National Trends in the Treatment of Penile Prosthesis Infections by Explantation Alone vs. Immediate Salvage and Reimplantation

A penile prosthesis infection (PPI) is either treated with explantation of the prosthesis with a possible delayed reimplantation or a salvage procedure with an immediate reimplantation of the prosthesis. We used a large, all‐payer national database to investigate the use of the salvage procedure in...

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Veröffentlicht in:Journal of sexual medicine 2014-04, Vol.11 (4), p.1078-1085
Hauptverfasser: Zargaroff, Sherwin, Sharma, Vidit, Berhanu, Daniel, Pearl, Jeff A., Meeks, Joshua J., Dupree, James M., Le, Brian V., Cashy, John, McVary, Kevin T.
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Sprache:eng
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Zusammenfassung:A penile prosthesis infection (PPI) is either treated with explantation of the prosthesis with a possible delayed reimplantation or a salvage procedure with an immediate reimplantation of the prosthesis. We used a large, all‐payer national database to investigate the use of the salvage procedure in the setting of PPI. The study used years 2000–2009 of the Nationwide Inpatient Sample to identify PPIs treated with immediate salvage or explantation alone. Admissions were then stratified by various parameters to compare differences in the salvage rates. Salvage Rate of Penile Prosthesis infection. A total of 1,557 patients were treated with an explantation only (82.7%) or salvage (17.3%) for PPI, a proportion that remained stable over the study period. The patients treated with salvage were younger (60.4 vs. 65.1 years), more likely to be discharged home (87.3% vs. 61.9%), and were less likely to have a severe presentation (7.2% vs. 31.6%) than those who were explanted only (P 
ISSN:1743-6095
1743-6109
DOI:10.1111/jsm.12446