(549) Case Report of an IPP Reservoir Salvage Following Infection

Abstract Introduction Inflatable penile prosthesis (IPP) infections are rare and devastating. IPP treated with either explant or salvage, the latter a malleable inflatable device. Isolated component very in literature. This is first description of successful treatment an isolated reservoir infection, preservation eventual reuse patient’s uninfected pump cylinders. Objective To report case salvage after infection. Methods study reimplant 51-year-old male, implant Past medical history notable for HIV, hypertension, hyperlipidemia. The patient had Coloplast Titan placed penoscrotally November 2020 post-prostatectomy erectile dysfunction. was ectopically right high submuscular space. Results In January 2021 underwent emergent exploratory laparoscopic washout drain placement at different hospital perforated appendicitis. not encountered during this procedure. March he presented to that same recurrent fevers lower quadrant pain. CT showed increased peritoneal stranding thickening surrounding as well multiple small, complex loculated fluid collections suspicious abscesses external reservoir. There no evidence infection cylinders on imaging physical exam. He transferred Dartmouth-Hitchcock Medical Center further care. Conservative intravenous vancomycin, Zosyn, fluconazole yielded change 48 hours. Three days initial presentation, explanted collaborative procedure general surgery, which appendix remnant also removed. Intraoperatively encased dense rind incised drained. Copious purulent material sent culture, multi-organism aerobic anerobic bacteria. removed tubing clamped. abdomen irrigated repeatedly saline, dilute betadine, gentamicin, amphotericin. prothesis cut low possible, capped, wrapped paste vancomycin mixed Zosyn were intraoperative complications. discharged two later. At his one-week postoperative visit, readmitted interventional radiology due abdominal abscess recurrence. Once resolved, radiation prostate cancer. 2022, successfully replaced into left space via counter incision dormant reconnected. continues do well, signs excellent device function. satisfied result surgery. Conclusions our knowledge only replacement. original preserved without issue eventually reused. Disclosure Any authors act consultant, employee shareholder industry for: Coloplast.