Differential diagnosis of impotence in diabetics: The validity of sexual symptomatology

Abstract

M.P.), New YorkSixty diabetic males complaining of impotence were administered a structured interview and completed nocturnal penile tumescence (NPT) monitoring to categorize their impotence as either organic, psychogenic, or undetermined. A summary score of seven sexual symptoms was found to be effective in differentiating organic from psychogenic impotence. By relying upon these seven sexual symptoms as a screening test, 38% of male impotent diabetics can be spared the expense of NFT monitoring, since the outcome of such monitoring can be predicted from the summary score of these seven symptoms. The correlation between the seven sexual symptoms and the subjects' NPT monitoring results was 0.78, accounting for 61 96 of the variance. Therefore the seven sexual symptoms can be useful in predicting NPT monitoring results before the monitoring is completed. The sensitivity, specificity, and efficiency of the seven sexual symptoms is discussed, as well as the cost efficiency of utilizing this screening device.

Nocturnal electrobioimpedance volumetric assessment in diabetic men with erectile dysfunction before and after tadalafil intake

“…The current findings agree with previous investigators who concluded that responses to diagnostic questions during patient's interview were as efficient as standard NPT evaluation in classifying patients into organic and psychogenic categories. 13,17,18 NPT evaluation represents one of the objective methods in the assessment of ED. NPT has been forwarded by Karacan et al 19 to distinguish between organic and psychogenic impotence.…”

“…Some of the early results of this work were presented at the Sixth Congress of the European Federation of Sexology, Limassol, Cyprus, June [16][17][18][19][20] 2002 and the Seventh Asian Congress of Sexology, Raffles City, Singapore, November [14][15][16][17] 2002.…”

Psychiatric Aspects of Diabetes Mellitus

“…It was, however, difficult to elicit this symptom in female patients, and only four females reported loss of libido. Kolodny [18,19] reported 49% and Abel [20] 56%, of which he estimated half of the cases to be of psychogenic origin. We made no attempt, however, in our study to elucidate the contributory nature of the psychogenic and organic factors.…”

Psychology's role in the assessment of erectile dysfunction: Historical precedents, current knowledge, and methods..

“…Kockett, Feil, Revenstorf, Aldenhoff, and Besinger (1980) successfully classified 41 of 42 men into either organic or psychogenic categories on the basis of 11 SI questions; however, these findings were criticized because group assignment was not confirmed with physiological data. In subsequent research by Abel, Becker, Cunningham-Rather, Mittelman, and Premack (1982), NPT monitoring was used to assign men to either an organic or a psychogenic group. A SI with 18 questions regarding sexual symptoms was chosen.…”