a period of one month revealed that 6% of all admissions were diabetic; half of these were due to diabetes or diabetic‐related complications. Average length of stay was 11.1 days as compared to 6.95 days for all patients.Increased length of stay was mainly attributable to diabetic foot disease, with an average length of stay of 17.8 days.Management of non‐medical diabetic admissions was an important part of the diabetic team's workl

ISSN:1357-8170    

DOI:10.1002/pdi.1960080504

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

摘要:

AbstractTo clarify the cause of their impotence, 20 diabetic patients underwent detailed assessments of: diabetic autonomic neuropathy (acetylcholine sweatspot test, pupil test‐PD%, five cardiovascular tests); vascular disease (radioisotope phallogram, response to intracorporeal papaverine); nocturnal penile rigidity; psychiatric disturbance (General Health Questionnaire).Results suggested cause as: vascular 7/20 (35%), vascular and autonomic neuropathy 7/20 (35%), autonomic neuropathy 3/20 (15%), psychiatric disturbance 2/20 (10%), beta‐blockers 1/20 (5%). The sweatspot test appeared to be the most sensitive assessment of autonomic neuropathy. Investigations suggested an alternative aetiology in all cases with a normal sweatspot test. In one patient with autonomic neuropathy, high deep‐artery velocity on Doppler but loss of papaverine‐induced erection, dynamic cavernosography revealed venous leakage; impotence was improved by surgical venous ligation.The results suggest that most impotence in diabetics has an organic basis. The sweatspot test (ideally in conjunction with cardiovascular tests and pupil test) and response to intracorporeal papaverine may identify and categorise most of these patients. Those with normal tests are unlikely to have organic disease and could be referred for psychosexual/psychiatric counselling. Doppler studies may identify those who need investigating for venous leakage.The others could then, in the first instance, be offered one of the recently described non‐invasive devices for overcoming diabetic impotence. Self‐administered intracorporeal papaverine may also be considered, but only a minority of diabetic patients seem

ISSN:1357-8170    

DOI:10.1002/pdi.1960080505

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080506

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080507

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080508

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080509

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080510

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960080511

出版商:John Wiley&Sons, Ltd.    

年代:1991

数据来源: WILEY