{"id":3381,"date":"2026-05-11T09:50:27","date_gmt":"2026-05-11T09:50:27","guid":{"rendered":"https:\/\/www.penisprothese.com\/contactez-nous\/"},"modified":"2026-05-11T09:50:27","modified_gmt":"2026-05-11T09:50:27","slug":"contactez-nous","status":"publish","type":"page","link":"https:\/\/www.penisprothese.com\/fr\/contactez-nous\/","title":{"rendered":"Contactez-nous"},"content":{"rendered":"<h1>Contactez-nous<\/h1>\n<div>Vous souhaitez explorer vos options dans des centres publics ou priv\u00e9s avec des plans de financement abordables. Nous pouvons vous accompagner. Remplissez le formulaire pour en savoir plus.<\/div>\n<div>\n<div>\n<p>Si vous le souhaitez, vous pouvez nous contacter au num\u00e9ro de t\u00e9l\u00e9phone indiqu\u00e9 ci-dessous, sans remplir le formulaire. Toutes vos informations sont confidentielles. <strong>Les appels t\u00e9l\u00e9phoniques ne sont en aucun cas enregistr\u00e9s.<\/strong><\/p>\n<\/div>\n<\/div>\n<p><p>\n        <a href=\"https:\/\/www.penisprothese.com\/fr\/telephone\/\">T\u00e9l\u00e9phone<\/a>\n    <\/p>\n<\/p>\n<div>\n<div>\n<p>Lorsque vous consultez le site depuis un t\u00e9l\u00e9phone mobile, vous pouvez appeler directement par un <strong>clic tactile<\/strong> .<\/p>\n<\/div>\n<\/div>\n<div>\n<div>Vous pouvez nous joindre par t\u00e9l\u00e9phone du lundi au vendredi de 9h00 \u00e0 17h00<\/div>\n<\/div>\n<hr>\n<h1>Formulaire de contact<\/h1>\n<div>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_1' ><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/fr\/wp-json\/wp\/v2\/pages\/3381#gf_1' data-formid='1' novalidate><input type=\"hidden\" name=\"gpuid_existing_value_14\" id=\"gpuid_existing_value_14\" value=\"b80cf66691c7a1ad28962e2f3a58df0d\" \/><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_1\" \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_14\" class=\"gfield gfield--type-uid gfield--input-type-uid gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><label class='gfield_label gform-field-label' for='input_1_14'>ID<\/label><div class='ginput_container ginput_container_hidden'><input name='input_14' id='input_1_14' type='hidden' value=''  \/><\/div><\/div><div id=\"field_1_2\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_2'>Pr\u00e9f\u00e9rence de contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_1_2' class='large gfield_select' tabindex='49'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- W\u00e4hlen -<\/option><option value='Phone' >Telefon<\/option><option value='Email' >Email<\/option><\/select><\/div><\/div><div id=\"field_1_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_3'>Je suis un<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_1_3' class='large gfield_select' tabindex='50'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- W\u00e4hlen -<\/option><option value='Patient' >Patient<\/option><option value='Pyhsican' >Arzt<\/option><option value='Nurse' >Krankenpfleger<\/option><option value='Other' >Andere<\/option><\/select><\/div><\/div><div id=\"field_1_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_1_4' type='email' value='' class='large' tabindex='51'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_1_4\" autocomplete=\"email\"\/>\n                        <\/div><div class='gfield_description' id='gfield_description_1_4'>Pourquoi ? Nous vous demandons votre adresse e-mail et votre num\u00e9ro de t\u00e9l\u00e9phone \u00e0 cette derni\u00e8re \u00e9tape de l'\u00e9valuation de la DE afin que notre \u00e9quipe puisse vous contacter et vous fournir des informations g\u00e9n\u00e9rales.\n<\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_5'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_1_5' type='tel' value='' class='large' tabindex='52' placeholder='Beispiel: +49 1725351114' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><div id=\"field_1_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_1_13' class='large gfield_select' tabindex='53'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- Ausw\u00e4hlen -<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Egypt' >\u00c4gypten<\/option><option value='Albania' >Albanien<\/option><option value='Algeria' >Algerien<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua &amp; Deps' >Antigua &amp; Deps<\/option><option value='Equatorial Guinea' >\u00c4quatorialguinea<\/option><option value='Argentina' >Argentinien<\/option><option value='Armenia' >Armenien<\/option><option value='Azerbaijan' >Aserbaidschan<\/option><option value='Ethiopia' >\u00c4thiopien<\/option><option value='Australia' >Australien<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrein<\/option><option value='Bangladesh' >Bangladesch<\/option><option value='Barbados' >Barbados<\/option><option value='Belgium' selected='selected'>Belgien<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivien<\/option><option value='Bosnia Herzegovina' >Bosnien Herzegowina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brasilien<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgarien<\/option><option value='Burkina' >Burkina<\/option><option value='Burundi' >Burundi<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Denmark' >D\u00e4nemark<\/option><option value='Germany' >Deutschland<\/option><option value='Dominica' >Dominika<\/option><option value='Dominican Republic' >Dominikanische Republik<\/option><option value='Djibouti' >Dschibuti<\/option><option value='Ecuador' >Ecuador<\/option><option value='El Salvador' >El Salvador<\/option><option