Infections

[Lost Sheep]

Please accept my apologies, LarryAllen. Posting a correction to a post publicly without private contact first is rude, and without sufficient justification, also wrong to do.

My correction (by newer information) is also not entirely correct. Or, more succinctly, wrong.

I had always believed that urine inside the (healthy) bladder to be devoid of bacteria, but that passage out the urethra allows contact with bacteria populating the skin. While the second part of that statement is true, the first part is not entirely true. Bacterial colonies inside a healthy human bladder have been detected.


So, I stand corrected on two counts and I owe you thanks for correcting me on both.

In reference to DaveET1's post. I did find some peer-reviewed articles citing infinitesimal, but detectable numbers of limited species of bacteria inside the bladders of healthy humans. Whether or not these bacteria can escape the confines of the bladder or urethra and migrate to an implant is not addressed. Medical Science marches on and we are left with elements of truth in both positions.

Please excuse me while I try to wash the egg off my face (perhaps by peeing on it?)

[Larry10625]

I'm kinda curious as to what the actual facts turn out to be. I suppose it's possible one possible scenario could be that there is normal bacteria but that it's non-harmful so generally ignored.

By the way, if I'm wrong about something you can tell me. I have pretty thick skin. If you tell me in a smart ass way expect a smart ass reply, but still no hurt feelings on my part. I've been insulted by the best in person and nothing that transpires on an internet forum will faze me. Of course I realize not everyone has a similar background or is as inoculated to verbal offences.

I am a navy officer and like to think I too have thick skin. I have always been taught growing up, and in the military, that publically calling someone out is kinda rude. I really did not intend my comments to cause an argument, but when I have info from people with credentials such as the ones I posted, I tend to hold my ground.

[TANGERINE]

Infection is the dreaded complication, and it was the one thing that I was most concerned about. The source of the bacteria is
"seeding of the implant" as it goes in (ie, contaminated by some bacteria along the skin at the surgical wound)
or
"seeding of fluid" around the implant (ie, if there is a hematoma or lots of fluid around the implant)
or
"seeding from a bloodstream infection: (ie, if the patient gets a major infection after surgery)


To avoid the above conditions, I personally did the following:

1) Selected a very very experienced surgeon (lower complication rates)
2) followed, to the tee, all doctor instructions regarding taking the antibiotics at exactly the right time and for the right length of days around the surgery
3) followed, to the tee, all doctor directions regarding the hibiclens baths
4) came in to surgery without diabetes (high blood sugar results in a higher chance of infection)

Fortunately, for me, I sailed through the entire experience with hardly a "blink", and I just passed 3 months postop with no evidence of infection. ( knocking on wood ! for continued good luck )

By the way, I also do think that the "no touch technique" is pertinent in this discussion, it was that technique along with having only experienced hands in the sterile field which, I hope, stacked the odds in my favor.

So, those of you who want to learn more, there is a good article on this subject which I have linked to this communication, it describes the causes of infections and describes some techniques to minimize infections.

The key excerpt from the abstract is:

"....
Results:
Literature review revealed that the “no-touch” technique decreased postoperative cerebral shunt infection from 9.1% to 2.9%. Breast implant reconstruction surgical site infection decreased from 19% to none with the “no-touch” technique. Penile implant infection rate fell from 5.3% in 2002 to 1.99% with the use of antibiotic impregnated devices and to 0.44% with the addition of the “no-touch” technique.

Conclusion:
Use of a “no-touch” technique involving a mechanical barrier makes a difference in preventing infection of an implantable device......"

ARTICLE REFERENCE:
"Penile Implant: Review of a “No-Touch” Technique" J. Francois Eid, MD December 2015 DOI: 10.1016/j.sxmr.2016.01.002 Sex Med Rev 2016;4:294-300.

link to the article:
https://www.researchgate.net/publication/298067746_Penile_Implant_Review_of_a_No-Touch_Technique

[Larry10625]

I'm kinda curious as to what the actual facts turn out to be. I suppose it's possible one possible scenario could be that there is normal bacteria but that it's non-harmful so generally ignored.

By the way, if I'm wrong about something you can tell me. I have pretty thick skin. If you tell me in a smart ass way expect a smart ass reply, but still no hurt feelings on my part. I've been insulted by the best in person and nothing that transpires on an internet forum will faze me. Of course I realize not everyone has a similar background or is as inoculated to verbal offences.

Yes, that seems to be what they are saying. Low Level bacteria present and harmless. They only discovered this in May 2014... it reminds me of other changed treatments, like sucking out the poison from snake bite victims, putting a bite stick in a seizing persons mouth, better drugs... medical treatments and knowledge does change and people (including doctors) have an obligation to their patients keep up to date.
Larry

[Larry10625]

[quote="Lost Sheep"]Please accept my apologies, LarryAllen. Posting a correction to a post publicly without private contact first is rude, and without sufficient justification, also wrong to do.

My correction (by newer information) is also not entirely correct. Or, more succinctly, wrong.

I had always believed that urine inside the (healthy) bladder to be devoid of bacteria, but that passage out the urethra allows contact with bacteria populating the skin. While the second part of that statement is true, the first part is not entirely true. Bacterial colonies inside a healthy human bladder have been detected.


So, I stand corrected on two counts and I owe you thanks for correcting me on both.

In reference to DaveET1's post. I did find some peer-reviewed articles citing infinitesimal, but detectable numbers of limited species of bacteria inside the bladders of healthy humans. Whether or not these bacteria can escape the confines of the bladder or urethra and migrate to an implant is not addressed. Medical Science marches on and we are left with elements of truth in both positions.

Please excuse me while I try to wash the egg off my face (perhaps by peeing on it?

