Sex is a necessary part of a fulfilling relationship. Erectile dysfunction is a source of stress for the couple. The partner's role in the treatment of ED is often overlooked. TED Study, a Canadian non-intervention observational study from 2006, evaluated partner's role and it was found that 75% of the patients had informed their partners that they were taking inhibitors PDE5, but only 12% of the partners took part in the study. EDITS questionnaire was administered to measure satisfaction. In our clinic, we focused on the partner's role in treatment of ED in a specific group of patients with spinal cord injury. Material and methods: The sample consists of 16 partners of 16 men with ED after spinal cord injury. Effects of tadalafil in treatment of ED were observed. Recommended frequency of sexual activity was twice a week and each couple kept a “log book”. Partner's satisfaction was measured with the relationship version of EDITS questionnaire (Erectile Dysfunction Inventory of Treatment Satisfaction). Results: Tadalafil treatment improved erection (GAQ) in 94 % of the men. The same number were SEP2. Realization of a satisfactory sexual intercourse (SEP3) was confirmed by 68% of the patients and their partners (11 out of 16). Two-sided satisfaction was reported by 9 out of 11 couples, i.e. 81%. EDITS index score of all partners was between 50% and 70%. 8 out of 11 couples continue with tadalafil treatment one year later. Conclusions: Paraplegic couples form a specific client group in the treatment of ED. Cooperation of partners is usual, including their active approach to treatment. In our sample of 16 paralyzed patients, 100% got involved in the treatment without any problems. Effects of PDE5 inhibitors are lower in paraplegics than in common clients. In spite of that, EDITS index of partners reached up to 70%, 81% of the couples reported twosided satisfaction. Cooperation with the couple increases motivation and compliance in men with erectile dysfunction.

Traumatological Hospital of Brno Trauma centre Department of Traumatology at the Medical Faculty Masaryk University Brno

2. český a mezinárodní andrologický kongres, Štiřín, 3.-5.5.2007