ArticleSexual medicine2019
Diabetes Is a Risk Factor for Inflatable Penile Prosthesis Infection: Analysis of a Large Statewide Database.
Article in Sexual medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed, 53 citations in OpenAlex.
- Infection rates in primary inflatable penile prosthesis: a systematic review and meta-analysis of antibiotic-coated versus non-coated devices.International journal of impotence research · 2026Review
- Preoperative penoscrotal swab microbiology and postoperative infection concordance in malleable penile prosthesis surgery: A prospective randomized study of skin antisepsis.International journal of impotence research · 2026Article
- Infection prevention strategies in penile prosthesis implantation: a narrative review.International journal of impotence research · 2026Review
- Laminar Airflow in Penile Prosthesis Surgery and Infection: An Empty Systematic Review.Cureus · 2025Review
- Risky business: penile prosthesis in high-risk patients.Translational andrology and urology · 2025Article
- Infection following inflatable penile prosthesis placement: a real-world comparison of device selection and patient characteristics.Translational andrology and urology · 2025Article
- Risk factors for reoperation of inflatable penile prosthesis among an ethnically diverse urban population in a high-volume center.International journal of impotence research · 2025Article
- A global, propensity-score matched analysis of patients receiving inflatable penile prostheses and the risk of complications, infections, and re-interventions.Translational andrology and urology · 2024Article
- Current devices, outcomes, and pain management considerations in penile implant surgery: an updated review of the literature.Asian journal of andrology · 2024Review
- Penile prosthesis in the medically complex patient: a narrative review.Translational andrology and urology · 2023Review
- Maximizing outcomes in penile prosthetic surgery: exploring strategies to prevent and manage infectious and non-infectious complications.International journal of impotence research · 2023Review
- A scoping review of penile implant biofilms-what do we know and what remains unknown?Translational andrology and urology · 2022Article
- Diabetes mellitus and perioperative outcomes: a scoping review of the literature.British journal of anaesthesia · 2022Article
- Prevention of Penile Prosthesis Infection.Current urology reports · 2022Review
- Erectile dysfunction and diabetes: A melting pot of circumstances and treatments.Diabetes/metabolism research and reviews · 2022Review
- Penile implant infection factors: a contemporary narrative review of literature.Translational andrology and urology · 2021Review
- The Association Between Hemoglobin A1c Levels and Inflatable Penile Prosthesis Infection: Analysis of US Insurance Claims Data.The journal of sexual medicine · 2021Article
- Prospective analysis of cultures from the Furlow insertion tool: a possible etiology for penile prosthesis infections.International journal of impotence research · 2021Article
- Immediate preoperative blood glucose and hemoglobin a1c levels are not predictive of postoperative infections in diabetic men undergoing penile prosthesis placement.International journal of impotence research · 2021Article
- Tips and tricks in the management of inflatable penile prosthesis infection: A review.Arab journal of urology · 2021Review
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough diabetes mellitus (DM) is often discussed as a risk factor for inflatable penile prosthesis (IPP) infection, the link between DM diagnosis and IPP infection remains controversial. High-quality population-based data linking DM to an increased risk of IPP infection have not been published.
aimTo evaluate the association of DM with IPP infection in a large public New York state database.
methodsThe New York Statewide Planning and Research Cooperative System (SPARCS) database was queried for men who underwent initial IPP insertion from 1995-2014. Diabetic patients were identified using ICD-9-CM codes. Patients presenting for first operation with diagnosis or Current Procedural Terminology codes suggestive of prior IPP surgery were excluded. Chi-squared analyses were performed to compare infection rates in diabetics and non-diabetics within the pre- and postantibiotic impregnated eras. Multivariate Cox proportional hazards models were constructed to evaluate whether or not DM was independently associated with IPP infection in the time periods before (1995-2003) and after (2004-2014) the widespread availability of antibiotic impregnated penile prostheses.
main outcome measureTime to prosthesis infection was measured.
results14,969 patients underwent initial IPP insertion during the study period. The overall infection rate was 343/14,969 (2.3%). Infections occurred at a median 3.9 months after implant (interquartile ratio: 1.0-25.0 months). Infectious complications were experienced by 3% (133/4,478) of diabetic patients and 2% (210/10,491) of non-diabetic patients (P < .001). Diabetes was associated with a significantly increased IPP infection risk on multivariable analysis controlling for age, race, comorbidities, insurance status, annual surgeon volume, and era of implantation (Hazard Ratio: 1.32, 95% CI: 1.05-1.66, P = .016).
conclusionOur analysis supports the notion that DM is a risk factor for IPP infection. This has important implications for patient selection and counseling, and raises the question of whether this increased risk can be mitigated by optimization of glycemic control before surgery. Lipsky MJ, Onyeji I, Golan R, et al. Diabetes Is a Risk Factor for Inflatable Penile Prosthesis Infection: Analysis of a Large Statewide Database. Sex Med 2019;7:35-40.
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