{"id":10172,"date":"2026-05-12T20:00:00","date_gmt":"2026-05-12T13:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=10172"},"modified":"2026-05-11T16:21:16","modified_gmt":"2026-05-11T09:21:16","slug":"penile-prosthetic-infection-prevention-orthopedic-lessons","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/fr\/2026\/05\/12\/penile-prosthetic-infection-prevention-orthopedic-lessons\/","title":{"rendered":"Preventing Penile Prosthetic Infections: Lessons from the Frontlines of Orthopedic Surgery"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-7537815b wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full 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12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p>For patients dealing with erectile dysfunction that hasn\u2019t responded to medication, a <strong>penile prosthesis<\/strong> is often a life-changing solution. However, as any surgeon will tell you, the greatest shadow hanging over a successful implant is the risk of <strong>infection<\/strong>. During my fellowship at Baylor College of Medicine, working alongside Professor Mohit Khera \u2014 a world-renowned expert in penile prosthesis surgery \u2014 I have seen firsthand how devastating these complications can be. In urology, we must be relentless in our pursuit of a &#8220;zero-infection&#8221; rate.<\/p>\n\n\n\n<p>To reach that goal, we have started looking toward our colleagues in <strong><a href=\"https:\/\/academic.oup.com\/jsm\/article-abstract\/23\/4\/qdag058\/8524982?redirectedFrom=fulltext&amp;login=false\">orthopedic surgery<\/a><\/strong>. Why? Because orthopedic surgeons have been refining the art of &#8220;implant success&#8221; for decades. Whether it is a titanium hip or a silicone penile cylinder, the body\u2019s biological response to a foreign object is remarkably similar. By adopting the rigorous, evidence-based protocols used to prevent <em>periprosthetic joint infections (PJIs)<\/em>, we can significantly improve the safety and longevity of penile implants.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"600\" data-attachment-id=\"10245\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/preventing-penile-prosthetic-infections-6-lessons-from-orthopedics\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?fit=800%2C600&amp;ssl=1\" data-orig-size=\"800,600\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Preventing Penile Prosthetic Infections \u2014 6 Lessons from Orthopedic Surgery | Visual Summary by Dr. Soarawee\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Preventing Penile Prosthetic Infections \u2014 6 lessons from orthopedic surgery&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?fit=800%2C600&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?resize=800%2C600&#038;ssl=1\" alt=\"Visual summary infographic by Dr. Soarawee Weerasopone \u2014 6 lessons from orthopedic surgery applied to penile prosthesis surgery for infection prevention, including glycemic control, decolonization, smoking cessation, and sterile barrier techniques\" class=\"wp-image-10245\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Preventing-Penile-Prosthetic-Infections-6-Lessons-from-Orthopedics.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Preventing Penile Prosthetic Infections \u2014 6 lessons from orthopedic surgery<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why Borrow from Orthopedic Surgery?<\/h2>\n\n\n\n<p>Below is a quick comparison of the most impactful orthopedic strategies and how they translate into urology practice for penile prosthesis surgery:<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><thead><tr><th>Strategy<\/th><th>Orthopedic Application<\/th><th>Potential Benefit for Urology<\/th><\/tr><\/thead><tbody><tr><td><strong>Glycemic Control<\/strong><\/td><td>HbA1c &lt; 7%; Glucose &lt; 180 mg\/dL<\/td><td>Faster wound healing; reduced bacterial fuel<\/td><\/tr><tr><td><strong>Decolonization<\/strong><\/td><td>Nasal mupirocin &amp; chlorhexidine baths<\/td><td>Removes &#8220;stowaway&#8221; bacteria from the patient\u2019s skin<\/td><\/tr><tr><td><strong>Smoking Cessation<\/strong><\/td><td>6-week pre-op stop; cotinine testing<\/td><td>Restores blood flow and oxygen to the surgical site<\/td><\/tr><tr><td><strong>Sterile Barriers<\/strong><\/td><td>Double gloving &amp; gown-glove sealing<\/td><td>Prevents microscopic contamination from the surgeon<\/td><\/tr><tr><td><strong>OR Discipline<\/strong><\/td><td>Hourly suction tip changes; low traffic<\/td><td>Reduces airborne bacteria in the operating room<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">Five orthopedic infection-prevention strategies and their direct application to penile prosthesis surgery.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">1. Preoperative Optimization: Winning the War Before the First Incision<\/h2>\n\n\n\n<p>In orthopedics, surgery is not just a procedure \u2014 it is the culmination of a preparation phase. We are learning that the &#8220;pre-hab&#8221; of a patient is just as important as the surgery itself.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"10299\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/man-quit-smoking\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Smoking Cessation Before Penile Prosthesis Surgery &amp;#8211; 6-Week Rule for Infection Prevention\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?resize=800%2C800&#038;ssl=1\" alt=\"Mature man committing to smoking cessation before penile prosthesis surgery \u2014 the orthopedic-derived 6-week rule and preoperative lifestyle preparation are essential for reducing infection risk and improving wound healing in men's health surgery\" class=\"wp-image-10299\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/Man-quit-smoking.jpg?resize=12%2C12&amp;ssl=1 12w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Medical and Glycemic Control<\/h3>\n\n\n\n<p>Patients with diabetes are at higher risk for infection because high blood sugar impairs the immune system\u2019s ability to fight bacteria.