Pudendal nerve versus Lower Limb nerves electrophysiological abnormalities in diabetics with erectile dysfunction in Baghdad

Abstract

ِAbstract: Autonomic neuropathy, vasculogenic causes, endocrine deficit, drug-induced, psychosocial problems, or a combination of these causes might lead to Erectile dysfunction (ED). Aim: This study aimed to compare between pudendal neuropathy against limb neuropathy in patients with diabetics and complaining from Erectile dysfunction by considering the Electrophysiological studies. Methodology: 84 diabetic subjects were enrolled in this analytic cross-sectional study with an average age of 38.4 years presented with impotence. All of them were assessed by Electrophysiological studies using Bulbocavernosus induced Reflex to assess competence of pudendal nerve and other nerve studies to assess lower limbs nerve competences. Results: The results of assessing the pudendal nerve versus limb nerves revealed earlier involvement of the peripheral lower limb nerves in comparison with pudendal nerve. Conclusion: Electrophysiological assessment is a practical test which can be useful in identifying neurologic deficit of diabetic patients with erectile dysfunction.