Surgical implants and procedures for restoring erectile function are described. One method includes the steps of providing an inflatable prosthesis system with a pump, a cylinder, a septum, and a reservoir, the system having sufficient fluid to inflate the cylinder and reservoir, implanting the system in an inflated condition and leaving the system in this condition in the post-operative period, then inserting a needle through the septum and withdrawing some fluid from the system. The systems of the invention may include the insertion of a needle through the septum for the injection of an antimicrobial or antibiotic.