ArticleThe journal of sexual medicine2016
Conservative Therapy is an Effective Option in Patients With Localized Infection After Penile Implant Surgery.
Article in The journal of sexual medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Risk factors associated with penile prosthesis infection: systematic review and meta-analysis.International journal of impotence research · 2020Pooled it
- Infection prevention strategies in penile prosthesis implantation: a narrative review.International journal of impotence research · 2026Review
- Patients' satisfaction rate after penile implant surgery: a cross-sectional investigation from the middle east.Scientific reports · 2025Article
- Risky business: penile prosthesis in high-risk patients.Translational andrology and urology · 2025Article
- Narrative review of immediate salvage for penile prosthesis infection.Translational andrology and urology · 2024Review
- Overcoming barriers to immediate penile implant salvage surgery: a narrative review.Translational andrology and urology · 2024Review
- Successful Conservative Therapy for Infected Penile Implants: A Case Series.The American journal of case reports · 2024Article
- Surgical tips in difficult penile prosthetic surgery: a narrative review.International journal of impotence research · 2023Review
- Penile prosthesis salvage: a historical look at the Mulcahy technique and a review of the latest literature.International journal of impotence research · 2023Review
- Case - Conservative management of deep penile skin infection post-three-piece penile prosthesis implantation.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- Penile implant surgery-managing complications.Faculty reviews · 2021Review
- Correlation of fasting blood sugar at the time of penile prosthesis surgery with the level of glycated hemoglobin and the outcome of surgery.African journal of urology : the official journal of the Pan African Urological Surgeons' Association (PAUSA) · 2021Article
- Penile Prosthesis Infection: Myths and Realities.The world journal of men's health · 2019Review
- Post-operative antibiotics following placement of a penile prosthesis.Translational andrology and urology · 2017Article
- Ten-year experience with penile prosthetic surgery for the treatment of erectile dysfunction: outcomes of a tertiary referral center and predictors of early prosthetic infection.Asian journal of andrologyArticle
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Authors and funding
12 authors at 9 institutions in 6 countries.
Funding
Abstract
introductionTraditionally, penile implant (PI) infections have been managed by removal with immediate or delayed replacement. Recently, interest has been focused on conservative therapy (CT) using antibiotic therapy.
aimTo investigate the success rate and predictive factors affecting the outcome of CT in PI infection patients.
methodsPatients diagnosed with early, localized PI infection were considered candidates for CT. Exclusion criteria included temperature >37.5°C, WBC >13,000/μL, and appearance of any sign of sepsis. In patients with purulent drainage, culture swabs were taken and an antibiotic was chosen based on sensitivity results. Oral antibiotics were used until the local infection was completely resolved. Patients were evaluated weekly during this process.
resultsThirty-seven patients were retrospectively reviewed and constituted the study population. Mean age was 58.1 (range 37-85; SD 9.9) years. All were diabetic. Mean BMI was 31.8 (range 24-47; SD 5.0). PI was malleable in 33 cases and inflatable in 4 cases. Culture results (n = 19) included Staphylococcus epidermidis (42 %), pseudomonas (21%), Escherichia coli (21%), and S aureus (16%). Four of 37 patients needed the PI removed due to CT failure and onset of systemic symptoms, at a mean time-point of 75 ± 1.8 days after CT commencement. In men who were cured, mean time to complete healing was 49 (range 29-97; SD 15.8) days. Two of 37 patients (5%) had PI removal because of persistent penile pain despite complete wound healing, at a mean time point of 128 ± 2.5 days after CT commencement. All men managed conservatively resumed sexual intercourse.
conclusionCT of localized PI infection appears to be a viable option for such patients, with the majority of patients retaining their implant and resuming sexual activity.
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