Shout-out to Dr. John Mulcahy + What are the next steps after an unfortunate IPP infection

[wolfpacker]

This is generated by AI, not an actual doctor FYI

[RigiconDownUnder]

This is generated by AI, not an actual doctor FYI

Yes. AI was used to gather the information.
Do you find anything wrong in the science described here?

[wolfpacker]

This is generated by AI, not an actual doctor FYI

Yes. AI was used to gather the information.
Do you find anything wrong in the science described here?

No I'm not a doctor, AI could've made it all up and I'd be none the wiser

[AussieGuy81]

I would take that info with a grain of salt. I've really been noticing lately chat gpt making plenty of mistakes and still passing them off as facts.

It said there's a 50% chance of success after an infection, that doesn't sound right at all

[RigiconDownUnder]

I would take that info with a grain of salt. I've really been noticing lately chat gpt making plenty of mistakes and still passing them off as facts.

It said there's a 50% chance of success after an infection, that doesn't sound right at all

Not a doctor.
I wouldn't interpret that figure out of context. The 50% success rate applied specifically to the traditional historical protocol, complete device removal followed by delayed reimplantation, which was the standard long before Dr. Mulcahy in 1996 introduced his salvage technique. The original statement opens with the word “Historically” precisely.

Here's a reference:

Luján S, et al. (2016) — "Local Treatment of Penile Prosthesis Infection as Alternative to Immediate Salvage Surgery." Sexual Medicine, 4(4):e255–e259 (PMC5121535).

https://academic.oup.com/smoa/article/4/4/e255/6956247

"The successful rate is approximately 50% in expert hands, with a high reinfection rate, loss of penile length, and low patient satisfaction" for the traditional removal + delayed reimplantation (vs. 82% for salvage)."

Historically, the standard protocol for an infected Inflatable Penile Prosthesis (IPP) was the complete removal of the device, followed by a waiting period of three to six months before attempting any reimplantation. While this eradicated the infection, it routinely led to severe corporal fibrosis (scarring inside the penis). This dense scarring resulted in an average penile length loss of nearly 4 centimeters and made subsequent replacement surgeries extraordinarily difficult, with success rates plummeting to around 50%.

[RigiconDownUnder]

This is generated by AI, not an actual doctor FYI

Yes. AI was used to gather the information.
Do you find anything wrong in the science described here?

No I'm not a doctor, AI could've made it all up and I'd be none the wiser

Thanks for that callout. Point well taken. Not a doctor.

[staphylococcusecoli]

If you go to high volume surgeons, your infection rate is 0.5%.