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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Coated implants and "no Touch" surgical technique decreases risk of infection in inflatable penile prosthesis implantation to 0.46%
Urology, Volume 79, No. 6, Year 2012
Notification
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Description
Objective: To explore whether a "no touch" enhancement to the surgical technique of inflatable penile prosthesis (IPPs) implantaion will further decrease infection rates. Materials and Methods: A single surgeon performed 2347 IPPs between January 2002 and June 2011. Patients receiving each manufacturer's implants were stratified for age and diabetes. Since 2003, infection retardant-coated IPPs were implanted through the standardized penoscrotal approach. Since 2006, the "no touch" enhancement was added to the surgical procedure. Infection rates in the noncoated IPP, coated IPP with standard technique, and coated IPP implanted with "no touch" enhancement were calculated and subjected to statistical analysis. The two company's implants were scrutinized for their individual infection rates in each group. Results: Patients in all the groups were similar for age and diabetes. 132 noncoated implants had an infection rate of 5.3%. In the years 2003-2005, 704 coated devices had a statistically significant improvement in incidence of infection to 2%. In the years 2006-2010, the "no touch" technique enhanced the standard surgical procedure in 1511 patients. Only 7 infections were seen yielding an infection incidence of 0.46%. There was no difference in the two manufacturer's infection rates. Differentiation between virgin and revision operation displayed no bias in the infection rate. Conclusion: Infection-retardant coatings lower the risk of infection from 5.3% to 2%. The "no touch" enhancement to the surgical procedure further decreases the rate of infection to 0.46%. Neither manufacturer showed statistical superiority in survival from revision for infection. © 2012 Elsevier Inc. All Rights Reserved.
Authors & Co-Authors
Eid, J. Francois
United States, New York
Advanced Urological Care
Wilson, Steven K.
United States, La Quinta
Institute for Urologic Excellence
Cleves, Mario Alberto
United States, Little Rock
University of Arkansas for Medical Sciences
Salem, Emad A.
Egypt, Zagazig
Zagazig University
Statistics
Citations: 119
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1016/j.urology.2011.11.076
ISSN:
00904295
e-ISSN:
15279995
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative