The British Journal of Psychiatry 140: 447-452 (1982)
© 1982 The Royal College of Psychiatrists
The clinical features of diabetic impotence: a preliminary study
CG Fairburn, FC Wu, DK McCulloch, DQ Borsey, DJ Ewing, BF Clarke and JH Bancroft
Twenty-seven diabetic men with erectile impotence were given physical and
psychosexual assessments. Physical assessment included vascular and
neurological evaluation. Psychosexual assessment was by means of a semi-
structured interview. Seven potent diabetic men formed a control group.
Patients with erectile failure had a varied clinical picture which differed
from the stereotype of diabetic impotence: morning erections were preserved
in over a half (55 per cent), eight patients (30 per cent) had intact
spontaneous erections, and sexual interest was reduced in 12 patients (44
per cent). In 13 patients (48 per cent) ejaculation was disturbed and a
further four patients (15 per cent) described unusual disorders of sexual
function. Within the group there were no differences in clinical picture
between those with and without autonomic neuropathy, retinopathy or
potential psychogenic factors.