T05-O-17 Penile prosthetic implants in man older than 65 years of age

Patients over 65 years of age would like to continue in enjoying sexual activity but sometimes they suffer some metabolic or vascular pathology interfering with correct erection. 868 patients, between 65 and 80 years of age, visited our centre from 1986 to 2006, complaining ED and searching a medical treatment or solution. We considered 15 patients (68-80 yrs) submitted to penile implants. All pts were married; 3 of them reported not to have sexual activity with their wives. All pts refused ICIs, Sildenafil or Vacuum Devices. Penile prostheses were proposed as the only option to restore their penetrative function and 15 pts accepted. AMS600 (5 pts), Mentor Acu Form (3 pts), AMS Hydroflex (1 pt), AMS Dynaflex (2 pts), Mentor Alpha I (2 pts), AMS 700 (2 pts) prostheses. Spinal (13 pts) and local anaesthesia (2 pts) were utilized. All patient were checked 12 months after surgery. After one year we recorded 4 deaths, not linked to prostheses or sexual intercourses. 3 pts had prostatic surgery 2-3 years after prosthetic implant. Only 2 patients reported general unsatisfaction probably due to a scarce acceptance or refusal by their wives. 13 patients reported complete satisfaction to the annual control and follow-up. Data of our experience show that the prosthetic solution can represent a valid option for patient over 65 who desire to maintain their sexual function and who do not respond or can not currently use other available pharmacological solutions.