Urologic complications in diabetes

• Published in: Journal of diabetes and its complications 2022-10, Vol.36 (10), p.108288-108288, Article 108288
• Main Authors: Blair, Yooni, Wessells, Hunter, Pop-Busui, Rodica, Ang, Lynn, Sarma, Aruna V.
• Format: Article
• Language: English
• Subjects: Bladder; Bladder dysfunction; Clinical medicine; Denervation; Diabetes; Diabetes Complications - complications; Diabetes Complications - epidemiology; Diabetes Mellitus - epidemiology; Diabetes Mellitus - therapy; Epidemiology; Erectile dysfunction; Female; Glucose; Hemoglobin; Humans; Influence; Insulin resistance; Male; Metabolism; Orgasm; Population; Prostate; Quality of Life; Sexual disorders; Sexual dysfunction; Sexual Dysfunction, Physiological - epidemiology; Smooth muscle; Urogenital system; Urologic complications of diabetes
• ISSN: 1056-8727; 1873-460X
• DOI: 10.1016/j.jdiacomp.2022.108288

Urologic complications such as bladder and sexual dysfunction among men and women with diabetes have received relatively little attention. This is despite emerging evidence that demonstrates that urologic complications increase with age in the general population and are more common in individuals with diabetes compared to those without diabetes. Here we summarize the latest information about the epidemiology of urologic complications in the setting of diabetes and the most recent findings regarding pathophysiology. In addition, we identify knowledge gaps and need for future funding to address these gaps that will reduce the burden of urologic complications in diabetes and optimize quality of life for all individuals affected by it. •Urologic complications are common in the diabetic population and has received relatively little attention•Several epidemiologic studies have shown the association of lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) in men with diabetes•Further studies are needed to better understand the effectiveness of diabetes treatment on the prevention of conditions, along with the identification of mechanisms in which diabetes exerts its effects on ED and LUTS.•Similarly, in women with diabetes, studies have shown the association of LUTS, namely urinary incontinence, along with female sexual dysfunction•Further studies are needed to explore the spectrum of LUTS beyond urinary incontinence, along with gain a better understanding in a longitudinal fashion of these conditions in women with type 2 diabetes•Overall, urological complications are not only common, but have a significant impact on quality of life; therefore, healthcare providers should be monitoring patients for these conditions to ensure treatment