In part 2 this Exclusive Interview, Dr. Hunter Wessells talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, California, about the initiation of sexual dysfunction for people with diabetes.
Dr. Hunter Wessells, MD, FACS is a professor and chairman of Urology at the University of Washington. He specializes in genitourinary trauma, reconstructive surgery, and erectile dysfunction.
Transcript of this video segment:
Diabetes is defined as an A1c of 6.5% or 7%. At what point do you see most sexual dysfunction; does it start at prediabetes or do you have to wait till 8 or 9%?
You can get it across the whole range and there is an interaction between age or the amount of time and the diabetes. The longer you have had the diabetes the more likely you are likely to get these complications. You can have a man with an A1c of 11% and no urological complications at all, then you can have another with 6.5% who gets it. So, there are other factors in play. Other urological complications include bladder problems, incontinence in women or involuntary urine leakage, lower urinary symptoms like having to go to the bathroom frequently, getting up at night and these can be bothersome as well. None of these issues are like blindness or amputation but now men and women with diabetes are living longer and have these other complications under control, these urologic issues are going to have a greater impact on the quality of life and the day to day activities.