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Commentary
February 3, 1999

Treatment of Erectile Dysfunction in Men With Diabetes

Author Affiliations

Author Affiliations: From the Division of Male Reproductive Medicine and Surgery and Scott Department of Urology (Drs Lipshultz and Kim), Baylor College of Medicine, Houston, Tex.

JAMA. 1999;281(5):465-466. doi:10.1001/jama.281.5.465

Sildenafil citrate represents the most recent advance for the treatment of organic erectile dysfunction. The first effective pill for erectile dysfunction, this type 5-phosphodiesterase inhibitor has enjoyed tremendous popularity in its first year of availability. In an earlier double-blinded, placebo-controlled study, an overall 70% to 80% improvement in erections was reported in a mixed population of patients with both organic and psychogenic causes of erectile dysfunction.1 However, because of sildenafil's relatively recent introduction, detailed analyses of its effects in subgroups of patients with specific causes of erectile dysfunction have been few in number.

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