(O-02) Conservative Salvage of Postoperative Infections in Malleable Penile Prostheses: A Case Series of Five Patients

Abstract Background Postoperative infection of penile prostheses is traditionally managed with explantation; salvage with conservative management is less commonly described. This case series outlines five consecutive patients with malleable penile implants who developed postoperative infections and were managed conservatively, with four achieving salvage and functional implants. Methods Retrospective case series of five patients who underwent malleable penile implant implantation and subsequently developed postoperative infection. Management included targeted systemic antibiotics, local wound care with topical antimicrobials, and adjunctive measures per case. Outcomes focused on implant salvage status and functional status at latest follow-up. Results Four of five cases were salvaged with functional implants; one patient underwent explantation with plans for delayed reimplantation. Conclusions Conservative management can achieve salvage and functional outcomes in selected patients with postoperative infection after malleable penile implant placement. A multidisciplinary approach, early recognition, meticulous wound care, and appropriate antibiotic therapy appear integral to success. Larger prospective studies are needed to define selection criteria and standardized protocols.