(319) ARE ANTIFUNGALS NEEDED IN PATIENTS UNDERGOING INFLATABLE MULTICOMPONENT PENILE IMPLANT PLACEMENT: SINGLE SURGEON EXPERIENCE

Abstract Introduction Recently the use of antifungal medications during Inflatable penile prosthesis (IPP) placement has been recommended. Due to published series showing that fungal infections are common in cultures from patients undergoing salvage procedures. Unfortunately, by the time the patients present for salvage procedures, many patients have received so many antibiotics that cultures can only grow fungal elements. Leaving one guessing whether the fungal elements are the primary cause of these implant infections. Objective Our objective is to determine if antifungal use is necessary during inflatable penile implant procedures. Methods A retrospective chart review was done on patients undergoing an IPP, between Jan 2021 and Dec. 2023. In patients that where not exposed to any anti fungal medications. Neither Pre-operatively, intra-operatively nor in the irrigating fluid. Results A total of 811 case where performed, 37% of our patients had diabetes and 19.6% were implant revisions. We had 3 cases of infections, Virgin case- 1 was due to a large hematoma that had to be drained in a patient with Myelodysplastic syndrome- Pseudomonas Aeruginosa. Revision cases - 2, one diabetic- Streptococcus Agalactiae and one non-diabetic- Methicillin resistant staph aureus. Conclusions None of our IPP infections could have been prevented by using antifungal medications. Guidelines recommending these medications should be re-evaluated. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Boston Scientific Corp.