Tips and tricks in the management of inflatable penile prosthesis infection: A review.

Autor:	Brimley SC; Department of Urology, Tulane University, New Orleans, LA, USA., Yousif A; Department of Urology, Tulane University, New Orleans, LA, USA., Kim J; Department of Urology, Tulane University, New Orleans, LA, USA., Hellstrom WJG; Department of Urology, Tulane University, New Orleans, LA, USA.
Jazyk:	angličtina
Zdroj:	Arab journal of urology [Arab J Urol] 2021 Jul 05; Vol. 19 (3), pp. 346-352. Date of Electronic Publication: 2021 Jul 05 (Print Publication: 2021).
DOI:	10.1080/2090598X.2021.1946335
Abstrakt:	Objective: To review the management of inflatable penile prosthesis (IPP) infection. Methods : The 'gold-standard' treatment for medication-refractory erectile dysfunction is the IPP, wherein the most dreaded complication is infection. To prevent and manage an infected IPP requires a strict protocol during the pre-, intra-, and postoperative course. A variety of techniques and antibiotics are used in conjunction with IPP implantation to prevent contamination. This modified Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) review of the literature examines the current practices by leading urologists in the management of IPP infection, as well as provides insights for improved patient outcomes. Results: : Patient selection is important to reduce IPP infections, and those with risk factors need to be optimised prior to surgery. Proper antibiotic prophylaxis includes pre-, intra-, and postoperative administration. As most infections derive from normal skin flora, every measure must be taken to sterilise the skin and avoid direct device skin contact. Up to 3% of virgin IPPs develop infections and this number increases to 18% in revision cases. Antibiotic coverage depends on the presenting microbe, which can vary significantly between patients. Conclusions: : A greater success in IPP implantation can be attributed to appropriate prophylaxis, field sterilisation, and surgical technique. For those implants that do become infected, often erectile function can be preserved by immediate antibiotic coverage combined with salvage procedures. Competing Interests: Dr Wayne Hellstrom is a consultant for Coloplast. No other potential competing interest was reported by the authors. (© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
Databáze:	MEDLINE
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