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Successful Conservative Therapy for Infected Penile Implants: A Case Series
Fawaz W Alkeraithe1, Abdullah S AlFakhri1, Mohammad A Alghafees2
1Department of Urology, King Fahad Medical City, Riyadh, Saudi Arabia.
The American Journal of Case Reports
|January 3, 2024
Summary
Conservative antibiotic therapy can successfully manage early, superficial penile implant infections in select patients without signs of sepsis. This approach avoids device removal, offering a viable alternative for eligible individuals with infected penile prostheses.
Area of Science:
- Urology
- Infectious Diseases
- Medical Device Management
Background:
- Penile implant infections traditionally necessitate device removal and replacement.
- Conservative antibiotic therapy is an emerging alternative for managing infected penile prostheses.
Observation:
- Four cases of infected penile implants managed conservatively are presented.
- Patients received tailored intravenous antibiotic regimens (e.g., vancomycin, piperacillin/tazobactam, gentamicin).
- Outcomes included complete wound healing or marked improvement in all cases.
Findings:
- Conservative management with antibiotics was effective in selected cases of early, superficial penile implant infections.
- Successful outcomes were observed in patients without leukocytosis, sepsis, high-grade fever, or exposed devices.
- Treatment durations varied from 5 to 13 days of intravenous antibiotics.
Implications:
- Conservative antibiotic therapy is a feasible option for carefully selected patients with infected penile implants.
- This approach may help avoid surgical intervention, reducing patient morbidity and healthcare costs.
- Further research is warranted to establish clear guidelines for conservative management of penile implant infections.
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