Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

Kara E McAbee; Amy M Pearlman; Ryan P Terlecki

doi:10.4111/icu.2018.59.5.342

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Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

Journal article

Open access

Peer reviewed

Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training

Kara E McAbee, Amy M Pearlman and Ryan P Terlecki

Investigative and clinical urology, Vol.59(5), pp.342-347

09/2018

DOI: 10.4111/icu.2018.59.5.342

PMCID: PMC6121020

PMID: 30182080

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Abstract

Primary care providers harbor misconceptions regarding penile prosthetic surgery, largely overestimating the rate of infection. Rates of infection following surgery for primary placement and revision are estimated as 1% to 3% and 10% to 18%, respectively. Our objective was to determine the contemporary incidence of infection following inflatable penile prostheses surgery at an academic training center where surgeons-in-training are routinely involved. Review of a prospectively collected single-surgeon database was performed. All cases of inflatable penile prostheses placement from January 2011 through June 2017 were reviewed. Information regarding training level of assistant surgeon(s) was collected, and follow-up data was compiled regarding postoperative infections and need for revision surgery. Three hundred nine cases meeting inclusion criteria were identified. Mean patient age was 64.2 years, and mean follow-up was 28.7 months. Distribution involved 257 (83.2%) for primary placement, 45 (14.6%) for removal/replacement, and 7 (2.3%) in setting of prior device removal. Diabetes was noted in 31.1% of men. Surgeon-in-training involvement was noted in 100% of cases. Infection was confirmed in a patient who had skin breakdown over an area of corporal reconstruction with polytetrafluoroethylene. The overall postoperative infection rate was 0.3%. In this series from an academic training center, infection following penile prosthetic surgery is low, similar to other centers of excellence, even with 100% involvement of surgeons-in-training. This data should be used to better inform primary care providers and members of the general public potentially interested in restoration of sexual function.

Academic Medical Centers

Aged

Clinical Competence

Educational Status

Fellowships and Scholarships

Follow-Up Studies

Humans

Internship and Residency

Male

Middle Aged

Penile Implantation - adverse effects

Penile Prosthesis - adverse effects

Postoperative Complications - etiology

Reoperation

Retrospective Studies

Urogenital Surgical Procedures - education

Details

Title: Subtitle: Infection following penile prosthesis placement at an academic training center remains low despite involvement of surgeons-in-training
Creators: Kara E McAbee - Atrium Health Wake Forest Baptist
Amy M Pearlman - Atrium Health Wake Forest Baptist
Ryan P Terlecki - Atrium Health Wake Forest Baptist
Resource Type: Journal article
Publication Details: Investigative and clinical urology, Vol.59(5), pp.342-347
DOI: 10.4111/icu.2018.59.5.342
PMID: 30182080
PMCID: PMC6121020
NLM abbreviation: Investig Clin Urol
ISSN: 2466-0493
eISSN: 2466-054X
Language: English
Date published: 09/2018
Academic Unit: Urology
Record Identifier: 9984319983602771

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