This paper provides an excellent review of previous literature regarding penile implant biofilms (1). Leong et al. astutely describe the shift in microbes responsible for biofilm formation in the era of antibiotic-coated implants from skin flora to more diverse and virulent organisms. Given the limited literature available, the authors also outline how urologists can replicate strategies used in other surgical fields to prevent biofilm formation (2).
Infection remains the most feared complication of penile implants for both patients and surgeons. With that in mind, perhaps the most notable aspect of this scoping review is how few studies met inclusion criteria. Of the 11 studies the authors included, only 3 explicitly reported the number of biofilms identified. The remaining 8 simply mentioned culturing biofilms if present. This thorough analysis of the available literature should ultimately serve as a clarion call for more robust studies on this subject.
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Acknowledgments
Funding: None.
Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Footnotes
Provenance and Peer Review: This article was commissioned by the editorial office, Translational Andrology and Urology. The article did not undergo external peer review.
Conflicts of Interest: Both authors have completed the ICMJE uniform disclosure form (available at https://tau.amegroups.com/article/view/10.21037/tau-22-568/coif). MSG reports that they are a consultant for Coloplast. RDP has no conflicts of interest to declare.
References
- 1.Leong JY, Capella CE, D'Amico MJ, et al. A scoping review of penile implant biofilms-what do we know and what remains unknown? Transl Androl Urol 2022;11:1210-21. 10.21037/tau-22-195 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Isguven S, Chung PH, Machado P, et al. Minimizing Penile Prosthesis Implant Infection: What Can We Learn From Orthopedic Surgery? Urology 2020;146:6-14. 10.1016/j.urology.2020.08.060 [DOI] [PMC free article] [PubMed] [Google Scholar]
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