Editing Penile Prosthesis (section)

===== Diagnosis and Evaluation =====
* '''<span style="color:#ff0000">History and Physical Exam'''
** '''<span style="color:#ff0000">History'''
*** '''<span style="color:#ff0000">Clinical deterioration with persistence of pain and tethering at 3-4 weeks after surgery suggests an infection</span>'''
**** '''<span style="color:#ff0000">Pain that does not seem to improve and is persistent or increased at 2-weeks after surgery should not prompt the use of antibiotics'''
***** '''<span style="color:#ff0000">If the device is not infected, the patient should experience clinical improvement within the next 7-14 days.'''
***** If the device is infected, antibiotics are useless at this point and may delay diagnosis'''.'''
*** '''Fever, erythema, swelling, elevated white blood cell count, and incision drainage are late signs and symptoms of infection and are usually not observed at the initial postoperative visit.'''
*** '''The sooner an infection is diagnosed, the better the chance for successful salvage''' and aggressive early salvage should be considered before systemic symptom such as fever, elevated white blood count, erythema, and abscess formation of scrotum occur
* Imaging
** Studies such as scrotal sonography, computed tomography scan, and magnetic resonance imaging are not helpful in making an early diagnosis.