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Results of No-Touch Technique

Results of No-Touch Technique (NTT)

Number of cases since registry was started in 2002:                                 3980 implants
Number of cases with No-Touch Technique since January of 2006:      3128 implants
Infection rate with No-Touch updated 11/16/2016:                                     0.45% 

Year Implant # Infection # Infection Rate %

Using non-antibiotic coated implants

2002 132 7 5.3

Using antibiotic coated implants

2003 204 4 2.0
2004 218 3 1.4
2005 298 7 2.3

Using "No-Touch" technique and antibiotic coated implants

2006* 247 2 0.8
2007* 282 1 0.4
2008* 226 1 0.4
2009* 300 1 0.3
2010* 305 0 0
2011* 336 2 0.6
2012* 303 2 0.7
2013* 286 0 0
2014* 270 0.7
2015* 286 3 1.0
2016* 287 0 0


Percent of surgical infections reduced to almost zero through use of Dr. Eid’s No-Touch Technique

Persent of surgical infections Reduced to almost zero through use of Dr. Eid’s No-Touch Technique

* No-Touch Technique and saline irrigation only

Prior to 2006, Dr. Eid expertly used state-of-the-art infection prevention techniques, achieving low rates of infection comparable to other prominent penile prosthesis surgeons today.
 
In 2006, Dr. Eid further reduced his infection rate to well below most penile implant surgeons with his innovative No-Touch Technique.
 
In 2008, Dr. Eid’s infection rate dropped to almost 0% (fewer than 1 in 225 surgeries).


Our initial infection rate of 0.91% using this technique, inclusive of both virgin and replacement implants, is below even the lowest reported infection rates in the literature. While a prospective study comparing standard sterility techniques to the No-Touch Technique is needed to establish statistical significance, we believe that our low infection rate demonstrates the clinical significance of the technique.


References

  1. Carson, C.C., Efficacy of antibiotic impregnation of inflatable penile prosthesis in decreasing infection in original implants. J Urol 171: 1611, 2003.
  2. Henry, G. D. et al. Revision washout decreases penile prosthesis infection in revision surgery: A multicenter study. J Urol 173: 89, 2005.
  3. Lotan, Y., Roehrborn, C.G., McConnell, J.D., Hendin, B.N., Factors influencing the outcomes of penile prosthesis surgery at a teaching institution. Urol 62: 918, 2003.
  4. Jarow, J.P., Risk factors for penile prosthetic infection. J Urol 156 (2): 402, 1996.
  5. Wilson, S.K., Zumbe, J., Henry, G.D., Salem, E.A., Delk, J.R., and Cleves, M.A. Infection reduction using antibiotic-coated inflatable penile prosthesis. Urol 70 (2): 337, 2007.
  6. Henry, G.D., Carson, C.C., Wilson, S.K., Wiygul, J., Tornehl, C., Cleves, M.A., Simmons, C.J., and Donatucci, C.F. Revision washout decreases implant capsule tissue culture positivity: A multicenter study. J Urol 179: 186, 2008.