For the following causes of sexual dysfunction, select the most likely clinical feature.Can be caused by vascular disease.
Correct Answer: failure of erection with absent nocturnal penile tumescence (NPT)
Description: Vascular disease, by itself or in conjunction with peripheral neuropathy in DM, is a common cause of erectile dysfunction. The lesions can be in large vessels (aortic occlusion, Leriche syndrome), small arteries, or even in the sinusoidal spaces.
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