PDF(Pubmed)
Abstract：
UNASSIGNED: Implantation of a penile prosthesis is a reliable option for men with erectile dysfunction (ED) refractory to less invasive therapies. While the frequency of penile prosthesis infections have decreased, they remain a devastating complication. Herein we discuss why immediate salvage surgery is an essential technique for the management of implant infections. We will also describe the relevant advancements to this technique.
UNASSIGNED: We conducted a narrative review via computer based search of PubMed for all relevant articles on penile prosthesis infection management, including guidelines, case series, reviews, and expert opinions. Search terms used included: \"inflatable penile prosthesis\", \"IPP\", \"penile prosthesis\", \"salvage\", \"treatment\", \"delayed\", \"immediate\". Only English peer-reviewed publications were included.
UNASSIGNED: Historically, patients who presented with penile prosthesis infections were exclusively managed with complete removal of the prosthesis without replacement. Although this strategy is safe, it hastens immediate ED and corporal fibrosis, resulting in loss of penile length and increased difficulty with subsequent prosthesis replacement. Previous case series have reported successful treatment of localized penile prosthesis infections with nonsurgical treatment, but the role of conservative treatment remains limited. The current standard of immediate salvage entails removal of the infected prosthesis and washout followed by immediate replacement with a new penile prosthesis. This technique has been demonstrated to be safe and effective, thus allowing patients to resume intercourse and maintain penile length.
UNASSIGNED: Immediate salvage surgery is safe and effective, and has emerged as the preferred strategy for the management of most patients with a penile prosthesis infection.
UNASSIGNED: We conducted a narrative review via computer based search of PubMed for all relevant articles on penile prosthesis infection management, including guidelines, case series, reviews, and expert opinions. Search terms used included: \"inflatable penile prosthesis\", \"IPP\", \"penile prosthesis\", \"salvage\", \"treatment\", \"delayed\", \"immediate\". Only English peer-reviewed publications were included.
UNASSIGNED: Historically, patients who presented with penile prosthesis infections were exclusively managed with complete removal of the prosthesis without replacement. Although this strategy is safe, it hastens immediate ED and corporal fibrosis, resulting in loss of penile length and increased difficulty with subsequent prosthesis replacement. Previous case series have reported successful treatment of localized penile prosthesis infections with nonsurgical treatment, but the role of conservative treatment remains limited. The current standard of immediate salvage entails removal of the infected prosthesis and washout followed by immediate replacement with a new penile prosthesis. This technique has been demonstrated to be safe and effective, thus allowing patients to resume intercourse and maintain penile length.
UNASSIGNED: Immediate salvage surgery is safe and effective, and has emerged as the preferred strategy for the management of most patients with a penile prosthesis infection.
摘要：
■阴茎假体的植入对于较少侵入性治疗难以治疗的勃起功能障碍（ED）的男性是一种可靠的选择。虽然阴茎假体感染的频率有所下降，它们仍然是毁灭性的并发症。在这里，我们讨论为什么立即挽救手术是管理植入物感染的重要技术。我们还将描述该技术的相关进展。
■我们通过基于计算机的PubMed搜索进行了叙述性审查，以获取有关阴茎假体感染管理的所有相关文章，包括指导方针，案例系列,reviews,和专家意见。使用的搜索词包括：“充气阴茎假体”，\"IPP\",“阴茎假体”，\"打捞\",\"治疗\",\"延迟\",\"立即\"。仅包括英文同行评审的出版物。
■历史上，出现阴茎假体感染的患者仅接受完全切除假体而不进行置换治疗.虽然这个策略是安全的,它加速了即时ED和身体纤维化，导致阴茎长度的损失，并增加了后续假体置换的难度。以前的病例系列报道了通过非手术治疗成功治疗局部阴茎假体感染，但保守治疗的作用仍然有限。当前的立即抢救标准要求移除受感染的假体并冲洗，然后立即更换新的阴茎假体。这项技术已被证明是安全有效的，从而允许患者恢复性交并保持阴茎长度。
■立即抢救手术安全有效，并已成为治疗大多数阴茎假体感染患者的首选策略。
■我们通过基于计算机的PubMed搜索进行了叙述性审查，以获取有关阴茎假体感染管理的所有相关文章，包括指导方针，案例系列,reviews,和专家意见。使用的搜索词包括：“充气阴茎假体”，\"IPP\",“阴茎假体”，\"打捞\",\"治疗\",\"延迟\",\"立即\"。仅包括英文同行评审的出版物。
■历史上，出现阴茎假体感染的患者仅接受完全切除假体而不进行置换治疗.虽然这个策略是安全的,它加速了即时ED和身体纤维化，导致阴茎长度的损失，并增加了后续假体置换的难度。以前的病例系列报道了通过非手术治疗成功治疗局部阴茎假体感染，但保守治疗的作用仍然有限。当前的立即抢救标准要求移除受感染的假体并冲洗，然后立即更换新的阴茎假体。这项技术已被证明是安全有效的，从而允许患者恢复性交并保持阴茎长度。
■立即抢救手术安全有效，并已成为治疗大多数阴茎假体感染患者的首选策略。
