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Risk factors for penile prosthetic infection
1Department of Urology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA.
The Journal of Urology
|August 1, 1996
Summary
Penile prosthesis infections are significantly more likely when penile reconstruction is needed, likely due to longer surgery times. Revision surgery also increases infection risk, independent of patient factors or operative duration.
Area of Science:
- Urology
- Surgical Infections
- Medical Device Implantation
Background:
- Penile prosthesis implantation is a common treatment for erectile dysfunction.
- Infections following penile prosthesis surgery can lead to device explantation and patient dissatisfaction.
- Identifying risk factors is crucial for improving surgical outcomes.
Purpose of the Study:
- To determine the risk factors associated with penile prosthesis infections.
- To compare infection rates across different types of penile prosthesis procedures.
Main Methods:
- Retrospective review of 167 penile prosthesis procedures in 156 men.
- Categorization of procedures into primary uncomplicated implantation, simultaneous penile reconstruction, and revision/repair.
- Minimum follow-up of 1 year.
Main Results:
- Infection rate was 1.8% for primary implantation versus 21.7% for procedures requiring penile reconstruction (p < 0.01).
- Revision surgery had a 13.3% infection rate, higher than primary implantation (p < 0.05).
- Longer operative time was noted for penile reconstruction procedures (p < 0.01).
Conclusions:
- Penile reconstruction significantly increases the risk of penile prosthesis infection, likely linked to extended operative duration.
- Revision of penile prosthesis surgery carries an increased infection risk not explained by patient characteristics or operative time.
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