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• W2318004883 abstract "You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy I1 Apr 2015PD26-11 DEFINING THE UTILITY OF SALVAGE SURGERY FOR INFECTED PENILE IMPLANTS Raanan Tal, Kazuhito Matsushita, Nelson Bennett, and John P. Mulhall Raanan TalRaanan Tal More articles by this author , Kazuhito MatsushitaKazuhito Matsushita More articles by this author , Nelson BennettNelson Bennett More articles by this author , and John P. MulhallJohn P. Mulhall More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1087AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Salvage penile implant surgery has established itself as a recognized strategy for penile implant infection. Since the original Mulcahy publication, few series have defined the success rate of this approach. We aimed to review our experience with salvage surgery for implant infection. METHODS Men presenting with a penile implant infection, who underwent salvage surgery constituted the study population. Upon presentation, men were treated with 24 hours of IV antibiotics unless they were toxic. Prior to commencing antibiotics, culture swab were taken where pus was draining. Intraoperative culture swabs were taken from all spaces. The infected implant was removed in all patients and a full replacement was performed unless scrotal induration or tissue necrosis precluded this. RESULTS 34 salvage procedures have been performed in the past 12 years. Mean age was 64±11 years. All men had had inflatable implants initially. Time post-initial implant at which men presented with infection was 34±12 days (excluding a single patient who presented at 5 months after initial operation). At presentation: 50% were febrile (≥100.5 degrees F); 35% had pus exuding from their incision; 21% had pump fixation. Microbial growth revealed: Staph aureus (32%), Staph epidermidis (20%), Bacteroides species (20%), pseudomonas (9%), MRSA (6%), klebsiella (6%) and fungi (6%). Full salvage was performed in 50%, while 50% only had cylinders placed at time of salvage surgery and 15/17 returned later for staged completion implant surgery. The other two had malleable implant placed at time of salvage and were functional and satisfied with these. 3/34 (9%) became re-infected after salvage surgery, two with different bacteria than the original infection (both Bacteroides species). CONCLUSIONS 91% of patients undergoing salvage implant surgery, whether complete or staged did not experience a second infection, irrespective of the nature of the microbes involved. Staged completion of the salvage procedure is a viable option for men with significant scrotal tissue changes precluding full salvage initially. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e570 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Raanan Tal More articles by this author Kazuhito Matsushita More articles by this author Nelson Bennett More articles by this author John P. Mulhall More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2318004883 title "PD26-11 DEFINING THE UTILITY OF SALVAGE SURGERY FOR INFECTED PENILE IMPLANTS" @default.
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