Value of prolonged scrotal drainage after penile prosthesis implantation: a multicenter prospective nonrandomized pilot study

We aimed to understand the risks and benefits of post-inflatable penile prosthesis (IPP) implantation drainage and optimal duration. Our patients were divided into 3 groups: Group 1 ( n = 114) had no drain placed, Group 2 had a drain placed for 24 h ( n = 114) and Group 3 had a drain placed for 72 h ( n = 117). Postoperative scrotal hematoma and prosthesis infection rates were compared between the groups. The patients from Group 3 demonstrated a statistically significant lower incidence of hematoma on the 10th postoperative 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 postoperative day, there was a statistically significant lower incidence of hematoma in both Groups 3 and 2: (0.9% and 6.1%, respectively) vs. Group 1: (11.4%), ( p = 0.004). Hematoma rates followed the same group order after the first day of surgery: 1.7% ( n = 2), 5.3% ( n = 6), and 8.8% ( n = 10), respectively, ( p = 0.05). 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, ( p = 0.210). We concluded that prolonged scrotal drainage for 72 h after virgin IPP implantation significantly reduces hematoma and infection rates.