Abstract |
The single most important factor in the reduction of penile implant infections has been the infection retardant coatings. Virtually every inflatable penile prosthesis ( IPP) sold for the last 15 years in America has been coated and the device infection rate has dropped over 50% to less than 1% in experienced implanter practices. The vast majority of penile implants are contaminated with bacteria at time of surgery and the bacteria live within the implant spaces in a quiescent fashion protected by a biofilm secreted by the organisms that makes them impermeable to antibiotics or the body's defense mechanisms. Only very rarely do the bacteria cause a clinical infection. Medicine has no clue why this atypically happens. There are new recommendations for systemic prophylactic antibiotics-a testimonial to the changing face of the bacteria causing device infection. New washout solutions are being utilized and new salvage guidelines are being studied.
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Authors | John J Mulcahy, Tobias S Köhler, Lexiaochuan Wen, Steven K Wilson |
Journal | International journal of impotence research
(Int J Impot Res)
Vol. 33
Issue 8
Pg. 801-807
(Dec 2020)
ISSN: 1476-5489 [Electronic] England |
PMID | 32770140
(Publication Type: Journal Article, Review)
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Copyright | © 2020. The Author(s), under exclusive licence to Springer Nature Limited. |
Chemical References |
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Topics |
- Anti-Bacterial Agents
(therapeutic use)
- Humans
- Penile Diseases
(drug therapy)
- Penile Prosthesis
- Prosthesis-Related Infections
(prevention & control)
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