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The prosthesis salvage operation: immediate replacement of the infected penile prosthesis
M D Brant1, J K Ludlow, J J Mulcahy
1Indiana University Medical Center, Indianapolis, USA.
Purpose:
We describe our experience with salvage of the infected penile prosthesis at initial presentation in 11 patients.
Materials And Methods:
All patients with prosthesis infection who presented since 1991 were considered for salvage surgery. Contraindications to a salvage operation included necrotic infections, diabetic patients with purulence in the corporeal bodies, rapidly developing infections and erosion of the device cylinders.
Results:
In 1 patient in this group a salvage attempt was repeated after re-infection, for an overall success rate of 91%. Mean followup for the group was 21 months (range 9 to 42). Staphylococcus epidermidis was the infecting organism in 75% of our patients.
Conclusions:
Our experience demonstrates the safety and advantages of the immediate salvage technique.