Holland Bradley, Kohler Tobias
Division of Urology, Department of Surgery, Southern Illinois University School of Medicine, PO Box 19665, Springfield, IL, 62794-9665, USA.
Curr Urol Rep. 2015 Dec;16(12):81. doi: 10.1007/s11934-015-0554-2.
Inflatable penile prosthesis (IPP) is an effective treatment for erectile dysfunction in patients' refractory to oral or injectable treatment. While the rate of infection has decreased over the past decade, it is still the most feared complication of IPP placement. Here, we assemble possible patient and surgical factors attributing to the risk of infection. Studies have been gathered addressing each of these factors, and an Oxford Level of Evidence is assigned to each recommendation based on strength of the study. The goal of this review is to inform surgeons of possible risks in order to further reduce the risk of infection and thus increase success of IPP placement.
可膨胀阴茎假体(IPP)是治疗口服或注射治疗无效的勃起功能障碍患者的有效方法。虽然在过去十年中感染率有所下降,但它仍然是IPP植入最令人担忧的并发症。在此,我们汇总了可能导致感染风险的患者和手术因素。已收集针对这些因素的研究,并根据研究力度为每项建议指定牛津证据水平。本综述的目的是告知外科医生可能存在的风险,以便进一步降低感染风险从而提高IPP植入的成功率。