Journal article
Multicenter investigation on the influence of climate in penile prosthesis infection
International journal of impotence research, Vol.32(4), pp.387-392
07/2020
DOI: 10.1038/s41443-019-0148-5
PMID: 31043705
Abstract
The purpose of this study is to investigate the relationship between inflatable penile prosthesis (IPP) infection, time of year, climate, temperature and humidity. This is a retrospective IRB-approved analysis of 211 patients at 25 institutions who underwent salvage procedure or device explant between 2001 and 2016. Patient data were compiled after an extensive review of all aspects of their electronic medical records. Climate data were compiled from monthly norms based on location, as well as specific data regarding temperature, dew point, and humidity from dates of surgery. Rigorous statistical analysis was performed. We found that penile prosthesis infections occurred more commonly in June (n = 24) and less frequently during the winter months (n = 39), with the lowest number occurring in March (n = 11). One-hundred thirty-nine infections occurred at average daily temperatures greater than 55 °F, compared to 72 infections at less than 55 °F. The incidence rate ratio for this trend was 1.93, with a p-value of <0.001. Humidity results were similar, and fungal infections correlate with daily humidity. Infected implants performed in the fall and summer were over 3 and 2.3 times, respectively, more likely to grow Gram-positive bacteria compared to implants performed in spring (p = 0.004; p = 0.039). This was consistent across geographic location, including in the Southern hemisphere. We found trends between climate factors and IPP infection like those seen and proven in other surgical literature. To our knowledge these data represent the first exploration of the relationship between temperature and infection in prosthetic urology.
Details
- Title: Subtitle
- Multicenter investigation on the influence of climate in penile prosthesis infection
- Creators
- Martin S Gross - Dartmouth CollegeAnnah J Vollstedt - Dartmouth–Hitchcock Medical CenterMario A Cleves - University of Arkansas for Medical SciencesSidney Glina - Faculdade de Medicina do ABCStanton C Honig - Yale UniversityPaul Perito - Perito Urology, Coral Gables, FL, USA.Peter J Stahl - Columbia UniversityMariano Rosselló Gayá - Hospital Quirón TeknonEdward Gheiler - Dermatology SpecialistsDavid J Ralph - University College HospitalTobias Köhler - Mayo CLinic, Rochester, MN, USA,Doron S Stember - Mount Sinai HospitalRafael Carrion - USF Morsani College of Medicine, Tampa, FL, USA.Pedro Maria - Albert Einstein College of MedicineWilliam O Brant - Intermountain HealthcareBruce Garber - Hahnemann University HospitalArthur L Burnett - Johns Hopkins MedicineJ Francois Eid - Urology AssociatesGerard D HenryRicardo Munarriz - Boston Medical Center
- Resource Type
- Journal article
- Publication Details
- International journal of impotence research, Vol.32(4), pp.387-392
- DOI
- 10.1038/s41443-019-0148-5
- PMID
- 31043705
- NLM abbreviation
- Int J Impot Res
- ISSN
- 0955-9930
- eISSN
- 1476-5489
- Language
- English
- Date published
- 07/2020
- Academic Unit
- Urology
- Record Identifier
- 9984319987102771
Metrics
6 Record Views