THE RELATIONSHIP BETWEEN DIABETES-MELLITUS, IMPOTENCE AND VENOOCCLUSIVE DYSFUNCTION IN PEYRONIES-DISEASE PATIENTS

Peyronie's disease is an ill-defined condition that often leads to sev ere penile deformity and sometimes erectile dysfunction. Penile Dopple r studies indicate veno-occlusive dysfunction as the principal cause o f poor rigidity in Peyronie's disease patients. Diabetes mellitus is a lso a known cause of impotence and its prevalence tended to be higher in patients with Peyronie's disease. We evaluated 143 patients with Pe yronie's disease, also 92 impotent men (37 diabetic, 55 nondiabetic) a s control group. Penile vascular studies were performed on each group. Diabetes mellitus was also investigated in patients with Peyronie's d isease. Veno-occlusive dysfunction was found as the main cause of impo tence in both groups (81.1% in diabetic, 89% in nondiabetic control gr oup and 88.8% in Peyronie's disease patients). In our study group the prevalence of diabetes mellitus tended to be higher than in the contro l population but it did not alter the ratio of veno-occlusive dysfunct ion and impotence in Peyronie's disease patients. We believe there is a close relationship between diabetes mellitus and Peyronie's disease, considering our high incidence. We also conclude that diabetes mellit us is not the main cause of impotence in patients with Peyronie's dise ase.