value='Ivory Coast' >Elfenbeink\u00fcste<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estland<\/option><option value='Fiji' >Fidschi<\/option><option value='Finland' >Finnland<\/option><option value='France' >Frankreich<\/option><option value='Gabon' >Gabun<\/option><option value='Gambia' >Gambia<\/option><option value='Togo' >Gehen<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Grenada' >Grenada<\/option><option value='Greece' >Griechenland<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='India' >Indien<\/option><option value='Indonesia' >Indonesien<\/option><option value='Iraq' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Ireland {Republic}' >Irland {Republik}<\/option><option value='Iceland' >Island<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italien<\/option><option value='Jamaica' >Jamaika<\/option><option value='Japan' >Japan<\/option><option value='Yemen' >Jemen<\/option><option value='Jordan' >Jordanien<\/option><option value='Cambodia' >Kambodscha<\/option><option value='Cameroon' >Kamerun<\/option><option value='Canada' >Kanada<\/option><option value='Cape Verde' >Kap Verde<\/option><option value='Kazakhstan' >Kasachstan<\/option><option value='Qatar' >Katar<\/option><option value='Kenya' >Kenia<\/option><option value='Kyrgyzstan' >Kirgistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Colombia' >Kolumbien<\/option><option value='Comoros' >Komoren<\/option><option value='Congo' >Kongo<\/option><option value='Congo {Democratic Rep}' >Kongo {Demokratische Republik}<\/option><option value='Korea North' >Korea Nord<\/option><option value='Korea South' >Korea, S\u00fcden<\/option><option value='Kosovo' >Kosovo<\/option><option value='Croatia' >Kroatien<\/option><option value='Cuba' >Kuba<\/option><option value='Kuwait' >Kuwait<\/option><option value='Laos' >Laos<\/option><option value='Lesotho' >Lesotho<\/option><option value='Latvia' >Lettland<\/option><option value='Lebanon' >Libanon<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libyen<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Litauen<\/option><option value='Luxembourg' >Luxemburg<\/option><option value='Madagascar' >Madagaskar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Malediven<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Morocco' >Marokko<\/option><option value='Marshall Islands' >Marshallinseln<\/option><option value='Mauritania' >Mauretanien<\/option><option value='Mauritius' >Mauritius<\/option><option value='Macedonia' >Mazedonien<\/option><option value='Mexico' >Mexiko<\/option><option value='Micronesia' >Mikronesien<\/option><option value='Moldova' >Moldawien<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolei<\/option><option value='Montenegro' >Montenegro<\/option><option value='Mozambique' >Mosambik<\/option><option value='Myanmar, {Burma}' >Myanmar (Burma}<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='New Zealand' >Neuseeland<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Netherlands' >Niederlande<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Norway' >Norwegen<\/option><option value='Oman' >Oman<\/option><option value='East Timor' >Osttimor<\/option><option value='Austria' >\u00d6sterreich<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua Neu-Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippinen<\/option><option value='Poland' >Polen<\/option><option value='Portugal' >Portugal<\/option><option value='Rwanda' >Ruanda<\/option><option value='Romania' >Rum\u00e4nien<\/option><option value='Russian Federation' >Russische F\u00f6deration<\/option><option value='Solomon Islands' >Salomon-Inseln<\/option><option value='Zambia' >Sambia<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome &amp; Principe' >Sao Tome &amp; Principe<\/option><option value='Saudi Arabia' >Saudi-Arabien<\/option><option value='Sweden' >Schweden<\/option><option value='Switzerland' >Schweiz<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbien<\/option><option value='Seychelles' >Seychellen<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapur<\/option><option value='Slovakia' >Slowakei<\/option><option value='Slovenia' >Slowenien<\/option><option value='Somalia' >Somalia<\/option><option value='Spain' >Spanien<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='St Kitts &amp; Nevis' >St. Kitts und Nevis<\/option><option value='St Lucia' >St. Lucia<\/option><option value='Saint Vincent &amp; the Grenadines' >St. Vincent und die Grenadinen<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Surinam<\/option><option value='South Africa' >S\u00fcdafrika<\/option><option value='South Sudan' >S\u00fcdsudan<\/option><option value='Swaziland' >Swasiland<\/option><option value='Syria' >Syrien<\/option><option value='Tajikistan' >Tadschikistan<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania' >Tansania<\/option><option value='Thailand' >Thailand<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad &amp; Tobago' >Trinidad &amp; Tobago<\/option><option value='Turkey' >T\u00fcrkei<\/option><option value='Chad' >Tschad<\/option><option value='Czech Republic' >Tschechien<\/option><option value='Tunisia' >Tunesien<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='Hungary' >Ungarn<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Usbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatikanstadt<\/option><option value='Venezuela' >Venezuela<\/option><option value='United Arab Emirates' >Vereinigte Arabische Emirate<\/option><option value='United