(107) Delayed Closed-Suction Drain Removal Following Inflatable Penile Prosthesis: A Multi-Institutional Experience

Abstract Introduction There is a paucity of outcome data for prolonged (>48 hours) closed-suction drains following inflatable penile prosthesis (IPP) placement. Tissue dissection and corporal dilation make scrotal hematomas potential complication within the first 72 hours surgery. Maintaining drain represents method to reduce hematoma formation prevent sequela such as infection. However, maintaining percutaneous tract also feasible pathway bacterial seeding new prosthesis. Given severe consequences prosthetic infection, establishing comparable outcomes delayed removal necessary. Objective To evaluate rates device explantation in multi-institutional cohort patients undergoing IPP placement with (48-hour duration or greater) compare observed published modern cohorts. Methods Data was collected retrospectively 209 virgin removal. Cases were performed by three surgeons at high-volume centers between 01/01/2020 3/31/2022. R Statistical Computing used generate descriptive statistics (Figure 1) categorical visualization 2). No quantitative statistical analysis regarding infection low rate would not accommodate robust analysis. Results Mean 66 (48 – 312, SD 23). 3 infections (1.4%). patient age 64.5 years. 84 (40.2%) diabetic, mean hemoglobin A1c 7.2 these patients. Both penoscrotal infrapubic approaches (95 versus 114). Reservoir location either space Retzius (SOR) high submuscular (HSM) former being more common (164 45). 7 (3.3%) post-operative 6 (2.9%) required revision non-infectious causes. follow up interval postoperatively 170 days (10 421 days, 78). Conclusions Delayed after safe. The this study are similar reported other series where routinely employed. Prospective studies further characterize how influences formation, rates, postoperative pain necessary definitively establish role implantation. Disclosure