Treatment of Penile Prosthesis Implant's Infection
Por:
Cosentino, M, Bianco, M, Ruiz-Castane, E, Iafrate, M
Publicada:
1 ago 2020
Resumen:
Introduction:Penile prosthesis implant is a safe and effective option in erectile dysfunction patients, being implant procedures safe with a low risk of infection. However, when infection occurs, it represents a concrete problem for both surgeon and patient.Methods:This is a comprehensive review of all issues relating to prosthesis infection, including causes and risk factors, methods of prevention, and management. We analyzed all preoperative and perioperative factors, which can play a role in infection of the device.Results:Infection of penile prosthesis implant is hard to manage and correct. While the incidence of infection following first implant is up to 3%, in cases of re-implant surgery, the rate can reach as high as 18%. Many articles were found addressing prevention and treatment of penile prosthesis infection, and many analyzed all relevant pre- and perioperative factors associated with penile prosthesis implant. Although such factors have been well studied, there is no clear consensus worldwide on certain topics.Conclusions:Penile prosthesis implant is a safe and effective option. Despite infection is a rare event, surgeons should follow strictly pre-, intra- and postoperative recommendations in order to reduce the risk of device's infection. An appropriate antibiotic therapy should be tailored on patient's characteristics and pathogens isolated.
Filiaciones:
Cosentino, M:
Casa Cura Villa Maria, Androl & Urol Dept, Via Melette 20, IT-35138 Padua, Italy
Bianco, M:
Univ Padua, Dept Surg Ontol & Gastroenterol Sci, Urol Clin, Padua, Italy
Ruiz-Castane, E:
Univ Autonoma Barcelona, Fundacio Puigvert, Androl Dept, Barcelona, Spain
Iafrate, M:
Univ Padua, Dept Surg Ontol & Gastroenterol Sci, Urol Clin, Padua, Italy
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