Use of Glycosylated Hemoglobin to Identify Diabetics at High Risk for Penile Periprosthetic Infections

Bishop, Jonathan; Jw, Mason; Sihelnik, Stephen A.; Peppas, Dennis S.; Gormley, Thomas S.; McLeod, David G.

doi:10.1097/00132586-199210000-00027

Cited by 21 publications

(33 citation statements)

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“…Several risk factors for infection have been mentioned in the literature including Diabetes mellitus, 3,6 spinal cord injury, 7,8 concomitant performance of circumcision, 3 urinary tract instrumentation or surgery at time of procedure, 8,9 urinary tract infection, 1 and dental procedures causing late hematogenous infection. 10 Some studies suggest that a predisposing factor is almost always present when prosthesis infection occurs.…”

Section: Discussionmentioning

confidence: 99%

“…10 Some studies suggest that a predisposing factor is almost always present when prosthesis infection occurs. 5,6 We have attempted to control or avoid above mentioned factors whenever possible. Diabetes mellitus was controlled on basis of blood sugar curve and glycosylated hemoglobin less than 11.5%.…”

Section: Discussionmentioning

confidence: 99%

“…3 ± 5 Reported risk factors include: diabetes mellitus, circumcision with prosthesis implantation, urinary tract instrumentation or simultaneous surgical procedures, urinary colonization, immuno-compromised patients and spinal cord injury patients. 5,6 Based on our previous study of prosthesis infection and the work of others, we attempted to avoid the identi®ed risk factors. We herein present our experience in infection control with unicomponent penile implants as outpatient procedures.…”

Section: Introductionmentioning

confidence: 99%

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Infection control in outpatient unicomponent penile prosthesis surgery

1999

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Infection control in outpatient unicomponent penile prosthesis surgery

1999

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“…A literatura refere que diabéticos apresentam maior risco de infecções do tecido subcutâneo, porém trabalhos recentes não demonstraram aumento da taxa de infecção em diabéti-cos submetidos a implante de prótese peniana (5-7). Casos de gangrena pós-implante em diabéticos sugerem que a doença seja considerada um fator de risco para este tipo de complicação, provavelmente relacionada a mau controle glicêmico pré-operatório (6)(7)(8).…”

Section: Discussionunclassified

“…Investigações em modelos experimentais demonstraram que a capacidade de adesão de bactérias à prótese pode ser reduzida com o emprego de sulfato de protamina (9). Bishop et al (6) relacionaram o mau controle glicêmico ao aumento da incidência de infecção do implante de prótese peniana em diabéticos, sugerindo que os pacientes devem ser primeiramente compensados para que possam ser submetidos à cirurgia. Wilson et al (11) não consideram adequada a hemoglobina glicosilada para determinação do risco de infecção do implante de prótese em diabéticos, preferindo utilizar a duração do DM como fator preditivo.…”

Section: Discussionunclassified

Análise retrospectiva do implante de prótese peniana em diabéticos

Naliato

Ellinger

Neto

et al. 1999

Arq Bras Endocrinol Metab

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RESUMOForam analisados onze pacientes diabéticos do Instituto Estadual de Diabetes e Endocrinologia Luiz Capriglione submetidos a prótese peniana por disfunção erétil, com o objetivo de avaliar as condições pré-implante e a segurança do procedimento. A indicação se baseou na resposta incompleta ou negativa ao teste de ereção com prostaglandina ou na rejeição pelo paciente ao uso de outros métodos para tratamento da disfunção. Todos os pacientes demonstraram satisfação com os resultados da cirurgia e apenas um apresentou complicação pós-operatória, decorrente de falha mecânica conseqüente a prótese defeituosa. Concluímos que o implante de prótese peniana pode ser considerado uma modalidade de tratamento segura, especialmente para a população diabética em situação sócio-econômica desfavorecida, uma vez que elimina a necessidade de tratamentos farmacológi-cos de longa duração e o período pós-operatório cursa com raras complicações. (Arq Bras Endocrinol Metab 1999;43/3: 195-198). Unitermos: Disfunção erétil; Diabetes; Prótese peniana ABSTRACTEleven diabetic patients from the Instituto Estadual de Diabetes e Endocrinologia Luiz Capriglione who received a penile prostheses implant for erectile dysfunction were analyzed with the purpose of evaluating preimplant conditions and safety of the procedure. Surgical indication was based in the incomplete or negative response to erection test or unwillingness to use other methods for treatment of the dysfunction. All patients were satisfied with the results of the surgery and only one presented with post-surgery complication, resulting from mechanical failure of the prosthesis. We conclude that the penile prosthesis implant can be considered a safe method of treatment, especially in low social-economical classes of the diabetic population, because it eliminates the need for long pharmacological treatments and there are few complications in the surgical follow-up. A DISFUNÇÃO ERÉTIL OCORRE em 35 a 75% dos pacientes portadores de diabetes mellitus (DM), 10 a 15 anos mais cedo do que nos não-diabéticos (1). Aproximadamente 15% dos indivíduos considerados hígidos que apresentam impotência são intolerantes à glicose (2).Nos pacientes diabéticos, as causas mais comuns são orgânicas, decorrentes de vasculopatia e neuropatia. A insuficiência de artérias cavernosas, a disfunção veno-oclusiva e/ou a neuropatia autonômica parecem ser os principais mecanismos geradores da disfunção erétil no diabético (1).As opções para o tratamento da disfunção erétil em diabéticos são as mesmas disponíveis para os não-diabéticos e incluem: farmacoterapia não-

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Two Fungal Infections of Inflatable Penile Prostheses in Diabetics

et al. 2015

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IntroductionPenile prosthesis infections have decreased since the introduction of antibiotic‐coated implants. Infections that do occur can be from more rare and virulent organisms than the traditional skin flora historically implicated.AimIn this report, we present two cases of inflatable penile prosthesis (IPP) infection from C andida organisms in insulin‐dependent diabetic patients.MethodsCase report with literature review.Main Outcome MeasuresResolution of the two cases.ResultsBoth patients were found to have insulin‐dependent diabetes. Both patients also presented with infection of the device with Candida species, with the implant pump adherent to their scrotal skin.ConclusionsThis report supports the emerging literature that the flora of IPP infections is changing. We suggest considering adding antifungal agents to antibiotic coatings, dips, or washout solutions at the time of penile prosthesis surgery in diabetic patients. Cotta BH, Butcher M, Welliver C, McVary K, and Köhler T. Two fungal infections of inflatable penile prostheses in diabetics. Sex Med 2015;3:339–342.

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Use of Glycosylated Hemoglobin to Identify Diabetics at High Risk for Penile Periprosthetic Infections

Cited by 21 publications

References 0 publications

Infection control in outpatient unicomponent penile prosthesis surgery

Infection control in outpatient unicomponent penile prosthesis surgery

Análise retrospectiva do implante de prótese peniana em diabéticos

Two Fungal Infections of Inflatable Penile Prostheses in Diabetics

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