Article | Published:

Closed suction drain outputs at 12 and 24 hours after primary three-piece inflatable penile prosthesis surgery


This is a single-institution retrospective study of closed suction drain outputs in primary three-piece IPP cases performed between 2014 and 2017 by a single surgeon. The aim was to investigate the impact of closed suction drains (CSD) during penile prosthesis placement. One hundred and sixty-nine patients underwent intraoperative placement of a closed suction drain. Drain outputs were measured at 12 and 24 h, and postoperative complications were documented. There were no hematomas or infections observed within the patient cohort. The drain output decreased significantly between the first and subsequent 12 h period. Surgical time was associated with statistically significant increases in CSD output at 12 and 24 h with a near linear relationship between surgical times and CSD at 12 and 24 h. Penile prosthesis placement in patients on aspirin did not affect the CSD output volume. Closed suction drains should be considered in all patients undergoing placement of inflatable penile prosthesis, particularly in those cases with longer operative time.

Access optionsAccess options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.

Additional information

Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.


  1. 1.

    Palma-Zamora I, Sood A, Dabaja AA. 30-day adverse event rates following penile prosthesis surgery: an American College of Surgeons National Surgical Quality Improvement Program based evaluation. Transl Androl Urol. 2017;6:S767–S73.

  2. 2.

    Carson CC, Mulcahy JJ, Govier FE. Efficacy, safety and patient satisfaction outcomes of the AMS 700CX inflatable penile prosthesis: results of a long-term multicenter study. AMS 700CX Study Group. J Urol. 2000;164:376–80.

  3. 3.

    Ji YS, Ko YH, Song PH, Moon KH. Long-term survival and patient satisfaction with inflatable penile prosthesis for the treatment of erectile dysfunction. Korean J Urol. 2015;56:461–5.

  4. 4.

    Garber BB, Bickell M. Delayed postoperative hematoma formation after inflatable penile prosthesis implantation. J Sex Med. 2015;12:265–9.

  5. 5.

    Wilson S, Cleves M, Delk JI. Hematoma formation following penile prosthesis implantation: to drain or not to drain. J Urol. 1996;5:155.

  6. 6.

    Perito, P.E., Minimally invasive infrapubic inflatable penile implant. J Sex Med, 2008. 5(1): p. 27–30.

  7. 7.

    Henry GD. The Henry mummy wrap and the Henry finger sweep surgical techniques. J Sex Med. 2009;6:619–22.

  8. 8.

    Scherzer ND, Dick B, Gabrielson AT, Alzweri LM, Hellstrom WJG. Penile prosthesis complications: planning, prevention, and decision making. Sex Med Rev. 2018.

  9. 9.

    Rojas-Cruz C, Sarquella J, Vazquez A. Drain cultures in penile prosthesis implants. J Urol. 2009;181:448.

  10. 10.

    Felippe WA, Werneck GL, Santoro-Lopes G. Surgical site infection among women discharged with a drain in situ after breast cancer surgery. World J Surg. 2007;31:2293–9. discussion 300-1

  11. 11.

    Vilar-Compte D, Mohar A, Sandoval S, de la Rosa M, Gordillo P, Volkow P. Surgical site infections at the National Cancer Institute in Mexico: a case-control study. Am J Infect Control. 2000;28:14–20.

  12. 12.

    Drinkwater CJ, Neil MJ. Optimal timing of wound drain removal following total joint arthroplasty. J Arthroplasty. 1995;10:185–9.

  13. 13.

    Uetsuji S, Kwon AH, Komada H, Okuda Y, Imamura A, Kamiyama Y. Clinical evaluation of closed suction drainage following hepatectomy. Surg Today. 1997;27:298–301.

Download references

Author information

Conflict of interest

Dr. Munarriz and Dr. Gross both work as consultants to Coloplast.

Correspondence to Ricardo Munarriz.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark
Fig. 1
Fig. 2