PD26-04 IMPROVED INFECTION OUTCOMES AFTER MULCAHY SALVAGE PROCEDURE AND REPLACEMENT OF INFECTED IPP WITH MALLEABLE PROSTHESIS

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You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Surgical Therapy I1 Apr 2015PD26-04 IMPROVED INFECTION OUTCOMES AFTER MULCAHY SALVAGE PROCEDURE AND REPLACEMENT OF INFECTED IPP WITH MALLEABLE PROSTHESIS Martin Gross, Francois Eid, Christopher Yang, Ross Simon, Daniel Martinez, Rafael Carrion, Paul Perito, Laurence Levine, Jason Greenfield, and Ricardo Munarriz Martin GrossMartin Gross More articles by this author , Francois EidFrancois Eid More articles by this author , Christopher YangChristopher Yang More articles by this author , Ross SimonRoss Simon More articles by this author , Daniel MartinezDaniel Martinez More articles by this author , Rafael CarrionRafael Carrion More articles by this author , Paul PeritoPaul Perito More articles by this author , Laurence LevineLaurence Levine More articles by this author , Jason GreenfieldJason Greenfield More articles by this author , and Ricardo MunarrizRicardo Munarriz More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1080AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Since its introduction in 1996, Mulcahy salvage has significantly improved outcomes for removal and replacement of infected IPPs. Long-term follow-up data of Mulcahy salvage shows an infection-free rate of 82%. Since 2002, 58 patients have undergone Mulcahy salvage with IPP removal and replacement with malleable prosthesis at our institutions. Of these patients, 54 (93%) have remained infection free postoperatively. Additionally, 15 of these 54 patients have undergone subsequent malleable replacement with IPP. METHODS This is a retrospective multi-institution study of 58 patients who underwent Mulcahy salvage with IPP removal and replacement with malleable prosthesis. Patients' operative notes and charts were extensively reviewed to compile study data. RESULTS Between 2002 and 2014, 58 patients underwent infected IPP removal and replacement with malleable prosthesis via Mulcahy salvage. Average age was 57.7, range 26 to 79. Average operative time was 122 minutes, range 47 to 209. Postoperative follow-up ranged from 2 weeks to 84 months. Thirty-nine of 54 patients retained malleable prosthesis, 15 patients subsequently underwent replacement with IPP. This occurred on average 6.9 months after Mulcahy salvage, range from 1 to 29 months. Four patients had persistent infection after Mulcahy salvage with malleable and underwent explant. CONCLUSIONS Mulcahy salvage procedure and replacement of IPP with malleable prosthesis has an improved infection-free rate of 93% when compared to the 82% infection-free rate after IPP removal and replacement. Additionally, 15 of the 54 patients who remained infection free were able to successfully undergo subsequent removal of malleable prosthesis and replacement with IPP an average of 6.9 months later. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e567 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Martin Gross More articles by this author Francois Eid More articles by this author Christopher Yang More articles by this author Ross Simon More articles by this author Daniel Martinez More articles by this author Rafael Carrion More articles by this author Paul Perito More articles by this author Laurence Levine More articles by this author Jason Greenfield More articles by this author Ricardo Munarriz More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...