Large-conductance Ca 2+ -activated K + channels (BK Ca ), located on the vascular smooth muscle, play an important role in regulation of vascular tone. In penile corpus cavernosum tissue, opening of BK Ca channels leads to relaxation of corporal smooth muscle, which is essential during erection; however, there is little information on the role of BK Ca channels located in penile vascular smooth muscle. This study was designed to investigate the involvement of BK Ca channels in endothelium-dependent and endothelium-independent relaxation of human intracavernous penile arteries. In human intracavernous arteries obtained in connection with transsexual operations, change in isometric force was recorded in microvascular myographs, and endotheliumdependent [nitric oxide (NO) and endothelium-derived hyperpolarization (EDH)-type] and endothelium-independent (NO-donor) relaxations were measured in contracted arteries. In penile small arteries contracted with phenylephrine, acetylcholine evoked NO-and EDH-type relaxations, which were sensitive to iberiotoxin (IbTX), a selective blocker of BK Ca channels. Iberiotoxin also inhibited relaxations induced by a NO-donor, sodium nitroprusside. NS11021, a selective opener of BK Ca channels, evoked pronounced relaxations that were inhibited in the presence of IbTX. NS13558, a BK Ca -inactive analogue of NS11021, failed to relax human penile small arteries. Our results show that BK Ca channels are involved in both NO-and EDH-type relaxation of intracavernous penile arteries obtained from healthy men. The effect of a selective opener of BK Ca channels also suggests that direct activation of the channel may be an advantageous approach for treatment of impaired endothelium-dependent relaxation often associated with erectile dysfunction.Erection is a haemodynamic event where vasodilatation of intracavernous arteries is followed by increased arterial blood inflow to the corpora cavernosa. During this process, activation of parasympathetic pelvic nerves leads to arterial dilatation and to initiation of erection while flow stimulation of the endothelium in the penis contributes to the sustained vasodilatation during erection. Nitric oxide (NO) released from both parasympathetic nerves and endothelial cells is a key mediator in erection [1]. In addition to NO, prostanoids and a non-NO/ non-prostanoid endothelium-derived hyperpolarization (EDH) have also been suggested to play a role in endothelium-dependent relaxation in erectile tissue [2]. EDH induces vascular relaxation in human [3,4], horse [5], bovine [6] and rat [7] penile arteries. The nature of EDH is still unclear, but myoendothelial gap junctions [8], potassium ions [9], products of the cytochrome P450 pathway [10], C-type natriuretic peptide (CNP) [3,11] and hydrogen peroxide [12] have been suggested to mediate EDH and lead to smooth muscle hyperpolarization and vasodilatation. Both smooth muscle inward-rectifier K + channels, Na-K-ATPase, and large-conductance calcium-activated K + channels have been proposed to be in...