PD63-09 IDENTIFICATION OF MICROBIAL COLONIZATION PATTERNS IN EXPLANTED ARTIFICIAL URINARY SPHINCTERS Article Swipe

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Derek Jensen , Jason Farrow , Dana Hawkinson , Joshua A. Broghammer ·

YOU? · · 2018 · Open Access · · DOI: https://doi.org/10.1016/j.juro.2018.02.2969

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Urethral Reconstruction (including Stricture, Diverticulum) III1 Apr 2018PD63-09 IDENTIFICATION OF MICROBIAL COLONIZATION PATTERNS IN EXPLANTED ARTIFICIAL URINARY SPHINCTERS Derek Jensen, Jason Farrow, Dana Hawkinson, and Joshua Broghammer Derek JensenDerek Jensen More articles by this author , Jason FarrowJason Farrow More articles by this author , Dana HawkinsonDana Hawkinson More articles by this author , and Joshua BroghammerJoshua Broghammer More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2969AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Over 150,000 artificial urinary sphincters (AUS) have been implanted worldwide over the last 40 years. Despite excellent continence rates (80%) and patient satisfaction (90%), AUS implants are not without complications. Approximately 26% will eventually undergo reoperation. Our objective was to characterize the variation and frequency of microbial growth on AUS devices undergoing explantation. Additionally, we sought to identify patterns of colonization and compare them to existing data on colonization of explanted penile prosthesis in literature. METHODS This was a single institution, single surgeon retrospective study which examined 62 artificial sphincter (AUS) explants on 51 patients from 2008-2017. Data was collected regarding the surgical indications for explantation, as well as the culture results from the AUS implant. All explanted AUS devices were sent for culture, unless they were sent back to the manufacturer for defective investigation. Indications for explantation included revision, infection/erosion, and other. Culture results were then analyzed by indication. RESULTS A total of 62 AUS explant procedures were performed, including 39 for revisions, 21 for erosions/ infections, and 2 for other reasons. 13 (21%) of the AUS explants were sent back to the manufacturer for inspection and not submitted for culture. Of the 49 AUS explants submitted for culture, 19 (39%) had no growth. Of the remaining 30 explants, coagulase negative Staphylococcus spp. was the most commonly found organism (50%), followed by Propionibacterium Acnes (37%), and Enterococcus Faecalis (20%). Over half of the AUS explants had multiple organisms found on culture (53%). The most commonly isolated organisms for erosion/ infection were coagulase negative Staphylococcus, while the most common organism found on revisions was Propionibacterium. The infected/eroded explants contained more urinary pathogens (E. Coli, Proteus Mirabilis, Staphylococcus Aureus, Pseudomonas) than revision or other explants. Candida was isolated in 4 explants (13%) and all were infected/eroded. CONCLUSIONS While the majority of AUS explants were not performed due to active infection, a significant portion of these were colonized with bacteria sufficient for culture. The most common organisms were comprised of typical skin flora, and over half grew multiple types of bacteria. A significant amount of explanted sphincters grew Candida and urinary pathogens were more commonly isolated in infected/eroded explants. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1217 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Derek Jensen More articles by this author Jason Farrow More articles by this author Dana Hawkinson More articles by this author Joshua Broghammer More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

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Grey's Anatomy Season 18

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Medicine Artificial urinary sphincter Surgery Implant Urinary system Anastomosis Urinary incontinence General surgery Anatomy

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Language: en
Landing Page: https://doi.org/10.1016/j.juro.2018.02.2969
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DOI: https://doi.org/10.1016/j.juro.2018.02.2969

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Title: PD63-09 IDENTIFICATION OF MICROBIAL COLONIZATION PATTERNS IN EXPLANTED ARTIFICIAL URINARY SPHINCTERS

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Publication year: 2018

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Authors: Derek Jensen, Jason Farrow, Dana Hawkinson, Joshua A. Broghammer

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Landing page: https://doi.org/10.1016/j.juro.2018.02.2969

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Concepts: Medicine, Artificial urinary sphincter, Surgery, Implant, Urinary system, Anastomosis, Urinary incontinence, General surgery, Anatomy

