D. Osmonov, A. M. Ragheb, T. Petry, A. Eraky, C. Bettocchi, K. G. Lamers, K. Van Renterghem, M. Tropmann-Frick, E. Chung, K. P. Jünemann, G. Garaffa, H. Porst, A. G. Mohamed, S. K. Wilson, falagario, ugo/0000-0002-1152-3005, Osmonov, Daniar/0000-0003-4963-9158, Osmonov, D., Ragheb, A. M., Petry, T., Eraky, A., Bettocchi, C., Lamers, K. G., VAN RENTERGHEM, Koenraad, Tropmann-Frick, M., Chung, E., Juenemann, K. P., Garaffa, G., Porst, H., Mohamed, A. G., and Wilson, S. K.
We aimed to understand the risks and benefits of post-inflatable penile prosthesis (IPP) implantation drainage and optimal duration. Our patients were divided into 3 groups: Group 1 (n = 114) had no drain placed, Group 2 had a drain placed for 24 h (n = 114) and Group 3 had a drain placed for 72 h (n = 117). Postoperative scrotal hematoma and prosthesis infection rates were compared between the groups. The patients from Group 3 demonstrated a statistically significant lower incidence of hematoma on the 10th postoperative day: (n = 1, 0.9%) compared to Group 2: (n = 11, 9.6%) and Group 1: (n = 8, 7%), (p = 0.013). However, on the 3rd postoperative day, there was a statistically significant lower incidence of hematoma in both Groups 3 and 2: (0.9% and 6.1%, respectively) vs. Group 1: (11.4%), (p = 0.004). Hematoma rates followed the same group order after the first day of surgery: 1.7% (n = 2), 5.3% (n = 6), and 8.8% (n = 10), respectively, (p = 0.05). Five patients (4.4%) in Group 1 and four patients (3.5%) in Group 2 developed an IPP associated infection, opposed to only a single patient (0.85%) in Group 3, (p = 0.210). We concluded that prolonged scrotal drainage for 72 h after virgin IPP implantation significantly reduces hematoma and infection rates.