Late hematogenous infection of penile prostheses.
Late deep wound infection caused by hematogenous bacterial spread from a remote focus is a rare but disastrous complication of prosthetic devices. Six patients with probable late hematogenous infection are described. The initial implantation was free of contamination and infection, and a long functional interval ensued. A febrile process associated with a painful, swollen penis followed a probable remote infection source that was not covered with prophylactic antibiotics. All prostheses required removal. Prophylactic antibiotics may prevent these late hematogenous infections.
Carson
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Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina 27710.
Robertson
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D000328:Adult; D001424:Bacterial Infections / Q000209:etiology* / Q000517:prevention & control; D004866:Equipment Contamination / Q000517:prevention & control; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D011292:Premedication; D019736:Prostheses and Implants