{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T01:46:32Z","timestamp":1768441592239,"version":"3.49.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T00:00:00Z","timestamp":1370044800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,6,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Infection of a penile prosthesis requires that all device hardware and associated foreign materials are removed, irrespective of whether a salvage procedure will be performed. Failure to remove all foreign bodies from the operative field may result in persistent infection, necessitating surgical intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To review our experience with complications arising from retained foreign bodies following removal of an infected penile prosthesis. We highlight the clinical features that should raise suspicion of retained device-associated materials, and also the role of imaging in evaluating these patients. Finally, a rational approach to prevent these occurrences is proposed with the implementation of an implant-specific checklist.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Medical records and imaging studies of patients presenting to our center with retained foreign bodies following removal of an infected penile prosthesis were reviewed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures<\/jats:title>\n                  <jats:p>Clinical and radiologic details of each of these cases were abstracted, including patient demographics, presenting symptoms, characteristics of retained materials, bacterial cultures, treatment, and follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Presenting symptoms included: (i) persistent and relapsing drainage from cutaneous fistulae; (ii) cellulitis overlying an infected reservoir; (iii) persistent penile pain; and (iv) an asymptomatic individual requesting elective placement of a second implant. Infected foreign materials retrieved included: two rear-tip extenders, a tubing connector, two infected reservoirs, and nonabsorbable mesh. Preoperative computerized tomography scan confirmed the presence and the location of all of these materials. Using this data, we propose using an implant-specific checklist to insure removal of all device-related foreign bodies when explanting an infected penile prosthesis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A number of adverse sequelae may result from inadvertently leaving behind device-related materials when an infected implant is removed. Ultimately it is the responsibility of the surgeon removing an infected implant to insure that all device components and associated materials are removed. We believe that implementing a two-step implant-specific checklist is a rational prevention strategy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1111\/jsm.12145","type":"journal-article","created":{"date-parts":[[2013,4,4]],"date-time":"2013-04-04T04:59:02Z","timestamp":1365051542000},"page":"1659-1666","source":"Crossref","is-referenced-by-count":7,"title":["Complications Associated with Retained Foreign Bodies from Infected Penile Implants: Proposal for the Use of an Implant-Specific Checklist at the Time of Device Removal"],"prefix":"10.1093","volume":"10","author":[{"given":"Bruce R.","family":"Kava","sequence":"first","affiliation":[{"name":"Department of Urology , Miami, FL , USA"},{"name":"University of Miami Miller School of Medicine , Miami, FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Burdick-Wil","sequence":"additional","affiliation":[{"name":"Department of Urology , Miami, FL , USA"},{"name":"University of Miami Miller School of Medicine , Miami, FL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2013,6,1]]},"reference":[{"key":"2024032600571463900_bb0010","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/j.1743-6109.2007.00434.x","article-title":"Penile prosthesis surgery: A review of prosthetic devices and associated complications","volume":"2","author":"Sadeghi-Nejad","year":"2007","journal-title":"J Sex Med"},{"key":"2024032600571463900_bb0015","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1097\/01.ju.0000118245.66976.e1","article-title":"Efficacy of antibiotic impregnation of inflatable penile prostheses in decreasing infection in original implants","volume":"171","author":"Carson","year":"2004","journal-title":"J Urol"},{"key":"2024032600571463900_bb0020","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1111\/j.1743-6109.2011.02222.x","article-title":"Contemporary revision penile prosthesis surgery is not associated with a high risk of implant colonization or infection: A single-surgeon series","volume":"8","author":"Kava","year":"2011","journal-title":"J Sex Med"},{"key":"2024032600571463900_bb0025","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/00005392-200102000-00051","article-title":"Occult retained penile prosthetic fragments in persistent urological infections","volume":"165","author":"User","year":"2001","journal-title":"J Urol"},{"key":"2024032600571463900_bb0030","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.juro.2007.08.168","article-title":"Revision washout decreases implant capsule tissue culture positivity: A multi-center study","volume":"179","author":"Henry","year":"2008","journal-title":"J Urol"},{"key":"2024032600571463900_bb0035","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1111\/j.1743-6109.2005.20116.x","article-title":"Retained rear tip extenders in redo penile prosthesis surgery: A case for heightened suspicion and thorough physical examination","volume":"2","author":"Ilbeigi","year":"2005","journal-title":"J Sex Med"},{"key":"2024032600571463900_bb0040","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s00345-004-0427-7","article-title":"Radiological assessment of penile prosthesis: The role of magnetic resonance imaging","volume":"22","author":"Moncada","year":"2004","journal-title":"World J Urol"},{"key":"2024032600571463900_bb0045","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.1111\/j.1743-6109.2008.00849.x","article-title":"Endoscopic retrieval of a penile prosthesis rear-tip extender","volume":"5","author":"Munk-Hartig","year":"2008","journal-title":"J Sex Med"},{"key":"2024032600571463900_bb0050","doi-asserted-by":"crossref","first-page":"1928","DOI":"10.1056\/NEJMsa0911535","article-title":"Effect of a comprehensive surgical safety system on patient outcomes","volume":"363","author":"deVries","year":"2010","journal-title":"N Engl J Med"},{"key":"2024032600571463900_bb0055","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s12630-012-9854-x","article-title":"Perioperative checklist methodologies","volume":"60","author":"Weiser","year":"2013","journal-title":"Can J Anaesth"},{"key":"2024032600571463900_bb0060","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1038\/sj.ijir.3901217","article-title":"Tissue ingrowth in penile implants and its effect on repeat penile surgery","volume":"16","author":"Rajpurkar","year":"2004","journal-title":"Int J Impot Res"},{"key":"2024032600571463900_bb0065","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1097\/01.ju.0000131454.51640.a3","article-title":"Fate of the retained reservoir after replacement of 3-piece penile prosthesis","volume":"172","author":"Rajpurkar","year":"2004","journal-title":"J Urol"},{"key":"2024032600571463900_bb0070","doi-asserted-by":"crossref","first-page":"2483","DOI":"10.1111\/j.1743-6109.2012.02932.x","article-title":"Dilemmas of inflatable penile prosthesis revision surgery: What practices achieve the best outcomes and the lowest infection rates?","volume":"9","author":"Hinds","year":"2012","journal-title":"J Sex Med"},{"key":"2024032600571463900_bb0075","doi-asserted-by":"crossref","first-page":"2759","DOI":"10.1111\/j.1743-6109.2012.02807.x","article-title":"Review of penile prosthetic reservoir: Complications and presentation of a modified reservoir placement technique","volume":"9","author":"Levine","year":"2012","journal-title":"J Sex Med"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515303799?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515303799?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/10\/6\/1659\/48191993\/jsm_10_6_1659.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/10\/6\/1659\/48191993\/jsm_10_6_1659.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T01:46:55Z","timestamp":1711417615000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/10\/6\/1659\/6939920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,1]]},"references-count":14,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2013,6,1]]},"published-print":{"date-parts":[[2013,6,1]]}},"URL":"https:\/\/doi.org\/10.1111\/jsm.12145","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2013,6]]},"published":{"date-parts":[[2013,6,1]]}}}