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Discussion of treatments for Sexual neuropathy:
Short-term solutions involve using a mechanical vacuum device
or injecting a drug called a vasodilator into the penis before sex. Both
methods raise blood flow to the penis, making it easier to have and
maintain an erection. Surgical procedures, in which an inflatable or
semirigid device is implanted in the penis, offer a more permanent
solution. For some people, counseling may help relieve the stress caused
by neuropathy and thereby help restore sexual function.
In women who feel their sexual life is not satisfactory, the role of
diabetic neuropathy is less clear. Illness, vaginal or urinary tract
infections, and anxiety about pregnancy complicated by diabetes can
interfere with a woman's ability to enjoy intimacy. Infections can be
reduced by good blood glucose control. Counseling may also help a woman
identify and cope with sexual concerns.
(Source: excerpt from Diabetic Neuropathy The Nerve Damage of Diabetes: NIDDK)
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Impotence:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Encourage your patient to talk openly about his needs and desires, fears and anxieties, or misconceptions. Urge him to discuss these issues with his partner as well as what role both of them want sexual activity to play in their lives.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Impotence:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Ensure privacy, confirm confidentiality, and establish a rapport with the patient.
▪ Help the patient feel comfortable about discussing his sexuality.
▪ Adopt an accepting attitude about the sexual experiences and preferences of others.
▪ Prepare the patient for screening tests for hormonal irregularities, Doppler studies of penile blood pressure to rule out vascular insufficiency, voiding studies, nerve conduction tests, evaluation of nocturnal penile tumescence, and psychological screening.
▪ Discuss counseling for the patient and his sexual partner, if the patient has psychogenic impotence.
▪ Provide interventions to treat the cause, if the patient has organic impotence.
▪ Prepare the patient for other forms of treatment such as surgical revascularization, drug-induced erection, surgical repair of a venous leak, and penile prostheses.
Patient teaching
▪ Discuss the importance of maintaining follow-up appointments and therapy for underlying medical disorders.
▪ Encourage him to talk openly about his needs and desires, fears and anxieties, or misconceptions.
▪ Urge the patient to discuss his feelings with his partner as well as what role both of them want sexual activity to play in their lives.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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