Does surgical approach affect the incidence of inflatable penile prosthesis infection?
OBJECTIVE
To review retrospectively the rate of infection in 380 consecutive organically impotent men implanted with a Mentor Alpha I inflatable penile prosthesis, stratified by surgical approach (scrotal or infrapubic).


METHODS
Data were obtained from review of medical records. One hundred percent of cases were available for a minimum postoperative follow-up of 6 months.


RESULTS
Twenty patients had a prior penile prosthetic operation and were excluded, leaving 360 primary implants for review. Overall, 6 patients (1.7%) developed periprosthetic infection. Four of these 6 patients were diabetic. Four of 139 infrapubic cases (2.9%) and 2 of 221 scrotal cases (0.9%) developed periprosthetic infection. This difference was not statistically significant (P = 0.15). Equal proportions of the infrapubic (39.6%) and scrotal cases (40.3%) were diabetic patients. The infection rate in patients with and without diabetes was 4 of 144 (2.8%) and 2 of 216 (0.9%), respectively. This difference was not statistically significant (P = 0.18).


CONCLUSIONS
This study indicates that there is no statistically significant difference in the infection rate when the scrotal and infrapubic approaches to inflatable penile prosthesis insertion are compared.
Garber
B B
BB
Division of Urology, Allegheny University Hospitals-Graduate, Philadelphia, Pennsylvania, USA.
Marcus
S M
SM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D019935:Penile Implantation / Q000009:adverse effects / Q000379:methods*; D015917:Penile Prosthesis; D016459:Prosthesis-Related Infections / Q000453:epidemiology* / Q000209:etiology*; D012189:Retrospective Studies