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abstract_inverted_index.Author	70
abstract_inverted_index.Expand	480
abstract_inverted_index.Farrow	43, 460
abstract_inverted_index.Jensen	34, 453
abstract_inverted_index.Joshua	30, 60, 473
abstract_inverted_index.Volume	441
abstract_inverted_index.active	389
abstract_inverted_index.amount	423
abstract_inverted_index.author	39, 48, 57, 67, 458, 465, 472, 479
abstract_inverted_index.common	340, 405
abstract_inverted_index.flora,	412
abstract_inverted_index.growth	129
abstract_inverted_index.other.	224
abstract_inverted_index.penile	153
abstract_inverted_index.single	161, 163
abstract_inverted_index.sought	137
abstract_inverted_index.unless	206
abstract_inverted_index.years.	96
abstract_inverted_index.150,000	83
abstract_inverted_index.4SApril	443
abstract_inverted_index.Aureus,	359
abstract_inverted_index.Candida	366, 428
abstract_inverted_index.Culture	225
abstract_inverted_index.Despite	97
abstract_inverted_index.Farrow,	26
abstract_inverted_index.InEmail	78
abstract_inverted_index.Jensen,	24
abstract_inverted_index.METHODS	157
abstract_inverted_index.Proteus	356
abstract_inverted_index.RESULTS	232
abstract_inverted_index.URINARY	21
abstract_inverted_index.compare	144
abstract_inverted_index.culture	192, 323
abstract_inverted_index.devices	132, 201
abstract_inverted_index.explant	238
abstract_inverted_index.growth.	286
abstract_inverted_index.patient	103
abstract_inverted_index.portion	393
abstract_inverted_index.results	193, 226
abstract_inverted_index.surgeon	164
abstract_inverted_index.typical	410
abstract_inverted_index.undergo	116
abstract_inverted_index.urinary	85, 352, 430
abstract_inverted_index.without	110
abstract_inverted_index.199Issue	442
abstract_inverted_index.Faecalis	310
abstract_inverted_index.PATTERNS	17
abstract_inverted_index.ToolsAdd	72
abstract_inverted_index.Urethral	5
abstract_inverted_index.analyzed	229
abstract_inverted_index.articles	36, 45, 54, 64, 455, 462, 469, 476
abstract_inverted_index.bacteria	399
abstract_inverted_index.commonly	299, 327, 434
abstract_inverted_index.culture,	205, 281
abstract_inverted_index.culture.	273, 402
abstract_inverted_index.erosion/	331
abstract_inverted_index.examined	168
abstract_inverted_index.existing	147
abstract_inverted_index.explants	173, 260, 278, 317, 349, 371, 383
abstract_inverted_index.followed	303
abstract_inverted_index.identify	139
abstract_inverted_index.implant.	197
abstract_inverted_index.implants	107
abstract_inverted_index.included	220
abstract_inverted_index.isolated	328, 368, 435
abstract_inverted_index.majority	380
abstract_inverted_index.multiple	319, 417
abstract_inverted_index.negative	293, 335
abstract_inverted_index.organism	301, 341
abstract_inverted_index.patients	176
abstract_inverted_index.patterns	140
abstract_inverted_index.reasons.	254
abstract_inverted_index.revision	362
abstract_inverted_index.surgical	184
abstract_inverted_index.2018Page:	444
abstract_inverted_index.Copyright	447
abstract_inverted_index.EXPLANTED	19
abstract_inverted_index.Hawkinson	52, 467
abstract_inverted_index.MICROBIAL	15
abstract_inverted_index.bacteria.	420
abstract_inverted_index.coagulase	292, 334
abstract_inverted_index.collected	181
abstract_inverted_index.colonized	397
abstract_inverted_index.comprised	408
abstract_inverted_index.contained	350
abstract_inverted_index.defective	215
abstract_inverted_index.erosions/	248
abstract_inverted_index.excellent	98
abstract_inverted_index.explanted	152, 199, 425
abstract_inverted_index.explants,	291
abstract_inverted_index.explants.	365, 438
abstract_inverted_index.frequency	126
abstract_inverted_index.implanted	90
abstract_inverted_index.including	242
abstract_inverted_index.infection	332