Your apology is accepted. It takes a big man to publically admit he is wrong, and for that, I thank you. I am on long term disability from my fulltime paramedic job. I am a reserve navy officer and I am able to stay in the military, therefore, I have lots of time to study. Prior to my first implant I was pretty nervous so I spent an incredible amount of time reading up. When I lost my implant a month after insertion, I was pretty depressed and wanted to know why. Basically all I was able to find out is that bacteria must have got on in someway so I started to look into urine. I had always thought it was sterile until now.
Be good my bionic brother

[Larry10625]

Infection is the dreaded complication, and it was the one thing that I was most concerned about. The source of the bacteria is
"seeding of the implant" as it goes in (ie, contaminated by some bacteria along the skin at the surgical wound)
or
"seeding of fluid" around the implant (ie, if there is a hematoma or lots of fluid around the implant)
or
"seeding from a bloodstream infection: (ie, if the patient gets a major infection after surgery)


To avoid the above conditions, I personally did the following:

1) Selected a very very experienced surgeon (lower complication rates)
2) followed, to the tee, all doctor instructions regarding taking the antibiotics at exactly the right time and for the right length of days around the surgery
3) followed, to the tee, all doctor directions regarding the hibiclens baths
4) came in to surgery without diabetes (high blood sugar results in a higher chance of infection)

Fortunately, for me, I sailed through the entire experience with hardly a "blink", and I just passed 3 months postop with no evidence of infection. ( knocking on wood ! for continued good luck )

By the way, I also do think that the "no touch technique" is pertinent in this discussion, it was that technique along with having only experienced hands in the sterile field which, I hope, stacked the odds in my favor.

So, those of you who want to learn more, there is a good article on this subject which I have linked to this communication, it describes the causes of infections and describes some techniques to minimize infections.

The key excerpt from the abstract is:

"....
Results:
Literature review revealed that the “no-touch” technique decreased postoperative cerebral shunt infection from 9.1% to 2.9%. Breast implant reconstruction surgical site infection decreased from 19% to none with the “no-touch” technique. Penile implant infection rate fell from 5.3% in 2002 to 1.99% with the use of antibiotic impregnated devices and to 0.44% with the addition of the “no-touch” technique.

Conclusion:
Use of a “no-touch” technique involving a mechanical barrier makes a difference in preventing infection of an implantable device......"

ARTICLE REFERENCE:
"Penile Implant: Review of a “No-Touch” Technique" J. Francois Eid, MD December 2015 DOI: 10.1016/j.sxmr.2016.01.002 Sex Med Rev 2016;4:294-300.

link to the article:
https://www.researchgate.net/publication/298067746_Penile_Implant_Review_of_a_No-Touch_Technique

yeah and some doctors say to take hot sits bathes with Epsom Salts and another says no. Pat your penis dry with TP after peeing to keep infection out.

[DaveET1]

There's a problem here and, Larry, it is you. Lost Sheep called you on an incorrect post you made, and your primary response was to attack him for calling you out publicly, then you manage to drag all sorts of red herring over the place trying to justify yourself.

Well, you let the cat out of the bag. Navy officer, indeed! I've had Navy officers up to here, because there is a thread that always runs through their relationships. A Navy officer is better than the rest of us ordinary people, and he is always right. He is superior. He looks down on us common folk with a carefully concealed disdain.

Larry, the fact that you are a Navy officer has absolutely nothing to do with your feud with Lost Sheep and me. Lost Sheep should have stood his ground, because he was right. Nevertheless he is the gentleman here, and it didn't take an act of Congress to make him one. He caved in to your bluster, even though he was right, rather than make any stink. Well, as you might get from my name, I was enlisted, so I have no manners, and I will stand up to you, because you are as full of it as a Christmas turkey.

OK, everybody, open season on DaveET1

[Lost Sheep]

DaveET1, my Daddy was a Navy Officer. Enlisted before WW2 and eventually rose to Chief Warrant Officer. He often said, with his wry sense of humor that it took an Act of Congress to declare him a gentleman.

Thanks for the reminder of my Dad, a gentle gentleman in every sense.

[Larry10625]

There's a problem here and, Larry, it is you. Lost Sheep called you on an incorrect post you made, and your primary response was to attack him for calling you out publicly, then you manage to drag all sorts of red herring over the place trying to justify yourself.

Well, you let the cat out of the bag. Navy officer, indeed! I've had Navy officers up to here, because there is a thread that always runs through their relationships. A Navy officer is better than the rest of us ordinary people, and he is always right. He is superior. He looks down on us common folk with a carefully concealed disdain.

Larry, the fact that you are a Navy officer has absolutely nothing to do with your feud with Lost Sheep and me. Lost Sheep should have stood his ground, because he was right. Nevertheless he is the gentleman here, and it didn't take an act of Congress to make him one. He caved in to your bluster, even though he was right, rather than make any stink. Well, as you might get from my name, I was enlisted, so I have no manners, and I will stand up to you, because you are as full of it as a Christmas turkey.

OK, everybody, open season on DaveET1

First of all the navy reference is made because in the military, you don't publically.
Second, The American Society of Microbiology is a VERY credible source.
Third, LostSheep apologized and it has been accepted.
Fourth, who in hell rattled your chain. Mind your business. Stop trying to keep shit going when it has ended. Don't be an ass.

[DaveET1]

Things posted here are everybody's business, and that includes mine. It's not at all unusual for someone to disagree publicly on FT. It's done all the time. Navy officers are no better than anybody else, and worse than many, contrary to what you may have been taught in 90-day wonder school.

Do you kiss your mother with that mouth? I'll bet your Commanding Officer doesn't tolerate language like that... or maybe he does, since he's also a Naval officer. We enlisted men don't talk like that in public.

OK, I'm done here. You've made a nearly perfect ass of yourself, and as I said earlier, Lost Sheep comes out the gentleman here.