Editing Penile Prosthesis (section)

===== Risk Factors =====
*'''<span style="color:#ff0000">Most infections are caused by bacteria on the skin at the time of surgery that attach to the device and are then introduced into the patient'''
* '''Patient risk factors (5):'''
*#'''Poor patient hygiene'''
*#'''Spinal cord injury'''
*#'''Urinary tract infection'''
*#'''Distant sites of infection'''
*#'''Revision surgery performed for previous device infection'''
*#*'''Unclear if diabetes or immunosuppression are associated with risk of infection'''
*'''Intraoperative risk factors (6):'''
*#'''Inadequate skin preparation with alcohol/chlorhexidine'''
*#'''Prolonged surgical time (i.e., >2 hours)'''
*#'''Prolonged and repeated exposure of components of the prosthesis to patient’s skin'''
*#'''Frequent repositioning and resizing of the cylinder, pump, or reservoir'''
*#'''Scrotal hematoma (particularly if liquefied)'''
*#'''Not changing gloves before handling the device'''
*'''Post-operative risk factor (1):'''
*#'''Prolonged hospitalization'''
*'''<span style="color:#ff0000">Most important factors to minimize the risk of device infection (2):'''
*#'''<span style="color:#ff0000">Procedures that decrease inoculating bacteria into the surgical wound (4)'''
*##'''<span style="color:#ff0000">Alcohol skin preparation'''
*##'''<span style="color:#ff0000">Reducing surgical time'''
*##'''<span style="color:#ff0000">No touch surgical technique'''
*##'''<span style="color:#ff0000">Perioperative antibiotic use'''
*#'''<span style="color:#ff0000">Use of antibiotic-coated prostheses'''
*#*Specially coated three-piece devices have been developed to inhibit bacterial adhesion and proliferation. These coatings have decreased the incidence of infection by 50-70%