Risk factors for penile prosthetic infection

Abstract

Objectives: To determine the risk factorsfor penile prosthesis infection.Methods: The records of 135 penileprosthesis implantation in 127 patients werereviewed.Of the 135 prothesis, 115 were malleable, 12were self-contained and 8 were inflatable. Ofthese procedures, 111 were primary, 9 wereprimary with reconstructions and 15 weresecondary. Mean follow-up was 47 months(minimum 6 months). All of the reconstructionswere penile plications or plaque excisions forPeyronie's disease. Results: The ratio of penile prosthesis infectionwas 8.89%. Secondary implantation, paraplegia, non-controlled diabetes mellitus(p < 0.001) and surgeon's inexperience(p < 0.05) were detected as the risk factors for penileprosthesis infection. But age, smoking, alcohol consumption, obesity, atherosclerosis, presenceof diabetes mellitus (DM), history of penile surgery, simple penile reconstruction, type ofthe erectile dysfunction (ED), type of the penile prostheses and incision and were not found asthe risk factors (p > 0.05). Conclusions: Paraplegie, non-controlled diabetes mellitus,secondary implantation and surgeon's inexperience appear to be the riskfactors for penile prosthesis infection. In secondary implantation, longer operation timeis detected as a factor increasing the risk of penile prosthesis infection. For these patients, careful preoperativepreparation, more attention to perioperative antisepsis andpostoperative follow-up are required. Since ithas been determined that surgical experiencesdecrease the complication rate, these patients should be operated by experienced surgeons.