Notes
Slide Show
Outline
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Diabetes, PDE-5 and The Endocrinology of ED
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Male Sexual Chemistry
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The Nitric Oxide Cascade
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Reports of Erections With Placebo and Viagra
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Efficacy of Sildenafil
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Sildenafil-1 & 2Yr Phone Survey
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Given
  • Sildenafil corrects ED in most but not all men
  • Some  men do not sustain their initial positive sildenafil response
  • Is  sildenafil tachyphylaxis the cause?
  • Are coexistent risk factors responsible?
  • Does risk factor modification improve the response to sildenafil ?
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ED-At Risk Populations
  • Diabetes Mellitus
  • Hyperlipidemia
  • Testosterone deficiency
  • HBP-Antihypertensive meds
  • Depression-Antidepressant Rx.
  • Neuropathy
  • Tobacco
  • EtOH
  • Radical Prostatectomy
  • Age
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Effect of Age on Nocturnal Penile Tumescence
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ED in Diabetes-Baseline Response at +12 Wk.
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 Sildenafil Response by DM Subgroup
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ED in Diabetes-Sildenadil  Response By Age
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ED in Diabetes-12 Week Response
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 Glycemia-ED- Sildenafil
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Low Testosterone
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Normal Testosterone
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“Drink provoketh the desire but taketh away the performance”*
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Lipids and Rigi-Scan
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Atorvastatin Effect on Penile Erections
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ED Risk Factors
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Structure of PDE5 inhibitors
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Overall Selectivity of Tadalafil
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Tadalafil-Treatment Effect on Successful
Intercourse: SEP Q3†
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Intercourse Success Rate With Tadalafil as a Function of Time†‡
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Diabetes Tadalafil- Treatment Effect on Successful Intercourse: SEP Question 3†‡
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Vardenafil Diabetes Study
 Diary Questions -Penetration & Maintenance
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Percent Response in Diabetic Men with ED
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PDE-5 Inhibitors and ED in Diabetic Men
  • 1. The PDE-5 inhibitors can reverse ED in  diabetic men
  • 2. PDE-5 responsiveness  not yet linked to Diabetic control
  • 3. Differences in AE profiles and  period of responsiveness may exist
  • 4. The new PDE-5 inhibitors expand medical options for men with ED


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Prospective Studies
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2002-The Torch Passes
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