Current Sexual Health Reports

, Volume 11, Issue 3, pp 176–184 | Cite as

Preventing Infections in Prosthetic Surgery

  • Geraldo M. Macedo
  • Gerard D. HenryEmail author
Male and Female Surgical Interventions (C Carson and M Khera, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Male and Female Surgical Interventions


Purpose of Review

Review current literature for risk factors and strategies to prevent infection in urological prosthetic implants.

Recent Findings

Recent studies on risk factors and special patients are described. Strategies to decrease infection rate, role, and importance of biofilm is also discussed.


Infection on implanted devices for the treatment of erectile dysfunction and urinary incontinence is the most feared complication. Risk factors, where/when most infections occur, and the role of biofilm are discussed. Infection rates decreased with the advent of infection-resistant coated devices, and subsequently, bacteriological/isolate profiles changed. The bacteriology of implant infection is reviewed. Basic rules of perioperative implant prevention are ensuring no concurrent infections, proper alcohol-based skin preparation (not iodine), appropriate sterile technique, preoperative antimicrobial prophylaxis, reduced operative time, and limiting the implant from touching the skin. Future research is also discussed.


Inflatable penile prosthesis Infection Infection prevention Biofilm Revision washout 


Abbreviations and Acronyms

IPPinflatable penile prosthesis

PPpenile prosthesis

SSIsurgical site infection

Compliance with Ethical Standards

Conflict of Interest

Gerard Henry reports personal fees from Boston Scientific as an investigator and consultant, Coloplast as an investigator, Medtonic as a consultant, and MicrogenDX as an investigator and consultant, outside of submitted work.

Geraldo Macedo declares no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Andrology DepartmentSanta Casa da Misericórdia de Fortaleza HospitalFortalezaBrazil
  2. 2.Ark-La-Tex UrologyBossier CityUSA

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