Electrophysiological Assessment of Pudendal Neuropathy in Diabetic Patients with Erectile Dysfunction in Baghdad

Abstract

Erectile dysfunction (ED) may be caused by autonomic neuropathy, vasculogenic causes, endocrine deficit, drug-induced, psychosocial problems, or a combination of these. It has an impact on a patient’s life that extends beyond its physical well-being. Aim: This study aimed to differentiate between neurogenic and non-neurogenic impotence (ED) by considering the Electrophysiological induced Bulbocavernosus Reflex in diabetic patients. Methodology: This analytic cross-sectional study included 84 diabetic subjects with an average age of 38.4 years presented with impotence (ED) to whom Electrophysiological induced Bulbocavernosus Reflex (BCR) was conducted on all patients depending on the methods described by Rushworth. Results: The results of assessing the pudendal never integrity and neurological functionality revealed that 40.5% had typical pudendal nerve latency of < 42 msec. Mean value (38.4±3.87). Although 4.8% of the subjects showed an absent response, the majority, 54.7%, showed prolonged pudendal nerve latency with > 42 msec. (48.81±2.56). Conclusion: Electrophysiological induced Bulbocaverneous reflex test is a practical test which can be helpful in a diabetic neurologic deficit of diabetic patients with erectile dysfunction.