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Current Urology Reports

, 20:12 | Cite as

Infection Prevention Considerations for Complex Penile Prosthesis Recipients

  • Robert J. CarrasquilloEmail author
  • Ricardo M. Munarriz
  • Martin S. Gross
Surgery (J Simhan, Section Editor)
  • 21 Downloads
Part of the following topical collections:
  1. Topical Collection on Surgery

Abstract

Purpose of Review

The purpose of this review is to critically analyze and summarize recent studies in the area of penile prosthesis surgery outcomes with a focus on infection prevention in high-risk patients.

Recent Findings

Reduction of surgical time in complex prosthesis surgery may reduce infection risk. Concomitant implant surgery is not associated with increased infection risk. Certain immunocompromised patients may be more likely to have penile implant infections, but these may not include patients with well-controlled HIV, well-controlled diabetes, or transplant recipients. Substance abuse is correlated with increased risk of infection after penile implant surgery. Careful patient selection and preoperative optimization can reduce infection risk in spinal cord injury patients.

Summary

In the last 5 years, there have been several important studies investigating the risk of penile prosthesis infection in complex patients, clarifying which patient categories are at increased risk and how that risk can be mitigated.

Keywords

Penile prosthesis Penile prosthesis infection Diabetes Biofilm Erectile dysfunction Revision surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

Robert J. Carrasquillo and Ricardo M. Munarriz each declare no potential conflicts of interest.

Martin S. Gross is a consultant and investigator for Coloplast.

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.

References

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

  • Robert J. Carrasquillo
    • 1
    Email author
  • Ricardo M. Munarriz
    • 2
  • Martin S. Gross
    • 3
  1. 1.Division of UrologyBeth Israel Deaconess Medical CenterBostonUSA
  2. 2.Department of UrologyBoston University Medical CenterBostonUSA
  3. 3.Section of UrologyDartmouth-Hitchcock Medical CenterLebanonUSA

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