Reimplantation of a Penile Prosthesis with a Modified Immediate Salvage Procedure in Prosthesis Infection: Case Report and Literature Review

Penile prosthesis implantation has become the most popular and acceptable mode of surgical intervention in the treatment of erectile dysfunction refractory to medical treatment. However, prosthesis infection is the most serious and devastating complication of this type of the surgery, as in other prosthesis surgeries. This complication usually necessitates the removal of infected prosthesis and reimplantation of a new one, therefore causes to significant morbidity for the patient and increases the healthcare cost. In this report a patient who underwent modified immediate salvage procedure for malleable prosthesis infection is presented. In this case, infected prostheses were removed and a 4-step vigorous intraoperative irrigation of implant space with 4 different solutions, including ceftriaxone, amikacin and rifampin was done. After prostheses were cleaned and sterilized with different solutions, simultaneous reimplantation was performed.