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The Gold Standard:<\/strong> Orthopedic data suggests that achieving an <strong>HbA1c &lt; 7%<\/strong> is paramount before proceeding with elective surgery.<\/li>\n\n\n\n<li><strong>A Better Yardstick:<\/strong> While HbA1c shows a three-month average, many specialists are now looking at <strong>fructosamine<\/strong>, which provides a more accurate assessment of recent glycemic control.<\/li>\n\n\n\n<li><strong>Post-Op Stability:<\/strong> Keeping blood glucose <strong>below 180 mg\/dL<\/strong> after surgery is equally critical to ensure the wound heals without interference.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Lifestyle Adjustments: Smoking and Alcohol<\/h3>\n\n\n\n<p>Smoking is perhaps the greatest enemy of wound healing. Nicotine constricts blood vessels, starving the surgical site of the oxygen and nutrients needed to repair tissue.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The 6-Week Rule:<\/strong> Orthopedic surgeons often require patients to <strong>stop smoking at least 6 weeks before surgery<\/strong>, sometimes even using urine cotinine tests to verify compliance.<\/li>\n\n\n\n<li><strong>Alcohol Moderation:<\/strong> Excessive alcohol can suppress the immune system, making it easier for a stray bacterium to turn into a full-blown infection.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Decolonization: Clearing the &#8220;Pathogen Reservoir&#8221;<\/h3>\n\n\n\n<p>Bacteria often live harmlessly on our skin or in our noses until an incision provides them a doorway.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nasal Decolonization:<\/strong> Many orthopedic protocols involve using <strong>mupirocin ointment<\/strong> in the nose to eliminate <em>Staphylococcus aureus<\/em>.<\/li>\n\n\n\n<li><strong>Full-Body Cleansing:<\/strong> Patients are often instructed to use <strong>chlorhexidine gluconate soap<\/strong> for several days before surgery to reduce the overall bacterial load on the skin.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Nutritional Support<\/h3>\n\n\n\n<p>A body that is malnourished cannot heal. We look for specific markers to ensure a patient is &#8220;biologically ready&#8221; for an implant:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Albumin:<\/strong> A serum albumin level of <strong>&lt; 3.5 g\/dL<\/strong> is a major warning sign of poor nutrition and high infection risk.<\/li>\n\n\n\n<li><strong>Immune Competence:<\/strong> A total lymphocyte count of <strong>&lt; 1,500 cells\/\u00b5L<\/strong> suggests the immune system may not be strong enough to defend the new implant.<\/li>\n\n\n\n<li><strong>Iron:<\/strong> Supplementing iron to correct anemia helps ensure that enough oxygen reaches the healing tissue.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. Intraoperative Vigilance: Protecting the Sterile Field<\/h2>\n\n\n\n<p>The operating room (OR) is a controlled environment, but it is not a perfect one. Orthopedics has developed near-theatrical levels of precision to maintain sterility \u2014 standards that urology is now actively adopting.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"10300\" data-permalink=\"https:\/\/drsoaraweeurology.com\/fr\/preparing-surgery\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Sterile Operating Room Setup for Penile Prosthesis Surgery &amp;#8211; Infection Prevention\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Sterile operating room setup for penile prosthesis surgery \u2014 strict intraoperative protocols including double gloving, chlorhexidine-alcohol skin prep, and OR traffic control reduce infection risk, by Dr. Soarawee Weerasopone at Bangkok Hospital\" class=\"wp-image-10300\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/05\/preparing-surgery.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Skin Prep and Hand Hygiene<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Clippers, Not Razors:<\/strong> Razors create microscopic cuts that act as breeding grounds for bacteria. We now use surgical clippers immediately before the procedure.<\/li>\n\n\n\n<li><strong>Superior Antisepsis:<\/strong> A combination of <strong>chlorhexidine and alcohol<\/strong> has proven more effective than traditional iodine alone.<\/li>\n\n\n\n<li><strong>Double Gloving:<\/strong> Wearing two pairs of gloves provides a backup barrier. Orthopedic surgeons often change their outer gloves <strong>at the moment the implant is placed<\/strong> \u2014 the most critical sterility window.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Managing the Environment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Traffic Control:<\/strong> Every time an OR door opens, air currents can carry skin scales and bacteria into the room. Minimizing OR traffic and keeping non-essential personnel <strong>at least 3 feet away<\/strong> from sterile instruments is a key orthopedic principle.<\/li>\n\n\n\n<li><strong>Suction and Lights:<\/strong> Sterile light handles can shed debris if moved frequently, and suction tips can accumulate airborne particles. Orthopedic teams often <strong>replace suction tips every hour<\/strong> and set lights before the patient is even draped.<\/li>\n\n\n\n<li><strong>Gown-Glove Sealing:<\/strong> The gap between a surgeon\u2019s gown and their glove is a known weak point. Using <strong>occlusive strips<\/strong> to seal this interface prevents bacteria from the surgeon\u2019s skin from escaping into the surgical field.