erectile dysfunction and penile implant: the best solution for the worst situation
Post on 13-Apr-2017
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Erectile Dysfunction and Penile Implant:
« The Best Solution for the Worst Situation »
by Daniel Chevallier (MD, PHD, FEBU, FACS-EI)
www.mhisc.chMen’s Health International Surgical Center - Place des Philosophes 18, 1205 Geneva Switzerland
GuidelinesPatientpreparation
Noactiveinfection:systemic,cutaneous orurinaryhttp://www.auanet.org/education/guidelines/erectile-dysfunction.cfm
InFrance• Clipping DDay(ordepilatory cream D-2)(AvoidRazor)
• Betadine showers :2D-1andD-Day• Antibioprophylaxy :Cefazoline 2G30-60mnbefore incision(slowIV)and1Gif>2hours
• IVAntibiotics :100%• Cefazoline• Vancomycine• Ampicilline• Gentamycine
• Post-optreatment 88%,mean 1week withquinolones
• LocalAntibiotics:100%• Aminosides• Cefazoline• Bacitracine• Rifampicine• Polymixine
• Skinpreparation duration>10mn:66%
Infection Rate and IPPThe Coated Implants Revolution
• 2001 : Inhibizone (Rifampicine+ Minocycline) 1,61 % à 0,68%
• 2002 : Hydrophilic coating PVP (PolyVinylPyrolidone) 2,07 % à 1,06 %
Infection Rate and IPPThe Coated Implants Revolution
36391IPPInfectionrate4,6%IPPNonCoated (7031)
vsInfectionrate1,4%Coated IPP(29360)
ERECTILEDYSFONCTIONandPENILEIMPLANT
« TheBestSolutionfortheWorst Situation »?
YES
IPPplacementis asafe procedureNeed ofExperienced Implants
SurgeonsandCenterofExcellenceAsepsis« challenging procedure »but
alow rateofinfectionAHighrateofsatisfactionandduration
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