In part 7 this Exclusive Interview, Dr. Hunter Wessells talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, California, about common therapies for sexual dysfunction and the need for a study addressing the possible reversal of sexual dysfunction with the management of blood glucose.
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:
When it comes to sexual dysfunction for men there are a lot of things out there (pumps, injections, etc.). Is there anything that really stands out besides Viagra?
Viagra, Cialis, and Levitra are our first line therapies and they are all very effective. The other things are helpful but many patients are not really interested trying them. We desperately need new strategies but there is not a whole lot in the pipeline right now.
When it comes to sexual dysfunction, how important is controlling your blood sugar? A person who has sexual dysfunction can’t get an erection and they are trying to control their blood sugars. Do you see that coming back if they get their blood sugars to the normal range?
Those studies have not been done in the way you described. If we had a man in their 40s with their A1c about a point above the goal, what should we do? We should drive down that A1c, we should have them address weight issues, smoking, exercise, and we need to design a study in order to address that question which is very important.
Have you been successful in that respect with any of your patients in having them coming back from their sexual dysfunction?
Yes, anecdotally, but we cannot base guidelines or a message to an entire scientific community based on that level of evidence.