What is the risk of infection for revision surgeries?

The final frontier. Deciding when, if and how.
Frenchie
Posts: 166
Joined: Sun Sep 11, 2022 11:14 am

What is the risk of infection for revision surgeries?

Postby Frenchie » Tue May 09, 2023 8:42 am

The risk for first time implant is usually mentioned here about 1-2% and sometimes lower for world class surgeons but for revisions only think I know is that it is higher but by how much higher? Any data on this?

I think this is the main worry for a young guy who has to face multiple revisions in the future. I am sure that if no infection occurs a decent surgeon can put 10 implants there in your lifetime but when an infection occurs things start to get complicated
Venous like since I was 20 years old. Pills don't work too well. Thinking of implant in the future

Hillywilly
Posts: 610
Joined: Thu May 12, 2022 11:03 am

Re: What is the risk of infection for revision surgeries?

Postby Hillywilly » Tue May 09, 2023 10:20 am

Frenchie wrote:The risk for first time implant is usually mentioned here about 1-2% and sometimes lower for world class surgeons but for revisions only think I know is that it is higher but by how much higher? Any data on this?

I think this is the main worry for a young guy who has to face multiple revisions in the future. I am sure that if no infection occurs a decent surgeon can put 10 implants there in your lifetime but when an infection occurs things start to get complicated


A quick search of the literature I found 7-18% risk of infection with revisions. However, 50% of IPP's are performed by surgeons that do less than 10 a year....

Hakky told me his revision infection rate is 3% I'm sure you get similar rates with the experts.
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23

phliptrip
Posts: 112
Joined: Mon Feb 27, 2023 5:02 pm
Location: Ohio

Re: What is the risk of infection for revision surgeries?

Postby phliptrip » Tue May 09, 2023 8:30 pm

Frenchie wrote:The risk for first time implant is usually mentioned here about 1-2% and sometimes lower for world class surgeons but for revisions only think I know is that it is higher but by how much higher? Any data on this?

I think this is the main worry for a young guy who has to face multiple revisions in the future. I am sure that if no infection occurs a decent surgeon can put 10 implants there in your lifetime but when an infection occurs things start to get complicated


The ball park I was told was "generally double the infection rate for revision surgeries vs initial implant."
46yo, Venous Leak, Diabetic, ED 2016, VED/Cialis till ~21, Needle phobia. 20cm Titan implant w/3.5cm RTE (pump location) 03/02/23 by Dr Aram Loeb (HVS) at University Hospital, Ohio. PED 7"x5.5", PO 5.5"x5.5", CS 6"x5.5".

Gt1956
Posts: 2891
Joined: Fri Apr 05, 2019 2:47 pm

Re: What is the risk of infection for revision surgeries?

Postby Gt1956 » Tue May 09, 2023 10:46 pm

Please be carefull quoting studies on stuff like infections. They can be what are called trailing statistics. Meaning that the data has been gathered perhaps years before the study is published.
In the last few years there has been large improvements in infection controls that are not reflected in the study.
One touch surgery, bathing with Hebclens, urine cultures looking for bacteria prior to surgery, antibiotic coated implants, IV antibiotics administered during surgery & a high dose antiboitic for the 24 hours after surgery. And surprisingly, my dr maintains to get you out of the hospital as quickly as is reasonably possible. The average hospital is a hot bed of bacteria.
Two different members of my drs staff told me that he seldom gets an infection. They both mentioned that the last one was last fall with a patient that was in poor condition.
Considering that he does 200/250 implants a year. I think his infection rate is well below the 1-2% that is frequently quoted.
Get to know your dr & a few of his key people. They can be a goldmine of info.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

woodturner
Posts: 117
Joined: Fri Dec 20, 2013 1:48 pm

Re: What is the risk of infection for revision surgeries?

Postby woodturner » Tue May 16, 2023 10:20 pm

The risk of infection for revision surgeries is 10% is it is an inflatable.
I did get infected after my first revision. They put a malleable in as a temporary replacement for 5 months.
They wanted me fully recovered. They told me I could keep the malleable if I wanted to.
The malleable isn't all that bad but I prefer the inflatable. Five days ago the malleable was removed and a new inflatable was installed.
Only time will tell If I avoided infection this time. The surgeon was a lot more upset about the infection than I was.
This last time they took a couple of extra precautions that aren't normally done.
Total ED since a 6/2010 RPA. Pills and injections didn't work. 2nd revision with a Coloplast Titan (24CM w & 2CM RTEs)on 12/15/2022. 68 years old

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: What is the risk of infection for revision surgeries?

Postby merrix » Sat May 20, 2023 11:02 am

I was communicating with Eid a few months ago about my potential need for a revision due to my pump not working 100% well.
According to him, based on the population of his 5000 implant surgeries, his infection rates are 0.5% for virgin implant and 0.9% for revision.
But that's Eid. Your local hacker will have higher numbers.
Roughly double the risk for revision is a good ballpark.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon


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