title: Two Fungal Infections of Inflatable Penile Prostheses in Diabetics.
abstract: BACKGROUND
  Penile prosthesis infections have decreased since the introduction of antibiotic-coated implants. Infections that do occur can be from more rare and virulent organisms than the traditional skin flora historically implicated.
  
  
  OBJECTIVE
  In this report, we present two cases of inflatable penile prosthesis (IPP) infection from C andida organisms in insulin-dependent diabetic patients.
  
  
  METHODS
  Case report with literature review.
  
  
  METHODS
  Resolution of the two cases.
  
  
  RESULTS
  Both patients were found to have insulin-dependent diabetes. Both patients also presented with infection of the device with Candida species, with the implant pump adherent to their scrotal skin.
  
  
  CONCLUSIONS
  This report supports the emerging literature that the flora of IPP infections is changing. We suggest considering adding antifungal agents to antibiotic coatings, dips, or washout solutions at the time of penile prosthesis surgery in diabetic patients. Cotta BH, Butcher M, Welliver C, McVary K, and Köhler T. Two fungal infections of inflatable penile prostheses in diabetics. Sex Med 2015;3:339-342.
authors.affiliation: Urology University of California San Diego San Diego CA USA.
authors.forename: Brittney H
authors.initials: BH
authors.lastname: Cotta
authors.affiliation: Urology Southern Illinois University School of Medicine Springfield IL USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Butcher
authors.affiliation: Urology Albany Medical College Albany NY USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Welliver
authors.affiliation: Urology Southern Illinois University School of Medicine Springfield IL USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: McVary
authors.affiliation: Urology Southern Illinois University School of Medicine Springfield IL USA.
authors.forename: Tobias
authors.initials: T
authors.lastname: Köhler
keywords: Candida; Diabetes; Erectile Dysfunction; Penile Prosthesis