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Thus, the current study demonstrated similar efficacy, although the improvement in the placebo group was larger.
It is well documented that in comparison with other disease-specific populations, the efficacy of sildenafil is lower in men with diabetes. For example, Goldstein et al. (19) reported improved erections in 77–88% of men with broad spectrum ED receiving sildenafil. Similarly, men with spinal cord injury or depression demonstrated high response rates to sildenafil (78 and 69%, respectively). The reason for poorer efficacy in the diabetic population is thought to be the multifactorial nature of the disease. Poor vascular blood…

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