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Comment on “Closed suction drain outputs at 12 and 24 h after primary three-piece inflatable penile prosthesis surgery”

International Journal of Impotence Research volume 32, pages 144–145 (2020)Cite this article

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In this paper, Apoj et al. present their data from a single-institution, single-surgeon, retrospective study on the outcomes of closed suction drain (CSD) placement during primary inflatable penile prosthesis (IPP) implantation [1]. In their series of 169 IPP implantations with CSD placement from 2014 to 2017, the authors retrospectively reviewed postoperative drain outputs for 166 cases at 12 and 24 h and noted postoperative complications such as hematoma formation and prosthesis infection up to 30 days post implantation. All patients received an antibiotic-coated three-piece Coloplast IPP with the same hemostatic operative technique and received the “mummy wrap” compressive dressing to reduce hematoma formation [2, 3]. A ten French Jackson Pratt (JP) CSD was used in all cases and placed in the scrotum via a stab incision.

The authors report no hematoma formation and infections during the 30-day postoperative period in their series, consistent with the low reported hematoma formation rates of 0.2–3.6% and infection rates of 0.5–5.3% in the literature [4]. The authors, however, do report high average drainage outputs of 162.1 ml at 24 h, when compared to the average of 65 ml reported by Sadeghi et al. prior to drain removal [5]. The drainage outputs linearly correlated with operative time, implying that without CSD, longer IPP operations carry a higher risk of fluid accumulation and thus hematoma formation. From their data, the authors contend that routine CSD placement has no increased risk of infection, and should be considered for all IPP implantations, particularly those with expected lengthy operative times to decrease risk of hematoma formation.

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References

  1. Apoj, M, Rodriguez D, Barbosa P, Pan S, Rajender A, Biebel M, et al., Closed suction drain outputs at 12 and 24 h after primary three-piece inflatable penile prosthesis surgery. Int J Impot Res. 2019.

  2. Scherzer ND, Dick B, Gabrielson AT, Alzweri LM, Hellstrom WJG. Penile prosthesis complications: planning, prevention, and decision making. Sex Med Rev. 2019;7:349–59

    Article  Google Scholar 

  3. Kohler TS, Hellstrom WJG. Using wound drains for the uncomplicated penile prosthesis. J Urol. 2011;186:1187–9

    Article  Google Scholar 

  4. O’Rourke TK Jr, Erbella A, Zhang Y, Wosnitzer MS. Prevention, identification, and management of post-operative penile implant complications of infection, hematoma, and device malfunction. Transl Androl Urol. 2017;6 Suppl 5:S832–S848

    Article  Google Scholar 

  5. Sadeghi-Nejad H, Ilbeigi P, Wilson SK, Delk JR, Siegel A, Seftel AD, 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. 2005;17:535–8

    Article  CAS  Google Scholar 

  6. Fishman IJ, Scott FB, Selim AM. Rescue procedure: an alternative to complete removal for treatment of infected penile prosthesis. J Urol. 1987;137:202A–202A.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, University of California Irvine, Newport Beach, CA, USA

    Perry J. Xu & Faysal A. Yafi

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  1. Perry J. Xu
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  2. Faysal A. Yafi
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Correspondence to Faysal A. Yafi.

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Xu, P.J., Yafi, F.A. Comment on “Closed suction drain outputs at 12 and 24 h after primary three-piece inflatable penile prosthesis surgery”. Int J Impot Res 32, 144–145 (2020). https://doi.org/10.1038/s41443-019-0208-x

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