Comment on prospective analysis of cultures from the furlow insertion tool: a possible etiology for penile prosthesis infections

Access through your institution Buy or subscribe This paper is an excellent addition to the literature surrounding penile prosthesis infection prevention [1]. The authors have identified an

aspect of penile prosthesis surgery, similar to the use of chlorhexidine–alcohol skin prep or no-touch technique, that surgeons can seize upon to reduce the possibility of infection [2, 3].

This study clarifies the potential infection risk lurking within the indispensable Furlow passer. The authors investigated this phenomenon using appropriate observational methods and

discovered visible residue and concerning rates of unseen bacteria. They offer a preemptive solution that surgeons can implement even before making incision. Like parachutists, penile

implanters should check our equipment before we use it! These results should encourage implant surgeons and industry to innovate answers to the Furlow problem. Reducing infection risk starts

with research and continues with development of equipment that mitigates risk as much as possible across all levels of surgical expertise. Experienced prosthetic urologists may be savvy

enough to ensure that their tools are sterilized properly. Lower volume implant surgeons may not be so thorough. Options include a disposable Furlow tool, as the authors suggest, or perhaps

an entirely new method of cylinder deployment. The best outcomes for our patients depend on continuing to decrease penile prosthesis infection risk by every possible method. This is a

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during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support REFERENCES * Yafi FA, Furr J, El-Khatib FM, van

Renterghem K, Venturino L, Andrianne R. et al. Prospective analysis of cultures from the furlow insertion tool: a possible etiology for penile prosthesis infections. Int J Impot Res. * Yeung

LL, Grewal S, Bullock A, Lai HH, Brandes SB. A comparison of chlorhexidine-alcohol versus povidone-iodine for eliminating skin flora before genitourinary prosthetic surgery: a randomized

controlled trial. J Urol. 2013;189:136–40. Article  Google Scholar  * Eid JF, Wilson SK, Cleves M, Salem EA. Coated implants and “no touch” surgical technique decreases risk of infection in

inflatable penile prosthesis implantation to 0.46%. Urology. 2012;79:1310–5. Article  Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Section of Urology,

Dartmouth-Hitchcock Medical Center, Dartmouth Geisel School of Medicine, Lebanon, PA, USA Martin S. Gross Authors * Martin S. Gross View author publications You can also search for this

author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Martin S. Gross. ETHICS DECLARATIONS CONFLICT OF INTEREST The author declares that he has no conflict of interest.

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and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Gross, M.S. Comment on Prospective analysis of cultures from the furlow insertion tool: a possible etiology for penile prosthesis

infections. _Int J Impot Res_ 33, 382 (2021). https://doi.org/10.1038/s41443-020-0281-1 Download citation * Received: 26 March 2020 * Revised: 01 April 2020 * Accepted: 06 April 2020 *

Published: 14 April 2020 * Issue Date: April 2021 * DOI: https://doi.org/10.1038/s41443-020-0281-1 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this

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