Penile implantation is the most invasive but still the most effective choice of erectile dysfunction treatment. Its role is very often not mentioned to patients suffering by erectile dysfunction who failed less invasive methods of treatment, because physicians do not have enough experience with that therapy. Material and methods: Authors represent own series of 65 patients operated on in the period 1992–2002 and followed up 5–15 years (mean 10.6 years). Patients have been questioned by specific questionnaire created by authors. Results: 97% of patients answered that prosthesis fulfilled their expectations, ability of sexual intercourse has been in 100% better, frequency of intercourse increased in 80% of patients, self-esteem improved (in sexual activities in 100% in social activities in 81% in professional activities in 74%), relationship with partner improved in 93% of patients, sexual activities evaluated by partner are better in 90%. 97% of patients would recommend that procedure to the other patient and 97% would undergo surgery again in the case of repeated decision making. Conclusions: Penile prosthesis implantation is invasive but very effective treatment alternative and brings high satisfaction to properly selected patients and their partners. Specialists should keep it in mind and recommend as option to patients in whom less invasive treatment fails.

Department of Urology University Hospital Brno Medical School of Masaryk University Brno

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