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Infection Retardant Coatings Impact on Bacterial Presence in Penile Prosthesis Surgery: A Multicenter Study
Kavina Jani1, Christopher Smith2, John R Delk3
1ArkLaTex Urology, Bossier City, LA.
Urology
|June 13, 2018
Summary
Infection retardant coatings (IRC) on penile prostheses (PPs) were associated with fewer positive bacterial cultures, particularly Staphylococcus, in noninfected patients undergoing revision surgery. IRC PPs showed a different bacterial profile in infected patients as well.
Area of Science:
- Urology
- Infectious Diseases
- Biomaterials Science
Background:
- Penile prostheses (PPs) are used to treat erectile dysfunction.
- Infection is a significant complication following PP implantation.
- Infection retardant coatings (IRC) are designed to reduce the risk of PP infection.
Purpose of the Study:
- To compare positive culture rates in patients with and without IRC PPs.
- To analyze changes in bacterial isolates from PPs in patients with overt clinical infection.
- To evaluate the efficacy of IRC PPs in preventing bacterial colonization.
Main Methods:
- Cultures were obtained from PPs during surgical exposure in 236 patients.
- Patients were divided into noninfected (208) and infected (28) groups.
- Subgroups included those with uncoated PPs and IRC PPs; bacterial isolate sensitivity to tetracycline and rifampin was assessed.
Main Results:
- Noninfected patients with IRC PPs had significantly lower positive culture rates (32/75) compared to those with uncoated PPs (85/133) [P=0.0003].
- Staphylococcus genus isolates were less common in noninfected patients with IRC PPs (20/75) versus uncoated PPs (75/133).
- In infected patients, culture rates and Staphylococcus prevalence did not differ significantly between uncoated and IRC PPs.
Conclusions:
- Clinically uninfected PPs can harbor positive bacterial cultures during revision surgery.
- IRC PPs demonstrate a distinct bacterial profile, with a reduction in Staphylococcus genus isolates, even in the absence of overt infection.
- IRC PPs may alter the bacterial colonization patterns on penile prostheses.
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