There are two ways to put a second implant.One is immediately during the removal itself.Another method is to wait for 2- 3 months and then do it.Immediate re-implantation is relatively new technique , but there are chances of missing a residual infection by this method.Almost 20 % of patients can have residual infection by this method.
Second method is more conventional where a gap of 8- 12 weeks is given for the infection to completely settle.Then a second implant is placed and this is much safer than the immediate approach.
Infection is considered quite serious complication in the prosthesis and usually warrants its removal for total eradication of the infection in almost all the cases.
Usually the first line of treatment is appropriate antibiotics. If it is not getting controlled with antibiotics, then removal of the implant is the only treatment to get rid of the infection.
As already a cystoscopy is done and other causes ruled out ,the implant has to be considered as the cause of the pain and infection.As it is already discomforting to perform intercourse with the prosthesis, and it has added problem of creating infections. It would not very early to think of removing the prosthesis to get a better quality of life without infections.Continuous infection is not a good thing to have and this affect the function of the kidneys
. If I have to choose between infection and impotence, then impotence would be the obvious choice.
Not having infection is important medically.
I hope you get a clearer picture of the things going on and help you take decision.
If you need any further answer or want to clear any doubts,please feel free to ask.