Why diabetes causes erectile dysfunction
Over time, raised blood sugar damages both the small blood vessels and the nerves that an erection depends on. Erectile dysfunction in men with diabetes tends to start earlier and can be harder to treat with tablets alone. It is not a sign that you have done anything wrong. Read more about the causes of erectile dysfunction.
Other treatments first
Many men with diabetes respond to tablets, injections or a vacuum device, and better control of blood sugar, blood pressure and cholesterol can help. A penile implant is usually considered when these have not worked well enough or are unsuitable.
Is an implant suitable?
Diabetes on its own does not rule out an implant. The surgeon looks at your overall health: how well your diabetes is controlled, your heart and kidney health, your circulation and the condition of the skin. The operation is planned only when it is safe to proceed.
At Men's Health Istanbul, implant surgery in men with diabetes is carried out by Prof. Dr. Ateş Kadıoğlu. You can read about his work with complex implant cases.
Preparing for surgery
- Blood sugar control: the surgeon will want to see a recent HbA1c result (your average blood sugar over about three months). There is no single agreed cut-off, but better control before and after surgery is linked to better healing. Your own diabetes doctor can help you prepare.
- Medicines: bring a full list. Some diabetes medicines need adjusting around the operation, when you will not be eating for a few hours. Never change your medicines without medical advice.
- Skin and infections: tell us about any wound, skin problem or urine infection before you travel.
- Smoking: stopping lowers the risk of wound problems.
Diabetes can increase the risk of infection after implant surgery. Our page on infection prevention explains how the surgical team reduces this risk and which warning signs to report.
Recovery with diabetes
The stages of recovery are the same as for other men. See recovery, week by week. Healing may be a little slower. Check your blood sugar more often than usual in the first weeks, as the stress of surgery and changes in routine can raise it. Keep the wound clean and dry, and contact us quickly if you notice redness, discharge, fever or increasing pain.
Questions
Can I have a penile implant if I have type 1 or type 2 diabetes?
Yes, many men with either type have implants. What matters most is how well your diabetes is controlled and your general health, which the surgeon assesses before recommending surgery.
Does diabetes affect which implant I can have?
Usually not. Inflatable and malleable implants are both options. The choice depends on your anatomy, the strength and dexterity of your hands, and your preferences. See inflatable or malleable.
Will my diabetes be managed while I am in hospital?
Yes. Your blood sugar is checked around the operation and your medicines are adjusted as needed. Bring your usual medicines and your testing equipment.