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Bacterial biofilms affect all aspects of urology. They are commonly found in urologic conditions such as prostatitis and infectious nephrolithiasis, and are a common cause of infection on urologic prosthetics. However, knowledge of bacterial biofilms and the implications of bacterial biofilm infection in clinical practice are limited. We review the literature of bacterial biofilms and how they affect penile prosthetic surgery. Biofilms are extremely prevalent in all aspects of urology. New evidence suggests that they are present in most clinically noninfected penile prosthetic surfaces. There is a great deal of research and experimentation into methods of preventing their formation and combating mature biofilms. However, no currently available antibiotics, biomaterials, or coatings are completely successful in fighting biofilms and infection. Biofilms are a virtually unavoidable component of the bacterial lifecycle. The tendency of medical devices to develop biofilms has been well documented. An understanding of biofilms is essential for urologists who perform penile prosthetic surgery. Furthermore, the clinician should be familiar with the increased antibiotic resistance associated with bacteria in biofilms and the difficulty of their eradication.
Current Sexual Health Reports – Springer Journals
Published: May 28, 2004
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