Persistent infection at the sutures pst revision surgery. what can I do?

[body2body]

Hi everyone,
I am looking for experiences from anyone who might have faced similar complications after a glanulopexy (glans fixation). I am currently in a massive loop of frustration and need some real-world advice from this community.
My Background & History:
• Implant: Penile prosthesis placed 14 months ago.
• The Problem: Suffered from a severe "floppy glans" (SST deformity).
• The Revision: Had a glanulopexy done in early September (about 10 weeks ago) in Istanbul. The surgeon used non-absorbable Ethibond sutures for the permanent fixation.
The Complication & Medical Status:
About 6 weeks post-op, I had intercourse. Shortly after, a stitch infection developed at the suture site.
• A swab culture identified E. coli as the culprit.
• I have been on targeted oral antibiotics (matching the antibiogram) for 6 weeks now.
• While the discharge has decreased and the area is pain-free, it is still slightly oozing/pus-producing. It simply won't heal completely. My theory is that the E. coli bacteria have formed a persistent biofilm on the remaining, deeply anchored permanent Ethibond suture.
• The good news: I recently had an MRI done, which clearly shows that the infection is currently localized at the suture and the implant itself is NOT affected so far.
My Current Nightmare / Systemic Frustration:
I am currently in Thailand (where I will stay for the next 4 weeks). I tried to get medical help before leaving Germany, but appointment waiting times for specialists are insanely long. Here in Thailand, I visited two "specialists" who were so incompetent they didn't even notice the exposed piece of thread that was sticking out (I eventually had it cut/removed). To make matters worse, my original clinic in Istanbul is barely responding and just ghosting me despite me sending them the MRI data. I plan to head back to Istanbul in mid-December for a surgical revision (washing out the site/excision of the suture track under IV antibiotics).
Because of this ongoing 10-week infection, I have been on a strict ban from any sexual activity. To be completely honest, being here in Thailand and having to abstain for another 4 weeks (plus 6-8 weeks after the upcoming revision in December) is becoming mentally and physically almost impossible to bear.
My questions to the forum:
1. Has anyone here experienced a persistent infection specifically related to Ethibond or permanent sutures after a glanulopexy? Did the suture have to be surgically removed to stop the pus, or did IV antibiotics work?
2. How did you handle the cycling of your implant while dealing with a localized suture infection? I am pausing cycling during my flights, but I am terrified of tissue loss/shrinkage if I stop for too long.
3. For those who had a localized suture infection (with a clear MRI showing the implant is safe): Did anyone risk having sex, or is the risk of migrating the E. coli bacteria into the implant capsule 100% real? I am losing my mind here and need a realistic assessment of the danger.
I’ve attached some photos of the current state of the suture site below.
Any insights, similar stories, or mental support would be highly appreciated. Thanks a lot!

[ElbowRoom]

Get to a quality surgeon in the US or Europe for. Consult. Infections with an implant installed are nothing to fuck around with. I would stop dealing with third world doctors on this.

[body2body]

This is very good advice, but 1. the clinic in Istanbul is far away from 3rd world countries and done more implantations than most of the others in Europe and if you were from Germany you would understand that it is not just "go to the doctor".....if you want a so-called specialist doctor here it takes about 3-6 months before you get an appointment.

So the advice is good but unfortunately far away from reality over here. And even with the high quality surgeons from US I have read about problems, so it will never be a guarantee for anything. I diod my homework and research before I chose my clinic but problems occur. the only really bad thing is when they don´t respond to any mails, which is happening at the moment so I wanted to know about other people who had same or similar problems before and some experience about that.

And sure I will consult some other specialists as soon as I get an appointment!