Penile implants represents the treatment of choice in patients with stabilized erectile dysfunction (ED) refractory to oral therapy with PDE-5 inhibitors or intra-cavernosal drug injection.

The improvement of quality and reliability of the materials makes the surgical therapy safe and reliable. The purpose of the study was to retrospectively assess the surgical results of penile implants with particular attention to the particulars, complications and satisfaction subjective.

Clinical records of 96 patients undergoing surgery prosthetic penile in our center in the period 1996 January-December 2006, retrospetticamente have been analysed.

Complications peri and post-operative support have been recorded and analysed. Of 96 patients on intervention, 64 have agreed to be reassessed and completed a questionnaire to self-evaluation.

Patients median age was 51 years (range 36-69). The DE was secondary to radical prostatectomy in 28 patients (25%), diabetes mellitus in 20 patients (21%) Forty eight patients were not responding to medical therapy. The surgical access were always penoscrotal. In 20 cases has been used a bi-component, in 4 and a prosthesis a mono-component and in the remaining 72 a prosthesis tri-component. In 8 patients, 3 with bicomponent implants and 5 mono-component, we performed a replacement with the tri-component one.

9 implants Were removed (9, 4%) (8 for infection postoperative, 1 forrtetropubic pain), 5 replaced (4 for malfunction, 1 for breaking traumatic). Of 64 patients reassessed, 58 feel “satisfied”.

The results of this “internal quality assessment’confirm the surgery AS VALID prosthetic therapeutic option for the resolution of De of various etiology. In 29.2% of our patients surgical indication IT WAS FOR de secondary to surgery uro-Oncology pelvic therefore careful follow-up andrologico could increase l’implantologia prosthetic guaranteeing to the patient a better quality of life.