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Management of infected penile implants
J J Mulcahy1, M D Brant, J K Ludlow
1Department of Urology, Indiana University Medical Center, Indianapolis, USA.
Summary
Penile prosthesis implantation has a low 3% infection rate. Salvage procedures can successfully preserve erectile function in 80-90% of cases when infections occur.
Area of Science:
- Urology
- Surgical Infections
Background:
- Penile prosthesis implantation is a common treatment for erectile dysfunction.
- Wound infection is a known complication, occurring in approximately 3% of cases.
Purpose of the Study:
- To review the management options for wound infections following penile prosthesis implantation.
- To evaluate the success rates of salvage procedures in preserving erectile function.
Main Methods:
- Review of existing literature and case series on penile prosthesis infections.
- Analysis of outcomes for patients undergoing device removal and reimplantation versus salvage procedures.
Main Results:
- Adherence to antiseptic principles maintains a low incidence of wound infections.
- Salvage procedures, involving device removal and reinsertion, demonstrate high success rates (80-90%) in preserving erectile function.
Conclusions:
- Wound infections after penile prosthesis surgery are manageable with appropriate strategies.
- Salvage procedures offer a viable option for maintaining erectile function after infection, with a high success rate.