ABSTRACT

In this study, we aimed to evaluate the role of various comorbidities that lead to removal of a penile prosthesis due to infection.

We reviewed the records of 50 patients who underwent malleable penile prosthesis implantation between January 2010 and May 2014. The patients were classified into 2 groups: Group 1 (n=11) contained patients whose prosthesis was removed due to infections that developed in the post-operative period; Group 2 (n=39) patients did not have any infectious complications. The 2 groups were compared regarding the presence of diabetes mellitus (DM), hypertension (HT), smoking habit, atherosclerotic heart disease (ASHD), Peyronie disease, and the level of mean preoperative glycosylated hemoglobin (HbA1c).

There were no differences between the 2 groups regarding the presence of DM, HT, smoking habit, ASHD, and Peyronie disease (p>0.05). However, there was a significant difference (p=0.006) between patients whose prostheses were removed due to infection and patients who did not have any infectious complications regarding the mean preoperative HbA1c level (10.7±1.6 and 7.4±1.19, respectively).

Having a normal HbA1c level is more important than being diabetic or not, regarding penile prosthesis removal due to postoperative infection. (JAREM 2014; 4: 108-10)

Keywords: Penile prosthesis implantations, infection, comorbidities