Drained versus non-drained inflatable penile prosthesis implantation: A multicenter prospective pilot study

You have accessJournal of UrologyCME1 Apr 2023PD42-01 DRAINED VERSUS NON-DRAINED INFLATABLE PENILE PROSTHESIS IMPLANTATION: A MULTICENTER PROSPECTIVE PILOT STUDY ON A LARGE COHORT Daniar Osmonov, Ahmed Ragheb, Petry Tim, Ahmed Eraky, Carlo Bettocchi, Glenn Lamers, Koenraad Van Renterghem, Marina Tropmann-Frick, Klaus-Peter Jünemann, Giulio Garaffa, Hartmut Porst, Ahmed Mohamed, and Steven Wilson Daniar OsmonovDaniar Osmonov More articles by this author , Ahmed RaghebAhmed Ragheb More articles by this author , Petry TimPetry Tim More articles by this author , Ahmed ErakyAhmed Eraky More articles by this author , Carlo BettocchiCarlo Bettocchi More articles by this author , Glenn LamersGlenn Lamers More articles by this author , Koenraad Van RenterghemKoenraad Van Renterghem More articles by this author , Marina Tropmann-FrickMarina Tropmann-Frick More articles by this author , Klaus-Peter JünemannKlaus-Peter Jünemann More articles by this author , Giulio GaraffaGiulio Garaffa More articles by this author , Hartmut PorstHartmut Porst More articles by this author , Ahmed MohamedAhmed Mohamed More articles by this author , and Steven WilsonSteven Wilson More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003352.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite the wide utilization of post-inflatable penile prosthesis (IPP) implantation drainage, many surgeons still regard it as a potential source of infection. Our aim was to understand the risks and benefits of post-IPP drainage and optimal duration. METHODS: Patients underwent IPP implantation for the first time by four European high volume surgeons through penoscrotal access receiving similar perioperative antibiotics. They were divided into 3 groups based on the presence and duration of drainage. Group 1 (n=114) had no drain placed, Group 2 had a drain placed for 24 hours (n=114) and Group 3 had a drain placed for 72 hours (n=117). The presence or absence of postoperative (PO) scrotal hematoma and prosthesis infection were evaluated and compared between the groups via scrotal ultrasound (US) examination carried out 24 hours then 3 and 10 days PO. All patients were followed up postoperatively for a minimum of 80 days. RESULTS: The patients from Group 3 demonstrated a statistically significant lower incidence of hematoma on the 10th PO 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 PO day, which showed the highest hematoma prevalence, there was a statistically significant lower incidence of hematoma in Groups 3 and 2: (0.9% and 7%, respectively) versus Group 1: (11.4%, p=0.004). Hematoma rates followed the same order after the first day of surgery for Groups 1-3: 8.8% (n=10), 5.3% (n=6), and 1.7% (n=2), respectively. (p=0.054). 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. CONCLUSIONS: Prolonged scrotal drainage for 72 hours after virgin IPP implantation significantly reduces hematoma and infection rates. It is likely that hematoma formation per se, is a predisposing factor for IPP infection. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1111 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniar Osmonov More articles by this author Ahmed Ragheb More articles by this author Petry Tim More articles by this author Ahmed Eraky More articles by this author Carlo Bettocchi More articles by this author Glenn Lamers More articles by this author Koenraad Van Renterghem More articles by this author Marina Tropmann-Frick More articles by this author Klaus-Peter Jünemann More articles by this author Giulio Garaffa More articles by this author Hartmut Porst More articles by this author Ahmed Mohamed More articles by this author Steven Wilson More articles by this author Expand All Advertisement PDF downloadLoading ...