Trends in penile prosthesis implantation and analysis of predictive factors for removal

Li, Kai; Brandes, Eileen R.; Chang, Steven L.; Leow, Jeffrey J.; Chung, Benjamin I.; Wang, Ye; Eswara, Jairam R.

doi:10.1007/s00345-018-2491-4

Cited by 27 publications

(17 citation statements)

References 27 publications

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“…It is an important cause of reoperation and prosthesis removal, loss of function and costs (8,30). Li et al (6), in a recent multicentric study, reported a direct medical cost of about 10 thousand dollars to remove an infected penile prosthesis. Considering that penile prosthesis with positive culture had lower revision-free survival, with a trend to have also more mechanical failure and the high prevalence of positive cultures even in patients with no clinical signs of infection, bacterial adhesion and colonization of prosthesis seem to be important issues yet.…”

Section: Discussionmentioning

confidence: 99%

“…Bishop et al suggested that glycosylated hemoglobin was a predictor for prosthesis infection when above 11.5% (25). Recently, Li et al (2018) reported diabetes mellitus, HIV and Charles Comorbidity Index as factors associated to prosthesis removal (6).…”

Section: Discussionmentioning

confidence: 99%

“…The single surgeon had shorter operative time (34 min versus 94 min, p<0.0001) and eight 6 fold less reoperations (p 0.028)(21). High volume surgeons and high volume institutions have better infection rates as stated by the current recommendations from international consultation in sexual medicine(6,22).…”

mentioning

confidence: 87%

“…However, complications range from 7 to 20% (5), mostly related to mechanical malfunction, infection and erosion. The cost of penile prosthesis removal is estimated at about 10 thousand dollars, which is 6 fold higher than an initial implantation (6).…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of penile prosthesis infection and meta-analysis of diabetes mellitus role

Gon

Campos

Voris

et al. 2019

Preprint

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Background: Infection is the most feared complication of penile prosthesis. Diabetes mellitus is a well known to increase risk of several kinds of infection, but its role upon penile prosthesis is not defined. The aim of this systematic review is to show the contemporary scenario of penile prosthesis infection and perform a meta-analysis about diabetes mellitus contribution to penile prosthesis infection. Methods: the review was performed with no language or time limitation, in 10 data bases. There were included articles about male population who received a penile prosthesis with no model restriction, with a minimum follow up of one year and proper outcomes report. Results: The mean incidence of infection after penile prosthesis implant ranged from 0.33 to 11.4%. In early 2000, after several improvements, the general incidence of infection was 3 to 5%. Then, the introduction of coated materials decreased infection to 0.3 to 2.7% . Also, no touch technique and centers of reference with high volume surgeons contributed to reduce infection rates. Meta-analysis showed that diabetes mellitus increases penile prosthesis infection with odds ratio of 1.56 (95% CI: 1.12 - 2.044). Conclusions: Penile prosthesis infection decreased in the last decades, but remains an important cause of reoperation and it is related to lower prosthesis survival. Meta-analysis concludes that diabetes mellitus increases penile prosthesis infection and it should be considered as a risk factor.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Systematic review of penile prosthesis infection and meta-analysis of diabetes mellitus role

Gon

Campos

Voris

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…However, complications do exist and range from 7 to 20% [5], mostly related to mechanical malfunction, infection, and erosion. The estimated cost of penile prosthesis removal is about 10 thousand dollars, which is six-fold higher than the initial implantation [6].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of penile prosthesis infection and meta-analysis of diabetes mellitus role

et al. 2021

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Background Infection is the most feared complication of a penile prosthesis. Diabetes mellitus (DM) is widely known to increase the risk of several infections, but its role in the penile prosthesis is still controversial. This systematic review aims to show the contemporary scenario of penile prosthesis infection and present a meta-analysis about DM contribution to penile prosthesis infection. Methods The review was performed with no language or time limitation, including ten databases. The included articles were about the male population who received a penile prosthesis with no model restriction, with a minimum follow up of 1 year, and outcomes adequately reported. Results The mean infection incidence of penile prosthesis ranged from 0.33 to 11.4%. In early 2000, the general incidence of infection was 3 to 5%, then, the introduction of coated materials decreased it to 0.3 to 2.7%. The meta-analysis showed that diabetes mellitus is related to an increased risk of penile prosthesis infection with an odds ratio of 1.53 (95% CI 1.15–2.04). Conclusions Penile prosthesis infection decreased in the last decades but remains a significant cause of reoperation, and it is related to lower prosthesis survival. Meta-analysis concludes that diabetes mellitus is related to a higher risk of penile prosthesis infection.

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Patient and Device Selection

Krishnappa¹,

Fernández-Pascual

Martínez-Salamanca

2021

Penile Implant Surgery

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Trends in penile prosthesis implantation and analysis of predictive factors for removal

Cited by 27 publications

References 27 publications

Systematic review of penile prosthesis infection and meta-analysis of diabetes mellitus role

Systematic review of penile prosthesis infection and meta-analysis of diabetes mellitus role

A systematic review of penile prosthesis infection and meta-analysis of diabetes mellitus role

Patient and Device Selection

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