Response to the Commentary on: Does time of intraoperative exposure to the aerobiome increase microbial growth on inflatable penile prostheses?

As the authors of “Does time of intraoperative exposure to the aerobiome increase microbial growth on inflatable penile prosthesis,” we appreciate the thoughtful critiques provided by Mulcahy et al. and Atwater et al. [1,2,3]. Some of the key points are salient, and we would like to take an opportunity to acknowledge the feedback and advocate for the significance of this study.

Regarding the concern raised by Atwater et al. about whether our study adds anything substantial to the existing literature [1], we believe it is essential to emphasize the novelty of our investigation. There is no literature specifically addressing the role of ambient air exposure in inflatable penile prosthesis (IPP) surgery. Continually reassessing and expanding our understanding of all potential infection risks, including those that might seem minimal at first glance, is critical. While factors like operative time and surgeon experience are better established in influencing infection rates [4], we must not dismiss the evaluation of other potential sources of contamination, such as the aerobiome.