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I am years old and suffer from diabetes and high blood

Customer Question
I am 69 years...

I am 69 years old and suffer from diabetes and high blood pressure both under control,,,,my penis only gets half hard ,,,the libido is there sometime i masturbate twice a day,,,if i sqeeze the base of the penis it gets harder,,,what could the problem be?

Doctor's Assistant: Is the condition chronic, or acute?

Chronic

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

No i drink wine daily three glasses

Submitted: 5 months ago.Category: Urology
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Answered in 1 minute by:
3/10/2018
Urologist: Dr. Arun Phophalia, Urologist replied 5 months ago
Dr. Arun Phophalia
Category: Urology
Satisfied Customers: 39,124
Experience: MBBS MS (Surgery) Vast experience and routinely perform all urology procedures including endoscopy.
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Urologist: Dr. Arun Phophalia, Urologist replied 5 months ago

This is likely to be blood vessel problem; which may be due to diabetes and high blood pressure.

You may get the following investigations done;

1) All hormones; thyroid, prolactin, testosterone, adrenal functions.

2) Autonomic nervous system testing;

Penile thermal sensory testing

3) Somatic nervous system testing;

Penile glans biothesiometry

Bulbocavernosus reflex latency test

4) Penile magnetic resonance imaging (MRI)

5) Penile angiography

6) Duplex ultrasonography

7) Combined intracavernous injection and stimulation

Penile angiography and duplex ultrasonography are the investigations which tell about the blood vessel issues.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Customer reply replied 5 months ago
i know for sure that testosterone is low 200
Urologist: Dr. Arun Phophalia, Urologist replied 5 months ago

A low testosterone may also play a small role in erectile dysfunctions.

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 (which is slightly low)

2) Testosterone / LH ratio (T/LH).

These too may need treatment.

It is privilege assisting you.

Was this information helpful to you? I would be glad to answer any further questions.

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Urologist: Dr. Arun Phophalia, Urologist replied 5 months ago

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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