Treatment of penile prosthetic infection with removal of the infected prosthesis and simultaneous implantation of a new one.
- Author:
Woo Hee PARK
1
;
Wang Kwon CHOI
;
Sang Chul KIM
;
Jin PARK
;
Hong Bang SHIM
Author Information
1. Department of Urology, Korea Veterans Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
penile prosthesis;
infection;
salvage operation
- MeSH:
Erectile Dysfunction;
Follow-Up Studies;
Foreign Bodies;
Humans;
Male;
Necrosis;
Penile Implantation;
Penile Prosthesis;
Polyethylene Terephthalates;
Prostheses and Implants*;
Wounds and Injuries
- From:Korean Journal of Urology
1992;33(3):567-569
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Penile prosthesis implantation has become an established and a very successful method for treatment of the erectile dysfunction. But complications still occur, and the most devastating is infection. There has been 3 therapeutic options for the infected prosthesis. One is the removal of all components of the prosthesis and the reinsertion of a new prosthesis after 4 months or more. Another one is to remove all parts of the prosthesis, irrigate the wound copiously with antibiotic irrigant and insert a new prosthesis before closure. This latter procedure has been termed a salvage operation. The purpose of the salvage procedure is to maintain penile length and enable easy insertion of the cylinders. But the placement of a foreign body in a potentially infected wound is not a standard surgical procedure. An alternative to immediate salvage of an infected prosthesis is "delayed salvage". We performed a salvage operation in a patient with prosthetic infection. There was a large defect in corpus cavernosum due to the infectious necrosis. So we closed the corpus cavernosum with the aid of Dacron patch. We have a satisfactory result with a follow-up of 12 months.
