Department of urology, hôpital universitaire de Bruxelles, Brussels, Belgium.
Urology, GRC 5, Predictive Onco-Urology, APHP, Pitié-Salpêtrière Hôpital, Sorbonne University, 75013 Paris, France.
Fr J Urol. 2024 Jun;34(5):102641. doi: 10.1016/j.fjurol.2024.102641. Epub 2024 Apr 30.
The salvage procedure for infected penile implants (IPs) has been a subject of interest since its inception in the late 1980s, yet its widespread adoption remains limited. The aim of this study was to realize a systematic literature review to provide a comprehensive analysis of salvage techniques for IPs and assess their efficacy, specifically focusing on functional success.
A systematic literature review was conducted using PubMed, employing Mesh terms related to penile prosthesis, penile implant, infection, and salvage procedures. Articles in French or English were considered for the final analysis, with exclusion of literature reviews.
Fifteen articles detailing various salvage techniques for IPs were identified. Mulcahy's initial technique was described in 1996, and consisted of complete removal of infected components, extensive lavage, and subsequent replacement with a similar implant. Success rates ranged from 80% to 100%, with emerging trends favoring the use of malleable implants during salvage. Unfortunately, functional data remained limited. When salvage penile prosthesis placement involved a malleable prosthesis, between 20% and 33% of patients underwent conversion to hydraulic prosthesis.
The salvage procedure for infected penile implants is a reliable method, with success rates surpassing 80%. The need for comparative studies assessing the type of implant used during salvage is required to tailor conservative management strategies for optimal patient outcomes. Finally, few data have been published regarding subsequent conversions from malleable penile implants to hydraulic penile implants after salvage.
自 20 世纪 80 年代末阴茎植入物（IP）感染的挽救程序问世以来，它一直是人们关注的焦点，但它的广泛应用仍然有限。本研究旨在进行系统的文献回顾，对 IP 挽救技术进行全面分析，并评估其疗效，特别是关注功能成功。
使用 PubMed 进行系统的文献回顾，使用与阴茎假体、阴茎植入物、感染和挽救程序相关的 Mesh 术语。最终分析考虑了法语或英语的文章，排除了文献综述。
确定了 15 篇详细描述各种 IP 挽救技术的文章。Mulcahy 的初始技术于 1996 年描述，包括完全切除感染的组件、广泛冲洗和随后用类似的植入物替换。成功率从 80%到 100%不等，新兴趋势倾向于在挽救过程中使用可弯曲植入物。不幸的是，功能数据仍然有限。当挽救性阴茎假体放置涉及可弯曲假体时，20%至 33%的患者需要转换为液压假体。
感染阴茎植入物的挽救程序是一种可靠的方法，成功率超过 80%。需要进行比较研究，评估挽救过程中使用的植入物类型，以便为患者制定最佳的保守管理策略。最后，关于挽救后从可弯曲阴茎植入物转换为液压阴茎植入物的后续数据很少发表。
