MP32-14 NEW FINDINGS REGARDING THE TIMELINE OF MICROORGANISMS, INFECTION SEVERITY AND SURGICAL INTERVENTION IN INFLATABLE PENILE PROSTHESIS INFECTIONS (2018)

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II1 Apr 2018MP32-14 NEW FINDINGS REGARDING THE TIMELINE OF MICROORGANISMS, INFECTION SEVERITY AND SURGICAL INTERVENTION IN INFLATABLE PENILE PROSTHESIS INFECTIONS Martin Gross, Jason Greenfield, Laurence Levine, Joseph Alukal, William Conners, Sidney Glina, Cigdem Tanrikut, Stanton Honig, Edgardo Becher, Nelson Bennett, Run Wang, Paul Perito, Peter Stahl, Mariano Rosselló Gayá, Mariano Rosselló Barbará, Edward Gheiler, David Ralph, Doron Stember, Rafael Carrion, Tobias Kohler, Pedro Maria, William Brant, Bruce Garber, Arthur Burnett, J. Francois Eid, Gerard Henry, and Ricardo Munarriz Martin GrossMartin Gross , Jason GreenfieldJason Greenfield , Laurence LevineLaurence Levine , Joseph AlukalJoseph Alukal , William ConnersWilliam Conners , Sidney GlinaSidney Glina , Cigdem TanrikutCigdem Tanrikut , Stanton HonigStanton Honig , Edgardo BecherEdgardo Becher , Nelson BennettNelson Bennett , Run WangRun Wang , Paul PeritoPaul Perito , Peter StahlPeter Stahl , Mariano Rosselló GayáMariano Rosselló Gayá , Mariano Rosselló BarbaráMariano Rosselló Barbará , Edward GheilerEdward Gheiler , David RalphDavid Ralph , Doron StemberDoron Stember , Rafael CarrionRafael Carrion , Tobias KohlerTobias Kohler , Pedro MariaPedro Maria , William BrantWilliam Brant , Bruce GarberBruce Garber , Arthur BurnettArthur Burnett , J. Francois EidJ. Francois Eid , Gerard HenryGerard Henry , and Ricardo MunarrizRicardo Munarriz View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1064AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We reviewed our multi-institution database of IPP infections to examine for patterns regarding organisms discovered at salvage or explant surgery and interventions deemed necessary by contributing surgeons based on severity of infection. METHODS This is a retrospective IRB-approved analysis of 213 patients at 25 institutions who underwent salvage procedure or device explant between 2001 and 2016. RESULTS 7 isolated anaerobic infections were treated on average 2.6 months after device implantation (1-7.5 months, median 2 months). 62 isolated Gram positive infections were treated on average 4.5 months after device implantation (2 weeks to 38.5 months, median 2 months). 14 isolated fungal infections were treated on average 5.8 months after device implantation (1 month to 27 months, median 3 months). 39 isolated Gram negative infections were treated on average 6.96 months after device implantation (2 weeks to 81 months, median 1.5 months). 24 multiorganism infections were treated on average 5.2 months after device implantation (two weeks to 27 months). 67 infections had no growth seen in culture and were treated on average 4 months after device implantation (range two weeks to 58 months, median 1.5 months). Of 7 anaerobic infections, 5 devices underwent successful malleable implant salvage (71%). The other 2 were explanted. Only 1 of the patients had a previous implant surgery, the other six were primary. Of 62 Gram positive infections, 25 devices underwent successful malleable implant salvage (40%), 22 were explanted (35%), and 15 underwent classic Mulcahy salvage (24%). 47 patients had previous implant surgery, the other 15 were primary. Of 14 fungal infections, 4 underwent malleable implant salvage (40%), 4 devices were explanted (40%), and 4 were salvaged in the classic Mulcahy technique (20%). Four patients had previous implant surgery, the other 10 were primary implants. Of 39 Gram negative infections, 10 underwent malleable implant salvage (26%), 16 devices were explanted (41%), and 13 were salvaged in the classic Mulcahy technique (33%). CONCLUSIONS Isolated anaerobic organisms appear to occur most rapidly on average. Gram negative organisms have the longest delay between device implantation and surgical management of infection. Seventy-one percent of anaerobic infections underwent successful salvage, as compared to 64% of Gram positive infections, 60% of fungal infections, and 59% of Gram negative infections. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e425 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Martin Gross More articles by this author Jason Greenfield More articles by this author Laurence Levine More articles by this author Joseph Alukal More articles by this author William Conners More articles by this author Sidney Glina More articles by this author Cigdem Tanrikut More articles by this author Stanton Honig More articles by this author Edgardo Becher More articles by this author Nelson Bennett More articles by this author Run Wang More articles by this author Paul Perito More articles by this author Peter Stahl More articles by this author Mariano Rosselló Gayá More articles by this author Mariano Rosselló Barbará More articles by this author Edward Gheiler More articles by this author David Ralph More articles by this author Doron Stember More articles by this author Rafael Carrion More articles by this author Tobias Kohler More articles by this author Pedro Maria More articles by this author William Brant More articles by this author Bruce Garber More articles by this author Arthur Burnett More articles by this author J. Francois Eid More articles by this author Gerard Henry More articles by this author Ricardo Munarriz More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...