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">3. Postoperative Care: The Critical Recovery Window<\/h2>\n\n\n\n<p>Once the surgery is over, the job isn\u2019t finished. The first few weeks are the most vulnerable time for the new prosthesis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Wound Management<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dry and Clean:<\/strong> The most basic advice is often the best \u2014 keep the wound clean and dry.<\/li>\n\n\n\n<li><strong>The Problem with Drains:<\/strong> While surgeons sometimes use drains to prevent fluid buildup, they can act as a &#8220;two-way street&#8221; for bacteria. Following orthopedic trends, we aim to <strong>avoid drains or remove them as early as possible<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Long-Term Health and Hygiene<\/h3>\n\n\n\n<p>An infection can happen months or even years later if bacteria from another part of the body (like the mouth) enter the bloodstream \u2014 a process called <em>bacteremia<\/em>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dental Health:<\/strong> Maintaining excellent oral hygiene and seeing a dentist regularly is a hidden but vital part of protecting any internal prosthetic.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">The Bottom Line: A Collaborative Future<\/h2>\n\n\n\n<p>The path to better patient outcomes in urology is paved with the successes of other surgical fields. By viewing the penile prosthesis through the lens of orthopedic arthroplasty, we move closer to a standard of care where infection is a rarity rather than a constant threat.<\/p>\n\n\n\n<p>Working with experts like Professor Khera, it is clear that our commitment to these &#8220;orthopedic-style&#8221; protocols is not just about following rules \u2014 it\u2019s about providing our patients with the safety and confidence they deserve. For men exploring penile prosthesis as a treatment for <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/31\/erectile-dysfunction-ed\/\">erectile dysfunction<\/a>, choosing a surgeon who follows these rigorous infection-prevention protocols is one of the most important decisions you can make.<\/p>\n\n\n\n<p>If you are considering penile prosthesis surgery in Bangkok and would like a comprehensive evaluation under modern infection-prevention protocols, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Penile Prosthesis Infection<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">How common is infection after penile prosthesis surgery?<\/h3>\n\n\n\n<p>Modern infection rates are below 2 percent in experienced hands, thanks to antibiotic-coated devices, chlorhexidine-alcohol skin prep, and refined surgical technique. However, even one infection can be devastating because it usually requires removing the implant. That is why prevention protocols, especially those borrowed from orthopedic surgery, are so important.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Why is diabetes such a significant risk factor?<\/h3>\n\n\n\n<p>High blood sugar impairs white blood cell function, weakens the immune response, and slows wound healing \u2014 a perfect storm for infection. Achieving an HbA1c below 7 percent before surgery and keeping postoperative glucose below 180 mg\/dL dramatically reduces this risk.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How long should I stop smoking before penile prosthesis surgery?<\/h3>\n\n\n\n<p>Following orthopedic best practice, patients should stop smoking <strong>at least 6 weeks before surgery<\/strong>. Nicotine constricts blood vessels and reduces oxygen delivery to healing tissues, dramatically increasing the risk of wound complications and prosthesis infection.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can dental problems really cause a penile prosthesis infection?<\/h3>\n\n\n\n<p>Yes \u2014 although it sounds surprising. Bacteria from severe dental infections can enter the bloodstream (<em>bacteremia<\/em>) and seed any prosthetic device in the body, including a penile implant. This is why orthopedic and urology guidelines both stress lifelong oral hygiene and regular dental check-ups for patients with implants.<\/p>\n\n\n\n<p><strong>Medically written &amp; reviewed by:<\/strong> Dr. Soarawee Weerasopone (Dr. Pom) \u2014 Board-Certified Urologist, Bangkok Hospital Headquarters.<br>International Fellow: Baylor College of Medicine (USA) \u00b7 Juntendo University (Japan) \u00b7 Chang Gung Memorial Hospital (Taiwan).<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How common is infection after penile prosthesis surgery?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Modern infection rates are below 2 percent in experienced hands, thanks to antibiotic-coated devices, chlorhexidine-alcohol skin prep, and refined surgical technique. 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Achieving an HbA1c below 7 percent before surgery and keeping postoperative glucose below 180 mg\/dL dramatically reduces this risk.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How long should I stop smoking before penile prosthesis surgery?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Following orthopedic best practice, patients should stop smoking at least 6 weeks before surgery. Nicotine constricts blood vessels and reduces oxygen delivery to healing tissues, dramatically increasing the risk of wound complications and prosthesis infection.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Can dental problems really cause a penile prosthesis infection?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Yes - although it sounds surprising. 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Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains the 5 evidence-based strategies borrowed from orthopedic surgery.<\/p>","protected":false},"author":185281453,"featured_media":10235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"How orthopedic infection-prevention protocols can reduce penile prosthesis complications. 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