Korean J Urol.  1992 Jun;33(3):567-569.

Treatment of penile prosthetic infection with removal of the infected prosthesis and simultaneous implantation of a new one

• Park WH
• Choi WK
• Kim SC
• Park J
• Shim HB

Abstract

Penile prosthesis implantation has become an established and a very successful method for treatment of the erectile dysfunction. But complications still occur, and the most devastating is infection. There has been 3 therapeutic options for the infected prosthesis. One is the removal of all components of the prosthesis and the reinsertion of a new prosthesis after 4 months or more. Another one is to remove all parts of the prosthesis, irrigate the wound copiously with antibiotic irrigant and insert a new prosthesis before closure. This latter procedure has been termed a salvage operation. The purpose of the salvage procedure is to maintain penile length and enable easy insertion of the cylinders. But the placement of a foreign body in a potentially infected wound is not a standard surgical procedure. An alternative to immediate salvage of an infected prosthesis is "delayed salvage". We performed a salvage operation in a patient with prosthetic infection. There was a large defect in corpus cavernosum due to the infectious necrosis. So we closed the corpus cavernosum with the aid of Dacron patch. We have a satisfactory result with a follow-up of 12 months.

Keyword

penile prosthesis; infection; salvage operation

MeSH Terms

Erectile Dysfunction
Follow-Up Studies
Foreign Bodies
Humans
Male
Necrosis
Penile Implantation
Penile Prosthesis
Polyethylene Terephthalates
Prostheses and Implants*
Wounds and Injuries
Polyethylene Terephthalates