Low Infection Rates, Better Results – The Andrew Kramer, M.D. Difference
Infection of penile implants is quoted at worldwide rates of about 2-3%. My infection rates are among the lowest in the world at only .26%.
I only employ the most advanced infection control techniques in my practice, performing the penile implant surgery with minor surgical dissection, resulting in among the lowest infection rates. In addition, there is nearly no skin contact with the device and almost no contact with gloves and the prosthetic. Glove changes, constant irrigation, and an extremely short and simple procedure keep my infection rates very low.
How Dr. Kramer prevents infection:
- New scrubs are used for each surgery and glove changes are done about 3-4 times during the procedure. There is no traffic in or out of the operating room (OR) once the procedure starts.
- I have a dedicated prosthetic OR team.
- The OR equipment is fully sterilized for all cases, not “flashed” or quickly steam cleaned.
- Antibiotics are given pre-operatively and post-operatively.
“Performing a clean, efficient, and seamless surgery is the single most important factor in avoiding infection.
Patient safety and the lowest infections rates are my top a priority.”
How To Tell If You Have An Infection
Infections show themselves by either induration or hardness around the pump, which will be stuck to an area high in the scrotum, and is non-mobile. There is usually significant pain around this area in the scrotum, differentiating itself from simply a hematoma (blood clot or blood collection). This is a localized infection, like an abscess and a patient may notice redness or drainage (pus) in and around the incision site. Fevers, chills, and sepsis are EXTREMELY RARE.
If an infection does occur, the implant, including the pump, cylinders, and reservoir, is surgically removed, followed by a seven-step washout, salvage, and placing of a semi-rigid device (Spectra) in the same setting. The seven-step washout is known as a Mulcahy Salvage.
The 7 Steps in the Mulcahy Salvage Include:
- Bacitracin solution
- Dilute Betadine
- Hydrogen Peroxide
- Four liters of irrigation with antibiotic solution
- Hydrogen peroxide
- Dilute Betadine
Then, a semirigid device is placed in the corpora (erectile body). The patient is put on two weeks of antibiotics. A patient can choose to live with the semirigid implant, or the patient may choose to have a three-piece inflatable penile implant reinserted once the infection has cleared and the surgical site has healed (usually around three months post-surgery).