Infection control in outpatient unicomponent penile prosthesis surgery

Abstract

The aim of this work is evaluate the ef®cacy of infection control measures with unicomponent penile implants in two ambulatory surgery units in Cairo and Jeddah. This was a retrospective study of 117 consecutive cases. A patient selection and infection control protocol was followed to implant 12 hydraulic, 53 mechanical and 52 malleable prostheses under local bupivacaine penile ring anesthesia and intravenous propofol. No infection occurred that required prosthesis removal, none required hospitalization or urinary catheterization, one crural and two septal perforations were managed intraoperatively; one case was reoperated upon for mechanical failure, two for oversizing and one for undersizing the girth. We conclude that implantation of unicomponent penile implants under triple antibiotic coverage in an ambulatory surgery setting, with rigid infection control measures appears to be effective in preventing infection.

Infections Associated with Inflatable Penile Prostheses

“…Prior surgical implantation and multiple surgical procedures at the time of implantation have been associated with an increased risk of infection . Concomitant surgical procedures such as simultaneous circumcision and the use of additional foreign body material like Gore‐Tex or Dacron have also been reported as risk factors for IPP infection .…”

Experience with Tube® (Promedon) Malleable Penile Implant

“…Urinary catheterization was only done if needed. Preoperative antibiotic prophylaxis included intravenous injection of 1 g cephradine, 1 g cefoperazone and 80 mg gentamicin 1 h preoperatively to be repeated before discharge and followed by oral ofloxacin 200 mg every 12 h for 5 days [12] .…”