States' >Vereinigte Staaten<\/option><option value='United Kingdom' >Vereinigtes K\u00f6nigreich<\/option><option value='Vietnam' >Vietnam<\/option><option value='Belarus' >Wei\u00dfrussland<\/option><option value='Central African Rep' >Zentralafrikanische Rep<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='Cyprus' >Zypern<\/option><\/select><\/div><\/div><fieldset id=\"field_1_7\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gform-grid-row' id='input_1_7' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_7_3_container' >\n                                    <input type='text' name='input_7.3' id='input_1_7_3' value='' tabindex='55'   aria-required='true'   autocomplete=\"address-level2\" \/>\n                                    <label for='input_1_7_3' id='input_1_7_3_label' class='gform-field-label gform-field-label--type-sub '>Stadt<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_7.4' id='input_1_7_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_1_7_6_container' >\n                                        <select name='input_7.6' id='input_1_7_6' tabindex='57'  aria-required='true'   autocomplete=\"country-name\" ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_1_7_6' id='input_1_7_6_label' class='gform-field-label gform-field-label--type-sub '>Land<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_1_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>Avez-vous ou votre partenaire des \u00e9rections matinales ?<\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_1_12' class='large gfield_select' tabindex='58' aria-describedby=\"gfield_description_1_12\"   aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- W\u00e4hlen -<\/option><option value='Ja' >Ja<\/option><option value='Nein' >Nein<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_1_12'>Cette question sert uniquement \u00e0 des fins d'information g\u00e9n\u00e9rale et ne remplace pas un diagnostic m\u00e9dical.<\/div><\/div><fieldset id=\"field_1_6\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_6.1' id='input_1_6_1' type='checkbox' value='1' tabindex='59'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_6_1' >J'accepte la <a href=\"https:\/\/w.rigicon.com\/privacy-policy\" rel=\"nofollow noreffer\" target=\"_blank\">politique de confidentialit\u00e9<\/a> | <a href=\"https:\/\/w.rigicon.com\/terms-of-use\" rel=\"nofollow noreffer\" target=\"_blank\">les conditions g\u00e9n\u00e9rales<\/a>.<span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/label><input type='hidden' name='input_6.2' value='J&#039;accepte la &lt;a href=&quot;https:\/\/w.rigicon.com\/privacy-policy&quot; rel=&quot;nofollow noreffer&quot; target=&quot;_blank&quot;&gt;politique de confidentialit\u00e9&lt;\/a&gt; | &lt;a href=&quot;https:\/\/w.rigicon.com\/terms-of-use&quot; rel=&quot;nofollow noreffer&quot; target=&quot;_blank&quot;&gt;les conditions g\u00e9n\u00e9rales&lt;\/a&gt;.' class='gform_hidden' \/><input type='hidden' name='input_6.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_1_15\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_15.1' id='input_1_15_1' type='checkbox' value='1' tabindex='60'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_15_1' >J'accepte <a href=\"#modal-example\" uk-toggle>les conditions de confidentialit\u00e9 des consultations<\/a>.<span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/label><input type='hidden' name='input_15.2' value='J&#039;accepte &lt;a href=&quot;#modal-example&quot; uk-toggle&gt;les conditions de confidentialit\u00e9 des consultations&lt;\/a&gt;.' class='gform_hidden' \/><input type='hidden' name='input_15.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_1_9\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_9'>Date of Lead<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_1_9' type='text' value='06\/02\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='61'  placeholder='mm\/jj\/aaaa' aria-describedby=\"input_1_9_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_9_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_9' class='gform_hidden' value='https:\/\/www.penisprothese.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_10'>Condition<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_1_10' class='large gfield_select' tabindex='62'    aria-invalid=\"false\" ><option value='Erectile Dysfunction' >Erectile Dysfunction<\/option><option value='Urinary Incontinence' >Urinary Incontinence<\/option><option value='Testicular Replacement' >Testicular Replacement<\/option><\/select><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_1_11'>Lead Source<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_1_11' class='large gfield_select' tabindex='63'    aria-invalid=\"false\" ><option value='Form' selected='selected'>Form<\/option><option value='Whatsapp' >Whatsapp<\/option><option value='Phone' >Phone<\/option><option value='Facebook' >Facebook<\/option><option value='Instagram' >Instagram<\/option><\/select><\/div><\/div><div id=\"field_1_16\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div id=\"modal-example\" uk-modal>\n    <div class=\"uk-modal-dialog uk-modal-body\">\n        <h3 class=\"uk-modal-title\">Conditions de confidentialit\u00e9 pour les consultations<\/h3>\n        <p>Les informations partag\u00e9es dans ce formulaire seront trait\u00e9es de mani\u00e8re strictement confidentielle et utilis\u00e9es uniquement pour la consultation produit demand\u00e9e. 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