That is from years of poorly controlled glucose numbers and glucose spikes.

Control your numbers both premeal and 2 hour fo the nondiabetic range of 4.0(72) to 7.8(140).
You can arrest cumulative vascular damage from glucose spikes over time, right where it is now.

Baby steps.

There are other alternatives that your urologist can assist with.

The standards are viagra and cialis

Yes i do have vascular damage

Then you have vascular damage and nerve damage.