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Periprosthetic infections

Insights

Penile prosthesis and artificial urinary sphincter implantation had a 2.7% infection rate, primarily caused by staphylococcal organisms within one year. Diabetes did not increase infection risk in this study.

Area of Science:

  • Urology
  • Infectious Disease

Background:

  • Penile prosthesis and artificial urinary sphincter implantation are common procedures.
  • Infection is a significant complication following these implantations.

Purpose of the Study:

  • To determine the infection rate after penile prosthesis or artificial urinary sphincter implantation.
  • To identify common causative organisms and risk factors for infection.

Main Methods:

  • Retrospective review of patients who underwent penile prosthesis or artificial urinary sphincter implantation.
  • Analysis of infection rates, causative organisms, and patient demographics.

Main Results:

  • An overall infection rate of 2.7% (15 out of 556 patients) was observed.
  • Staphylococcal organisms were responsible for over 50% of infections.
  • Most infections occurred within one year post-implantation, with one case presenting at 2.5 years.
  • No significant difference in infection rates was found between diabetic and non-diabetic patients.

Conclusions:

  • The infection rate following penile prosthesis and artificial urinary sphincter implantation is low.
  • Staphylococcus is the predominant pathogen.
  • Early detection and management are crucial, though late infections can occur.
  • Diabetes is not a significant risk factor for implant infections.

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