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• W3192551539 abstract "You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy (MP57)1 Sep 2021MP57-16 IMMEDIATE SALVAGE WITH INFLATABLE PENILE PROSTHESIS IN AN INFECTED FIELD: A CONTEMPORARY MULTI-INSTITUTIONAL COHORT Daniel Jiang, John Barnard, Edward Choi, James Furr, Aaron Lentz, Koenraad van Renterghem, Patrick Selph, and Faysal A. Yafi Daniel JiangDaniel Jiang More articles by this author , John BarnardJohn Barnard More articles by this author , Edward ChoiEdward Choi More articles by this author , James FurrJames Furr More articles by this author , Aaron LentzAaron Lentz More articles by this author , Koenraad van RenterghemKoenraad van Renterghem More articles by this author , Patrick SelphPatrick Selph More articles by this author , and Faysal A. YafiFaysal A. Yafi More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002087.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Contemporary management of inflatable penile prosthesis (IPP) infections involves removal and replacement to minimize corporal fibrosis and penile shortening. Many urologists prefer a malleable prosthesis (MP) followed by staged conversion to IPP, a technique thought to improve outcomes by allowing treatment of the infection while maintaining intracorporeal volume. A staged procedure involves additional surgery with associated risks. Previous studies suggest an 18% infection risk of placing a second device in a non-infected, revision setting, and that infection risk increases with each subsequent procedure. Our study aims to delineate whether immediate IPP salvage in an infected field yields similar complication rates to the staged approach. METHODS: Retrospective review at 5 different institutions from February 2010 to October 2020 identified patients with IPP infection who underwent IPP salvage. Patient demographic, laboratory, operative, and microbiology data were collected. Emphasis was placed on the salvage operative technique, duration of antibiotics, and post-salvage complications. RESULTS: Overall, 19 patients underwent immediate salvage with IPP in the setting of a suspected infection. Average age at initial implantation was 59.9 years. Median time from initial implant to presentation with infectious symptoms was 2.4 months, and revision was performed a median of 1.5 days after presentation and initiation of antibiotics. Intraoperative complications were rare (5.3%), and post-salvage complications were 21.1%, including 1 cylinder herniation and 3 post salvage infections (15.8%). Only 1 post-salvage infection showed concordance with initial cultures while 1 was discordant and the third showed no growth (Table 1). Fisher’s exact test showed diabetes, purulence in the operative field, use of drain, or washout type were not associated with infection post-salvage. CONCLUSIONS: Immediate IPP salvage in the setting of an acutely infected field shows a complication profile not exceeding published data in the staged revision setting. Although staged MP-IPP salvage has been favored by many surgeons, the complication profile may be equivalent to immediate IPP salvage, and the risks of a subsequent operation should be considered during preoperative counseling. Source of Funding: NA © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e985-e985 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel Jiang More articles by this author John Barnard More articles by this author Edward Choi More articles by this author James Furr More articles by this author Aaron Lentz More articles by this author Koenraad van Renterghem More articles by this author Patrick Selph More articles by this author Faysal A. Yafi More articles by this author Expand All Advertisement Loading ..." @default.
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• W3192551539 title "MP57-16 IMMEDIATE SALVAGE WITH INFLATABLE PENILE PROSTHESIS IN AN INFECTED FIELD: A CONTEMPORARY MULTI-INSTITUTIONAL COHORT" @default.
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