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Multi-institutional outcome study on the efficacy of closed-suction drainage of the scrotum in three-piece inflatable penile prosthesis surgery

International Journal of Impotence Research volume 17, pages 535–538 (2005)Cite this article

Abstract

Infection is a devastating complication of penile prosthesis surgery that occurs in approximately 2–5% of all primary inflatable penile primary implants in most series. Prevention of hematoma and swelling with closed-suction drains has been shown not to increase infection rate and yield an earlier recovery time. Despite the intuitive advantages of short-term closed-suction drainage in reducing the incidence of postoperative scrotal swelling and associated adverse effects, many urologists are reluctant to drain the scrotum because of a theoretical risk of introducing an infection. In conclusion, this study was undertaken to evaluate the incidence of infection in three-piece penile prosthesis surgery with scrotal closed-suction drainage. A retrospective review of 425 consecutive primary three-piece penile prosthesis implantations was performed at three institutions in New Jersey, Ohio, and Arkansas from 1998 to 2002. Following the prosthesis insertion, 10 French Round Blake (Johnson & Johnson) or, in a few cases, 10 French Jackson Pratt, closed-suction drains were placed in each patient for less than 24 h. All subjects received standard perioperative antibiotic coverage. Average age at implant was 62 y (range 24–92 y). Operative time (incision to skin closure) was less than 60 min in the vast majority of cases. There were a total of 14 (3.3%) infections and three hematomas (0.7%) during an average 18-month follow-up period. In conclusion, this investigation revealed that closed-suction drainage of the scrotum for approximately 12–24 h following three-piece inflatable penile prosthesis surgery does not result in increased infection rate and is associated with a very low incidence of postoperative hematoma formation, swelling, and ecchymosis.

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Authors and Affiliations

  1. Division of Urology, UMDNJ New Jersey Medical School, Newark, New Jersey, USA

    H Sadeghi-Nejad & P Ilbeigi

  2. The Center for Human Sexuality and Male Reproductive Medicine, Hackensack University Medical Center, Hackensack, New Jersey, USA

    H Sadeghi-Nejad & A Siegel

  3. Wilson Urology Associates, Van Buren AK, Case Western Reserve University, Cleveland, Ohio, USA

    S K Wilson & J R Delk

  4. Department of Urology, Case Western Reserve University, Cleveland, Ohio, USA

    A D Seftel, L Shannon & H Jung

Authors
  1. H Sadeghi-Nejad
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  2. P Ilbeigi
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  3. S K Wilson
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  4. J R Delk
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  5. A Siegel
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  6. A D Seftel
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  7. L Shannon
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  8. H Jung
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Correspondence to H Sadeghi-Nejad.

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Sadeghi-Nejad, H., Ilbeigi, P., Wilson, S. et al. Multi-institutional outcome study on the efficacy of closed-suction drainage of the scrotum in three-piece inflatable penile prosthesis surgery. Int J Impot Res 17, 535–538 (2005). https://doi.org/10.1038/sj.ijir.3901354

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  • DOI: https://doi.org/10.1038/sj.ijir.3901354

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