abstract_inverted_index.microbial	128
abstract_inverted_index.objective	119
abstract_inverted_index.organisms	320, 329, 406
abstract_inverted_index.pathogens	353, 431
abstract_inverted_index.performed	386
abstract_inverted_index.regarding	182
abstract_inverted_index.remaining	289
abstract_inverted_index.revision,	221
abstract_inverted_index.revisions	344
abstract_inverted_index.sphincter	171
abstract_inverted_index.submitted	271, 279
abstract_inverted_index.variation	124
abstract_inverted_index.worldwide	91
abstract_inverted_index.(including	7
abstract_inverted_index.2008-2017.	178
abstract_inverted_index.ARTIFICIAL	20
abstract_inverted_index.Broghammer	31, 62, 474
abstract_inverted_index.Hawkinson,	28
abstract_inverted_index.Mirabilis,	357
abstract_inverted_index.OBJECTIVES	81
abstract_inverted_index.SPHINCTERS	22
abstract_inverted_index.Stricture,	8
abstract_inverted_index.artificial	84, 170
abstract_inverted_index.continence	99
abstract_inverted_index.eventually	115
abstract_inverted_index.infection,	390
abstract_inverted_index.inspection	268
abstract_inverted_index.performed,	241
abstract_inverted_index.procedures	239
abstract_inverted_index.prosthesis	154
abstract_inverted_index.revisions,	245
abstract_inverted_index.sphincters	86, 426
abstract_inverted_index.sufficient	400
abstract_inverted_index.undergoing	133
abstract_inverted_index.2018PD63-09	12
abstract_inverted_index.CONCLUSIONS	377
abstract_inverted_index.FarrowJason	42
abstract_inverted_index.Indications	217
abstract_inverted_index.Information	451
abstract_inverted_index.JensenDerek	33
abstract_inverted_index.indication.	231
abstract_inverted_index.indications	185
abstract_inverted_index.infections,	249
abstract_inverted_index.literature.	156
abstract_inverted_index.significant	392, 422
abstract_inverted_index.COLONIZATION	16
abstract_inverted_index.Enterococcus	309
abstract_inverted_index.INTRODUCTION	79
abstract_inverted_index.Pseudomonas)	360
abstract_inverted_index.characterize	122
abstract_inverted_index.colonization	142, 150
abstract_inverted_index.explantation	219
abstract_inverted_index.institution,	162
abstract_inverted_index.manufacturer	213, 266
abstract_inverted_index.reoperation.	117
abstract_inverted_index.satisfaction	104
abstract_inverted_index.Additionally,	135
abstract_inverted_index.Advertisement	446, 482, 483
abstract_inverted_index.Approximately	112
abstract_inverted_index.Diverticulum)	9
abstract_inverted_index.HawkinsonDana	51
abstract_inverted_index.Permissions©	449
abstract_inverted_index.accessJournal	2
abstract_inverted_index.explantation,	187
abstract_inverted_index.explantation.	134
abstract_inverted_index.retrospective	165
abstract_inverted_index.CitationsTrack	75
abstract_inverted_index.IDENTIFICATION	13
abstract_inverted_index.Reconstruction	6
abstract_inverted_index.Staphylococcus	294, 358
abstract_inverted_index.complications.	111
abstract_inverted_index.investigation.	216
abstract_inverted_index.Staphylococcus,	336
abstract_inverted_index.downloadLoading	485
abstract_inverted_index.infected/eroded	348, 437
abstract_inverted_index.BroghammerJoshua	61
abstract_inverted_index.infected/eroded.	376
abstract_inverted_index.2018MetricsAuthor	450
abstract_inverted_index.Propionibacterium	305
abstract_inverted_index.favoritesDownload	74
abstract_inverted_index.Propionibacterium.	346
abstract_inverted_index.infection/erosion,	222
abstract_inverted_index.ShareFacebookTwitterLinked	77
abstract_inverted_index.CitationsPermissionsReprints	76
abstract_inverted_index.2018FiguresReferencesRelatedDetails	440
abstract_inverted_index.UrologyTrauma/Reconstruction/Diversion:	4
abstract_inverted_index.Informationhttps://doi.org/10.1016/j.juro.2018.02.2969AboutPDF	71
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