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.
Key Words: Penile prosthesis; Prosthesis infection; Immediate salvage procedure; Antibiotic therapy;
Reimplantation.
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