Understanding the Complex Relationship between Diabetes, HbA1c Levels, and Penile Prosthesis Infections: A Comprehensive Analysis and Clinical Implications | ||||
| Egyptian Journal of Urology | ||||
| Articles in Press, Accepted Manuscript, Available Online from 08 January 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/eju.2023.228662.1005 | ||||
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| Authors | ||||
Hazem Mohamed Elmoghazy1; ahmed mamdouh 2; Eslam abdelwareth  3; elnisr rashed mohamed4; ahmed M. Reyad5; Essam Moursy6
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| 1Department of Urology Sohag faculty of medicine Sohag University | ||||
| 2department of urology, faculty of medicine, Sohag university, Sohag, Egypt | ||||
| 3department of urology ,faculty of medicine ,sohag university, sohag, Egypt | ||||
| 4urology department faculty of medicine sohag university | ||||
| 5Urology department, faculty of medicine, Sohag University | ||||
| 6Department of Urology, Faculty of Medicine,sohag university,sohag, Egypt | ||||
| Abstract | ||||
| Objectives To investigate the relationship between glycated hemoglobin levels and the incidence of infection in patients undergoing penile prosthesis implant surgery, in order to determine if glycated hemoglobin can serve as a reliable predictor for postoperative infections. Methods A prospective comparison research was conducted comparing diabetic and non-diabetic individuals who underwent penile prosthesis implantation to compare patients who developed or did not develop a prosthetic infection. Results In total, 100 patients with full records were included in this study. Patients were divided into two groups: non-diabetic (control) and diabetic group (each with 50 patients). The non-diabetic group had a median age of 55 years (range 39-72) whereas the diabetic group had a median age of 57 years (range 35-70). Preoperative HbA1c levels were 4.8% with SD ± 0.66% (range 3.5-6%) for the median and 8.5% with SD ± 0.61% (range 7–10.1%) for the mean respectively. The incidences of postoperative infection were 4% and 6%, respectively. All infections occurred at the skin level, with no prosthetic device infection or device explantation required. As a result, there was no relationship between HbA1c levels and postoperative infection rates; p-value = 0.32. Conclusions We found that preoperative haemoglobin A1c level alone does not increase the risk of postoperative infection significantly. Just with the use of preventive measures and special technique strategies infection can be eradicated. | ||||
| Keywords | ||||
| Erectile dysfunction; penile prosthesis; infection; HGBA1C; diabetic patients | ||||
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