Medical Guide
Covering surgical tools (dilators, retractors, etc.) with gold [specifically in the setting of penile implant surgery for ED].
Background: Penile prosthesis implantation carries a high risk of infection, and rigorous infection control measures are critical to reducing complications. Pros: Cons: Current evidence: Related (but indirect) evidence areas: Conclusion: References:
Against Routine Nasal Swabbing of the Surgical Team Before Penile Implant Surgery
Background: Why shouldn’t it be a routine practice? While nasal colonization with Staphylococcus aureus, including methicillin-resistant strains (MRSA), is a known risk factor for surgical site infections (SSI) in patients, extending routine nasal screening and decolonization protocols to the surgical team is not currently evidence-based — and comes with several drawbacks. Conclusion: References:
Use of Standard Field Surgical Telescopes During Penile Implant Surgery for ED
Background: Why Telescope Use Is Not Optimal in Routine Settings? Despite the potential benefits, standard field surgical telescopes present several practical and clinical limitations that make them suboptimal for routine use in most penile prosthesis surgeries: References:
Pulse Oximeter on the penis during penile implant surgery
Background: A pulse oximeter measures: Status of evidence? Closest analogs: In penile prosthesis surgery, the main concerns are: o Avoiding injury to the urethra, dorsal neurovascular bundle, and corpora.o Preventing postoperative infection and erosion.o Ensuring correct cylinder placement.o Real-time perfusion monitoring isn’t seen as critical because: • The implant sits inside the corpora cavernosa, which are well vascularized. •…
Laser Cutting in the Context of Penile Implants
Background: Laser cutting involves the use of focused laser beams to cut or ablate materials with high precision. In medical applications, it can be used: Current Uses in Penile Implant Surgery: Direct surgical use of lasers (intraoperative): Any evidence?Literature searches reveal no studies or trials showing benefits of laser dissection in penile implant surgeries. Experts typically recommend avoiding energy devices…
The Role of Overhead and Ear Covering in Infection Prevention During Penile Implant Surgery: A Critical Appraisal
Introduction:Penile prosthesis implantation is a high-stakes procedure in urology, with one of the most feared complications being device infection. To minimize infection risk, operating room protocols emphasize strict sterile technique, appropriate antibiotic prophylaxis, meticulous surgical handling, and environmental controls. Among these, the use of surgical caps or overhead coverings is a long-standing practice designed to…
