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The Prosthesis Salvage Operation: Immediate Replacement of the Infected Penile Prosthesis

1996; Lippincott Williams & Wilkins; Volume: 155; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(01)66580-7

1527-3792

Michael D. Brant, John K. Ludlow, John J. Mulcahy,

Vascular Procedures and Complications

No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1996The Prosthesis Salvage Operation: Immediate Replacement of the Infected Penile Prosthesis Michael D. Brant, John K. Ludlow, and John J. Mulcahy Michael D. BrantMichael D. Brant , John K. LudlowJohn K. Ludlow , and John J. MulcahyJohn J. Mulcahy View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66580-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe our experience with salvage of the infected penile prosthesis at initial presentation in 11 patients. Materials and Methods: All patients with prosthesis infection who presented since 1991 were considered for salvage surgery. Contraindications to a salvage operation included necrotic infections, diabetic patients with purulence in the corporeal bodies, rapidly developing infections and erosion of the device cylinders. Results: In 1 patient in this group a salvage attempt was repeated after re-infection, for an overall success rate of 91 percent. Mean followup for the group was 21 months (range 9 to 42). Staphylococcus epidermidis was the infecting organism in 75 percent of out patients. Conclusions: Our experience demonstrates the safety and advantages of the immediate salvage technique. References 1 : Management of erectile impotence. Use of implantable inflatable prosthesis. Urology1973; 2: 80. Google Scholar 2 : Long-term evaluation of the inflatable penile prosthesis. J. Urol.1984; 131: 670. Link, Google Scholar 3 : Patient and partner satisfaction with the AMS 700 penile prosthesis. J. Urol.1992; 147: 62. Link, Google Scholar 4 : Infectious complications of penile prosthesis surgery. J. Urol.1988; 139: 953. Link, Google Scholar 5 : Intracorporeal drainage after removal of infected penile prostheses. Urology1984; 23: 184. Google Scholar 6 : Coring fibrotic corpora for penile implants. 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Google Scholar Indiana University Medical Center, Indianapolis, Indiana.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRezaee M, Towe M, Osman M, Huynh L, El-Khatib F, Andrianne R, Broderick G, Burnett A, Gross M, Guise A, Hatzichristodoulou G, Henry G, Clavell-Hernandez J, Hsieh T, Jenkins L, Lentz A, Munarriz R, Osmonov D, Park S, Perito P, Sadeghi-Nejad H, Sempels M, Simhan J, Wang R and Yafi F (2020) A Multicenter Investigation Examining American Urological Association Recommended Antibiotic Prophylaxis vs Nonstandard Prophylaxis in Preventing Device Infections in Penile Prosthesis Surgery in Diabetic PatientsJournal of Urology, VOL. 204, NO. 5, (969-975), Online publication date: 1-Nov-2020.Lopategui D, Balise R, Bouzoubaa L, Wilson S and Kava B (2018) The Impact of Immediate Salvage Surgery on Corporeal Length Preservation in Patients Presenting with Penile Implant InfectionsJournal of Urology, VOL. 200, NO. 1, (171-177), Online publication date: 1-Jul-2018.Hecht S and Hedges J (2015) Management of the Infected Penile ProsthesisJournal of Urology, VOL. 195, NO. 3, (546-547), Online publication date: 1-Mar-2016.Gross M, Phillips E, Balen A, Eid J, Yang C, Simon R, Martinez D, Carrion R, Perito P, Levine L, Greenfield J and Munarriz R (2015) The Malleable Implant Salvage Technique: Infection Outcomes after Mulcahy Salvage Procedure and Replacement of Infected Inflatable Penile Prosthesis with Malleable ProsthesisJournal of Urology, VOL. 195, NO. 3, (694-698), Online publication date: 1-Mar-2016.Henry G, Karpman E, Brant W, Christine B, Kansas B, Khera M, Jones L, Kohler T, Bennett N, Rhee E, Eisenhart E and Bella A (2015) The Who, How and What of Real-World Penile Implantation in 2015: The PROPPER Registry Baseline DataJournal of Urology, VOL. 195, NO. 2, (427-433), Online publication date: 1-Feb-2016.Muench P (2012) Infections Versus Penile Implants: The War on BugsJournal of Urology, VOL. 189, NO. 5, (1631-1637), Online publication date: 1-May-2013.Bush N and Bagrodia A (2012) Initial Results for Combined Orchiectomy and Prosthesis Exchange for Unsalvageable Testicular Torsion in Adolescents: Description of Intravaginal Prosthesis Placement at OrchiectomyJournal of Urology, VOL. 188, NO. 4S, (1424-1428), Online publication date: 1-Oct-2012.Henry G, Carson C, Wilson S, Wiygul J, Tornehl C, Cleves M, Simmons C and Donatucci C (2007) Revision Washout Decreases Implant Capsule Tissue Culture Positivity: A Multicenter StudyJournal of Urology, VOL. 179, NO. 1, (186-190), Online publication date: 1-Jan-2008.Silverstein A, Henry G, Evans B, Pasmore M, Simmons C and Donatucci C (2018) Biofilm Formation on Clinically Noninfected Penile ProsthesesJournal of Urology, VOL. 176, NO. 3, (1008-1011), Online publication date: 1-Sep-2006.HENRY G, WILSON S, DELK J, CARSON C, WIYGUL J, TORNEHL C, CLEVES M, SILVERSTEIN A and DONATUCCI C (2018) REVISION WASHOUT DECREASES PENILE PROSTHESIS INFECTION IN REVISION SURGERY: A MULTICENTER STUDYJournal of Urology, VOL. 173, NO. 1, (89-92), Online publication date: 1-Jan-2005.HENRY G, WILSON S, DELK J, CARSON C, SILVERSTEIN A, CLEVES M and DONATUCCI C (2018) PENILE PROSTHESIS CULTURES DURING REVISION SURGERY: A MULTICENTER STUDYJournal of Urology, VOL. 172, NO. 1, (153-156), Online publication date: 1-Jul-2004.BELL B and MULCAHY J (2018) MANAGEMENT OF CUFF EROSION OF THE DOUBLE CUFF ARTIFICIAL URINARY SPHINCTERJournal of Urology, VOL. 163, NO. 1, (85-86), Online publication date: 1-Jan-2000.MULCAHY J (2018) LONG-TERM EXPERIENCE WITH SALVAGE OF INFECTED PENILE IMPLANTSJournal of Urology, VOL. 163, NO. 2, (481-482), Online publication date: 1-Feb-2000.MOOREVILLE M, ADRIAN S, DELK J and WILSON S (2018) IMPLANTATION OF INFLATABLE PENILE PROSTHESIS IN PATIENTS WITH SEVERE CORPOREAL FIBROSIS: INTRODUCTION OF A NEW PENILE CAVERNOTOMEJournal of Urology, VOL. 162, NO. 6, (2054-2057), Online publication date: 1-Dec-1999.KAUFMAN J, KAUFMAN J and BORGES F (2018) IMMEDIATE SALVAGE PROCEDURE FOR INFECTED PENILE PROSTHESISJournal of Urology, VOL. 159, NO. 3, (816-818), Online publication date: 1-Mar-1998. Volume 155Issue 1January 1996Page: 155-157 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Michael D. Brant More articles by this author John K. Ludlow More articles by this author John J. Mulcahy More articles by this author Expand All Advertisement PDF downloadLoading ...