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Erectile Dysfunction Evaluation in Diabetic Patients Using SGLT-2 Inhibitors

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  • Deniz Incaman

    (Baskent University, Turkiye / Adana Dr. Turgut Noyan Education and Training Hospital, Turkiye)

Abstract

Introduction: Erectile dysfunction (ED) is a common and multifactorial complication of type 2 diabetes mellitus (T2DM). It is largely driven by endothelial dysfunction, impaired nitric oxide bioavailability, and microvascular damage. While sodium–glucose cotransporter 2 (SGLT-2) inhibitors have atherosclerotic cardiovascular and metabolic benefits, their effects on erectile function remain poorly explored. Aim: The primary aim is to evaluate the effects of dapagliflozin and empagliflozin on erectile function in male patients with T2DM. Methods: This prospective observational study included 100 male patients with T2DM and severe ED. Patients received either dapagliflozin 10 mg/day or empagliflozin 25 mg/day and were followed for 6 months. Erectile function was evaluated with the International Index of Erectile Function-5 (IIEF-5) questionnaire and penile Doppler ultrasound, both at baseline and at follow-up. Results: Both treatment groups showed significant improvement in erectile function after six months. The mean IIEF-5 score increased by 171% in the dapagliflozin group and by 197% in the empagliflozin group compared with baseline values (p

Suggested Citation

  • Deniz Incaman, 2026. "Erectile Dysfunction Evaluation in Diabetic Patients Using SGLT-2 Inhibitors," European Journal of Medical and Health Sciences, European Open Science, vol. 8(2), pages 90-94, March.
  • Handle: RePEc:epw:ejmed0:v:8:y:2026:i:2:id:70236
    DOI: 10.24018/ejmed.2026.8.2.70236
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