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Penile Prosthesis
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===== Management ===== * '''<span style="color:#ff0000">Infection necessitates the removal of all device components as well as any permanent sutures or graft material used during corporeal reconstruction</span>''' ** The use of systemic antibiotics to treat symptomatic patients is typically insufficient because of the biofilm and attempts to remove only part of an infected device typically results in persistent infection * '''<span style="color:#ff0000">A โsalvageโ procedure involving removal of the infected prosthesis, wound washout, and immediate device replacement can help facilitate reimplantation and preserve penile length.''' ** '''Contraindications to salvage prosthesis:''' *** '''Patients presenting with''' ****'''Enterococcus''' ****'''Tissue necrosis''' ****'''Sepsis''' ****'''Diabetic ketoacidosis''' ****'''Cylinder erosion into the urethra'''
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