Andrew Kramer1, Ellen Goldmark, Jason Greenfield. 1. The University of Maryland School of Medicine-Division of Urology, Department of Surgery, Baltimore, MD 21231, USA. akramer@smail.umaryland.edu
Abstract
INTRODUCTION: The debate about leaving a closed-suction drain during penile implant surgery remains unsolved. What is the current thinking about the pros and cons of leaving a scrotal drain for inflatable penile implant (IPP) surgery? AIMS: The aim of this study is to explore the fund of existing information, and formulate a point and counterpoint debate analyzing the drain issue for implant surgery. METHODS: Two differing points of view are given to answer the question of benefit vs. risk drains in implant patients. MAIN OUTCOME MEASURES: To facilitate the debate about a longstanding urologic question. RESULTS: There are two conflicting points presented in this manuscript, one supporting drain placement, the other opposing it in light of the risks and benefits. CONCLUSIONS: Without prospective randomized controlled trials specifically looking at drain placement following IPP, it is unclear whether or not this intervention is beneficial. Until a study of this type is performed, leaving a drain will largely remain a surgeon preference.
INTRODUCTION: The debate about leaving a closed-suction drain during penile implant surgery remains unsolved. What is the current thinking about the pros and cons of leaving a scrotal drain for inflatable penile implant (IPP) surgery? AIMS: The aim of this study is to explore the fund of existing information, and formulate a point and counterpoint debate analyzing the drain issue for implant surgery. METHODS: Two differing points of view are given to answer the question of benefit vs. risk drains in implant patients. MAIN OUTCOME MEASURES: To facilitate the debate about a longstanding urologic question. RESULTS: There are two conflicting points presented in this manuscript, one supporting drain placement, the other opposing it in light of the risks and benefits. CONCLUSIONS: Without prospective randomized controlled trials specifically looking at drain placement following IPP, it is unclear whether or not this intervention is beneficial. Until a study of this type is performed, leaving a drain will largely remain a surgeon preference.
Authors: Avery R Wolfe; Michael T Davenport; Alexander T Rozanski; Nabeel A Shakir; Ellen E Ward; Mary L West; Allen F Morey Journal: Transl Androl Urol Date: 2020-02