Infection Risk in Penile Implants and the No-Touch Technique
How is infection risk reduced in penile prosthesis surgery? The no-touch technique, antibiotic-coated implants and measures for low infection rates.
One of the most critical factors in penile prosthesis surgery is preventing infection. As the implant is a foreign body, an infection may require its removal. Techniques and experience that minimise infection risk are therefore essential.
Why does infection matter?
Infection is the most important complication of penile implant surgery. Though infrequent, it can prolong treatment when it occurs. Modern andrology focuses on preventing it from the outset rather than treating it.
What is the no-touch technique?
The no-touch technique places the implant without contact with skin, gloves or the environment, creating a controlled 'corridor'. Avoiding contact with the skin's natural bacteria aims to reduce infection risk and is an important step toward low infection rates.
Other measures that reduce risk
- Antibiotic-coated/impregnated implants.
- Pre-operative preparation: proper skin prep and prophylactic antibiotics.
- Meticulous sterilisation and theatre discipline.
- Short operative time and tissue-friendly surgery — easier in experienced hands.
How does high surgical volume affect infection rates?
Higher-volume, experienced surgeons are known to have lower infection and complication rates. Experience shortens operative time, reduces tissue trauma and standardises technique.
Signs of infection: when to seek help
Increasing pain, marked redness and swelling, discharge or fever warrant prompt medical review. Early assessment allows simpler management.
Assoc. Prof. Zülfü Sertkaya is one of Europe's leading high-volume penile implant surgeons, holding Boston Scientific AMS 700™ and Coloplast Titan® Center of Excellence credentials and operating with the no-touch technique, in which the implant is placed without skin contact. At his clinic in Istanbul, all assessments are carried out confidentially.