Irrisept vs Traditional Antibiotic Irrigation for Virgin Penile Prosthesis Placement
Irrisept vs Traditional Antibiotic Irrigation for Virgin Penile Prosthesis Placement: A Prospective Non-inferiority Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Edward Cherullo, MD
- Phone Number: (312) 563-3447
- Email: edward_cherullo@rush.edu
Study Contact Backup
- Name: Laurence Levine, MD
- Phone Number: (312) 563-5000
- Email: drlevine@hotmail.com
Study Locations
-
-
California
-
Mountain View, California, United States, 94035
- Urological Surgeons of Northern California
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Rush University Medical Center
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Des Plaines, Illinois, United States, 60018
- Uropartners Surgery Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Inclusion criteria include all men undergoing penile prosthesis (any manufacturer) implantation (inpatient or outpatient)
Exclusion Criteria:
- Exclusion criteria include men who are having revision implant surgeries, men who may require intraoperative complex reconstruction including graft for Peyronie's Disease, and transgender males
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Traditional Antibiotic Therapy
Preoperative antibiotic selection, method or preparation, draping, or technique;.
the corpora, scrotum, and reservoir space will be irrigated with traditional antibiotics (rifampin, gentamycin, +/-fluconazole) immediately after the space is created in all cases.
An additional scrotal irrigation with traditional antibiotics after all components are placed will be performed, as well.
The patients will be followed and monitored for penile prosthesis infection as well as any other surgical complications for 1 year post operatively.
|
Aminoglycoside antibiotic irrigation
Other Names:
Antibacterial known to inhibit DNA-dependent RNA polymerase
Other Names:
|
|
Experimental: Irrisept only irrigation
Preoperative antibiotic selection, method or preparation, draping, or technique;.
the corpora, scrotum, and reservoir space will be irrigated with Irrisept only immediately after the space is created in all cases.
An additional scrotal irrigation with Irrisept only after all components are placed will be performed, as well.
The patients will be followed and monitored for penile prosthesis infection as well as any other surgical complications for 1 year post operatively.
|
Irrisept is a self-contained jet lavage that contains chlorhexidine gluconate (CHG) as a preservative to offer broad-spectrum activity against various microorganisms in the bottled solution
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Infection Rate of Patients Receiving Traditional Antibiotic Irrigation vs Irrisept Only
Time Frame: 1-2 years
|
All patients will be closely followed with appointments at regular intervals for the first year after surgery to monitor for infections as per usual care
|
1-2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Edward Cherullo, MD, Rush University
- Principal Investigator: Laurence Levine, MD, Rush University
Publications and helpful links
General Publications
- Siddiqi A, Abdo ZE, Springer BD, Chen AF. Pursuit of the ideal antiseptic irrigation solution in the management of periprosthetic joint infections. J Bone Jt Infect. 2021 May 26;6(6):189-198. doi: 10.5194/jbji-6-189-2021. eCollection 2021.
- Karpman E, Griggs R, Twomey C, Henry GD. Dipping Titan implants in Irrisept solution (0.05% chlorhexidine gluconate) and exposure to various aerobic, anaerobic, and fungal species. J Sex Med. 2023 Jun 28;20(7):1025-1031. doi: 10.1093/jsxmed/qdad055.
- O'Donnell JA, Wu M, Cochrane NH, Belay E, Myntti MF, James GA, Ryan SP, Seyler TM. Efficacy of common antiseptic solutions against clinically relevant microorganisms in biofilm. Bone Joint J. 2021 May;103-B(5):908-915. doi: 10.1302/0301-620X.103B5.BJJ-2020-1245.R2.
- Markel JF, Bou-Akl T, Dietz P, Afsari AM. The Effect of Different Irrigation Solutions on the Cytotoxicity and Recovery Potential of Human Osteoblast Cells In Vitro. Arthroplast Today. 2021 Jan 19;7:120-125. doi: 10.1016/j.artd.2020.11.004. eCollection 2021 Feb.
- O'Donnell JA, Wu M, Cochrane NH, Belay E, Myntti MF, James GA, Ryan SP, Seyler TM. Efficacy of Common Antiseptic Solutions Against Clinically Relevant Planktonic Microorganisms. Orthopedics. 2022 Mar-Apr;45(2):122-127. doi: 10.3928/01477447-20211227-05. Epub 2022 Jan 3.
- Kia C, Cusano A, Messina J, Muench LN, Chadayammuri V, McCarthy MB, Umejiego E, Mazzocca AD. Effectiveness of topical adjuvants in reducing biofilm formation on orthopedic implants: an in vitro analysis. J Shoulder Elbow Surg. 2021 Sep;30(9):2177-2183. doi: 10.1016/j.jse.2020.12.009. Epub 2021 Jan 30.
- Wosnitzer MS, Greenfield JM. Antibiotic patterns with inflatable penile prosthesis insertion. J Sex Med. 2011 May;8(5):1521-8. doi: 10.1111/j.1743-6109.2011.02207.x. Epub 2011 Feb 24.
- Desouky E, Tsambarlis P, Levine LA. Comparing 0.05% chlorhexidine gluconate monotherapy to conventional antibiotic irrigation in de-novo penile prosthesis implantation: a two-center prospective randomized controlled non-inferiority study (preliminary results). Transl Androl Urol. 2024 Sep 30;13(9):1905-1911. doi: 10.21037/tau-24-278. Epub 2024 Sep 26.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Mental Disorders
- Pathologic Processes
- Genital Diseases, Male
- Male Urogenital Diseases
- Sexual Dysfunction, Physiological
- Sexual Dysfunctions, Psychological
- Pathological Conditions, Signs and Symptoms
- Inflammation
- Infections
- Erectile Dysfunction
- Organic Chemicals
- Heterocyclic Compounds
- Heterocyclic Compounds, Fused-Ring
- Carbohydrates
- Polycyclic Compounds
- Glycosides
- Aminoglycosides
- Heterocyclic Compounds, 4 or More Rings
- Rifamycins
- Lactams, Macrocyclic
- Macrocyclic Compounds
- Biguanides
- Guanidines
- Amidines
- Chlorhexidine
- Rifampin
- Gentamicins
Other Study ID Numbers
Other Study ID Numbers
- 21120903
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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