Comparing the pre-operative and post-operative data of penile prosthetic implants with and without antibiotics

Objective: The aim of this study is to evaluate surgical results and postoperative results of men diagnosed with organic erectile dysfunction (ED) who underwent penile prosthesis (antibiotic-coated vs. non-coated) implantation in the last 13 years. Additionally, we compared the frequency of complications between the two groups.

Materials and methods: In the last 13 years, 202 men diagnosed with organic erectile dysfunction (ED) had previously undergone penile prosthesis implantation. Patient data were evaluated retrospectively. Of the 202 patients, 175 were included to the study. The mean age of patients was 57.5 (34-83) years. Preoperatively, a physical examination, medical and sexual history, International Index of Erectile Function (IIEF) questionnaire, Combined Injection and Stimulation (CIS) test and, if necessary, Nocturnal Penile Tumescence (NPT) / Penile Doppler ultrasonography (US) were performed in all cases.

Results: All patients were diagnosed with organic ED. We determined that 43 (21%) patients had diabetes mellitus, 53 (26%) had a history of radical pelvic surgery, 38 (19%) had cardiovascular pathology and 19 (9%) had other reasons for ED. Approximately 98% of patients and their partners were satisfied with the surgical results of the penile prosthesis operation.

Conclusion: The infection rate results in the present study were not statistically significant, and the number of patients in our study was not sufficient to make reliable conclusions. Studies with a larger sample sizes are needed.