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Is a closed-suction drain advantageous for penile implant surgery? The debate continues
Andrew Kramer1, Ellen Goldmark, Jason Greenfield
1The University of Maryland School of Medicine-Division of Urology, Department of Surgery, Baltimore, MD 21231, USA. akramer@smail.umaryland.edu
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.
