Persistent infection at the sutures pst revision surgery. what can I do?

[body2body]

Hi everyone,
I am looking for experiences from anyone who might have faced similar complications after a glanulopexy (glans fixation). I am currently in a massive loop of frustration and need some real-world advice from this community.
My Background & History:
• Implant: Penile prosthesis placed 14 months ago.
• The Problem: Suffered from a severe "floppy glans" (SST deformity).
• The Revision: Had a glanulopexy done in early September (about 10 weeks ago) in Istanbul. The surgeon used non-absorbable Ethibond sutures for the permanent fixation.
The Complication & Medical Status:
About 6 weeks post-op, I had intercourse. Shortly after, a stitch infection developed at the suture site.
• A swab culture identified E. coli as the culprit.
• I have been on targeted oral antibiotics (matching the antibiogram) for 6 weeks now.
• While the discharge has decreased and the area is pain-free, it is still slightly oozing/pus-producing. It simply won't heal completely. My theory is that the E. coli bacteria have formed a persistent biofilm on the remaining, deeply anchored permanent Ethibond suture.
• The good news: I recently had an MRI done, which clearly shows that the infection is currently localized at the suture and the implant itself is NOT affected so far.
My Current Nightmare / Systemic Frustration:
I am currently in Thailand (where I will stay for the next 4 weeks). I tried to get medical help before leaving Germany, but appointment waiting times for specialists are insanely long. Here in Thailand, I visited two "specialists" who were so incompetent they didn't even notice the exposed piece of thread that was sticking out (I eventually had it cut/removed). To make matters worse, my original clinic in Istanbul is barely responding and just ghosting me despite me sending them the MRI data. I plan to head back to Istanbul in mid-December for a surgical revision (washing out the site/excision of the suture track under IV antibiotics).
Because of this ongoing 10-week infection, I have been on a strict ban from any sexual activity. To be completely honest, being here in Thailand and having to abstain for another 4 weeks (plus 6-8 weeks after the upcoming revision in December) is becoming mentally and physically almost impossible to bear.
My questions to the forum:
1. Has anyone here experienced a persistent infection specifically related to Ethibond or permanent sutures after a glanulopexy? Did the suture have to be surgically removed to stop the pus, or did IV antibiotics work?
2. How did you handle the cycling of your implant while dealing with a localized suture infection? I am pausing cycling during my flights, but I am terrified of tissue loss/shrinkage if I stop for too long.
3. For those who had a localized suture infection (with a clear MRI showing the implant is safe): Did anyone risk having sex, or is the risk of migrating the E. coli bacteria into the implant capsule 100% real? I am losing my mind here and need a realistic assessment of the danger.
I’ve attached some photos of the current state of the suture site below.
Any insights, similar stories, or mental support would be highly appreciated. Thanks a lot!

[ElbowRoom]

Get to a quality surgeon in the US or Europe for. Consult. Infections with an implant installed are nothing to fuck around with. I would stop dealing with third world doctors on this.