Following treatment may be tried for incontinence;
A. Kegel exercises
B. Electrical stimulation:This is a procedure in which small electrodes are placed in pelvic floor. The electrodes produce electric pulses that cause contraction of the muscles of the pelvis and the urethra. This strengthens these muscles to help reduce the incidence of incontinence.
c) propantheline (Pro-Banthine) and
D. Surgical treatments for incontinence; Implanting the InterStim electronic device.
You need urodynamic study to identify the exact cause of incontinence.
Diabetes is one of the commonest risk factors associated with erectile dysfunction (ED). The prevalence of ED is greater in men with diabetes compared with non diabetic population. Many factors can contribute to the development of ED, including organic factors (like vascular disease and neurological disease) and psychogenic factors (anxiety or depression). One of the most common risk factors associated with ED is diabetes. The pathophysiology of ED in men with diabetes is complex, but probably involves vascular and neurogenic components, together with endothelial dysfunction. Associated with the diabetes is a condition, which is called as subclinical late-onset hypogonadism (SLOH) which is suppose to cause erectile dysfunctions. In this there are two hormonal criteria;
1) measurement of testosterone concentration
2) Testosterone / LH ratio (T/LH)
In patients with decrease T/LH ratio, consideration of testosterone replacement therapy should be done, as studies have shown benefit. With this ,hopefully he will have full and sustained erections which should be helpful mutually to you too.
Apart from Testosterone levels and LH estimation following also are advised;
1) Thyroid function tests
2) duplex ultrasonography
3) Ultrasonography of testes
You may need following treatment for ED;
a) intraurethral suppositories,
b) the vacuum device, and
c) intracavernous injection.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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