Salvage procedures for infected penile implants: A comprehensive review and analysis of functional outcomes.

Autor:	Beirnaert J; Department of urology, hôpital universitaire de Bruxelles, Brussels, Belgium., Tabourin T; Urology, GRC 5, Predictive Onco-Urology, APHP, Pitié-Salpêtrière Hôpital, Sorbonne University, 75013 Paris, France., Akakpo W; Department of urology, clinique Ambroise-Paré, Neuilly sur Seine, France., Roupret M; Urology, GRC 5, Predictive Onco-Urology, APHP, Pitié-Salpêtrière Hôpital, Sorbonne University, 75013 Paris, France. Electronic address: morgan.roupret@aphp.fr., Pinar U; Urology, GRC 5, Predictive Onco-Urology, APHP, Pitié-Salpêtrière Hôpital, Sorbonne University, 75013 Paris, France.
Jazyk:	angličtina
Zdroj:	The French journal of urology [Fr J Urol] 2024 Jun; Vol. 34 (5), pp. 102641. Date of Electronic Publication: 2024 Apr 30.
DOI:	10.1016/j.fjurol.2024.102641
Abstrakt:	Background: The salvage procedure for infected penile implants (IPs) has been a subject of interest since its inception in the late 1980s, yet its widespread adoption remains limited. The aim of this study was to realize a systematic literature review to provide a comprehensive analysis of salvage techniques for IPs and assess their efficacy, specifically focusing on functional success. Methods: A systematic literature review was conducted using PubMed, employing Mesh terms related to penile prosthesis, penile implant, infection, and salvage procedures. Articles in French or English were considered for the final analysis, with exclusion of literature reviews. Results: Fifteen articles detailing various salvage techniques for IPs were identified. Mulcahy's initial technique was described in 1996, and consisted of complete removal of infected components, extensive lavage, and subsequent replacement with a similar implant. Success rates ranged from 80% to 100%, with emerging trends favoring the use of malleable implants during salvage. Unfortunately, functional data remained limited. When salvage penile prosthesis placement involved a malleable prosthesis, between 20% and 33% of patients underwent conversion to hydraulic prosthesis. Conclusion: The salvage procedure for infected penile implants is a reliable method, with success rates surpassing 80%. The need for comparative studies assessing the type of implant used during salvage is required to tailor conservative management strategies for optimal patient outcomes. Finally, few data have been published regarding subsequent conversions from malleable penile implants to hydraulic penile implants after salvage. (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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