Our Summary

This research paper discusses the significant role of infection-resistant coatings in reducing infections from penile implants. Over the past 15 years, nearly all inflatable penile prostheses sold in the United States have used these coatings, resulting in a more than 50% decrease in the infection rate. Even though most penile implants are contaminated with bacteria during surgery, these bacteria usually remain dormant within the implant and are shielded by a biofilm that makes them resistant to antibiotics and the body’s immune response. However, it is still unclear why these bacteria occasionally cause infections. The paper also mentions new guidelines for preventative antibiotics, reflecting changes in the types of bacteria causing infections. It also discusses new solutions for cleaning the implants and new guidelines for recovery and salvage procedures.

FAQs

  1. How have infection-resistant coatings impacted the rate of infections from penile implants?
  2. Why do bacteria causing infections in penile implants remain resistant to antibiotics and the body’s immune response?
  3. What new measures are being taken to prevent infections in penile implants, according to the research paper?

Doctor’s Tip

One helpful tip a doctor might tell a patient about penile implant surgery is to closely follow post-operative care instructions to reduce the risk of infection and ensure proper healing. This may include keeping the surgical site clean and dry, avoiding strenuous activity, and taking prescribed antibiotics as directed. Additionally, it is important to attend all follow-up appointments with your healthcare provider to monitor your recovery progress and address any concerns or complications promptly.

Suitable For

Patients who are typically recommended penile implant surgery include those who have erectile dysfunction that does not respond to other treatments such as oral medications, injections, or vacuum erection devices. This includes patients with conditions such as diabetes, high blood pressure, prostate cancer, Peyronie’s disease, or spinal cord injuries. Additionally, patients who have had their prostate removed and are experiencing erectile dysfunction may also be candidates for penile implant surgery. It is important for patients to discuss their individual medical history and treatment options with their healthcare provider to determine if penile implant surgery is the right choice for them.

Timeline

Before penile implant surgery:

  1. Consultation with a urologist to discuss treatment options for erectile dysfunction.
  2. Pre-operative evaluation to assess overall health and suitability for surgery.
  3. Discussion of risks, benefits, and expectations of penile implant surgery.
  4. Selection of the type of penile implant (inflatable or malleable).
  5. Education on post-operative care and recovery.

After penile implant surgery:

  1. Hospital stay for monitoring and pain management.
  2. Gradual resumption of normal activities, with restrictions on strenuous physical activity.
  3. Follow-up appointments with the urologist to monitor healing and function of the implant.
  4. Education on implant use, maintenance, and potential complications.
  5. Gradual return to sexual activity, following the urologist’s guidelines.
  6. Long-term follow-up to monitor for any issues with the implant and overall sexual function.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with penile implant surgery?

  2. How long is the recovery process and what can I expect during the recovery period?

  3. What type of penile implant is best for my specific needs and preferences?

  4. How will the penile implant affect sexual function and sensation?

  5. What is the success rate of penile implant surgery and what are the factors that can impact the success of the procedure?

  6. What are the alternatives to penile implant surgery and why is a penile implant recommended in my case?

  7. What is the expected lifespan of a penile implant and are there any long-term risks or complications to consider?

  8. How often will follow-up appointments be needed after the surgery and what should I expect during these appointments?

  9. Are there any lifestyle changes or precautions I need to take after getting a penile implant?

  10. Can you provide me with information on the specific infection-resistant coatings used in the penile implant and how they work to reduce the risk of infections?

Reference

Authors: Mulcahy JJ, Köhler TS, Wen L, Wilson SK. Journal: Int J Impot Res. 2020 Dec;33(8):801-807. doi: 10.1038/s41443-020-0338-1. Epub 2020 Aug 7. PMID: 32770140