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KMID : 0358319920330030567
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Korean Journal of Urology
1992 Volume.33 No. 3 p.567 ~ p.569
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Treatment of Penile Prosthetic Infection with Removal of the Infected Prosthesis and Simultaneous Implantation of a New One
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박원희
최왕권/김상철/박 진/심흥방
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Abstract
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Penile prosthesis implantation had become an established and a very successful method for treatment of the erectile dysfunction. But complications still occur, and the most devastating is infection. There has been 3 therapeutic options for the
infected
prosthesis. One is the removal of all components of the prosthesis and the reinsertion of a new prosthesis after 4 months or more. Another one is to remove all parts of the prosthesis, irrigate the wound copiously with antibiotic irrigate and
insert a
new prosthesis before closure. This latter procedure has been termed a salvage operation. The purpose of the salvage procedure is to maintain penile length and enable easy insertion of the cylinders. But the placement of a foreign body in a
potentially
infected wound is not a standard surgical procedure. An alternative to immediate salvage of an infected prosthesis is "delayed salvage". We performed a salvage operation in a patient with prosthetic infection. There was a large defect in corpus
cavernosum due to the infections necrosis. So we closed the corpus cavernosum with the aid of Dacron patch. We have a satisfactory result with a follow-up of 12 months.
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