Closed suction drain outputs at 12 and 24 hours after primary three-piece inflatable penile prosthesis surgery

Apoj, Michel; Rodríguez, Dayron; Barbosa, Philip V.; Pan, S. H.; Rajender, Archana; Biebel, Mark; Gross, Martin; Munárriz, Ricardo

doi:10.1038/s41443-019-0130-2

Cited by 10 publications

(2 citation statements)

References 12 publications

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“…Other factors remain controversial. Some have argued that early removal of CSD (less than 72 h), reduced degree of device inflation, and early deactivation increase risk of bleeding complications by introducing reduced tamponade and increased scrotal manipulation [ 10 , 34 ]. We did not identify any intraoperative factor as an independent risk factors for hematoma formation in either primary or complex hematoma group 40 .…”

Section: Discussionmentioning

confidence: 99%

Defining the incidence and management of postoperative scrotal hematoma after primary and complex three-piece inflatable penile prosthesis surgery

et al. 2023

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Scrotal hematoma is a challenging complication of penile prosthesis surgery. We characterize the risk of hematoma formation with implementation of standardized techniques to mitigate hematomas and assess for any associated factors in a large multi-institutional penile implant cohort. This was a retrospective review from February 2018 to December 2020 of all patients who underwent inflatable penile prosthesis implantation at 2 high volume implant centers. Cases were defined as “complex” if they involved revision, salvage with removal/replacement, or were performed with concurrent penile, scrotal or intra-abdominal surgeries. The incidence of scrotal hematoma among primary and complex IPP recipients was measured and modifiable and innate risk factors associated with hematoma formation within the two cohorts were tracked. Of 246 men who underwent penile prosthesis surgery, 194 (78.9%) patients underwent primary implantation and 52 (21.1%) were complex. Although hematoma formers in the complex group had comparable drain outputs to primary patients on postoperative day 0 (66.8cc ± 32.5 vs 48.4 ± 27.7, p = 0.470) and postoperative day 1 (40.3cc ± 20.8vs 21.8 ± 11.3 p = 0.125), hematomas in the complex group had a higher propensity for OR evacuation ( p = 0.03). Difference in duration of temporary device inflation between 2 (64, 26%) and 4 weeks (182, 74%) did not contribute to hematoma formation ( p = 0.562). The incidence of postoperative hematoma formation in complex cases was 9.6% (5/52) and 3.6% in primary cases (7/194) (HR = 2.61, p = 0.072). Complex IPP surgery performed for revision or with ancillary procedures are more likely to result in clinically significant hematomas that require surgical management, suggesting a need for heightened caution in managing these individuals.

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Section: Discussionmentioning

confidence: 99%

Defining the incidence and management of postoperative scrotal hematoma after primary and complex three-piece inflatable penile prosthesis surgery

et al. 2023

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“…Other factors remain controversial. Some have argued that early removal of CSD (less than 72 hours), reduced degree of device in ation, and early deactivation increase risk of bleeding complications by introducing reduced tamponade and increased scrotal manipulation 10,14,39 . We did not identify any intraoperative factor as an independent risk factors for hematoma formation in either primary or complex hematoma group 40 .…”

Section: Discussionmentioning

confidence: 99%

Defining the Incidence and Management of Postoperative Scrotal Hematoma after Primary and Complex Three-piece Inflatable Penile Prosthesis Surgery

Simhan

Braun

Swerdloff³

et al. 2022

Preprint

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Background: Scrotal hematoma is a challenging complication of penile prosthesis surgery. We characterize the risk of hematoma formation with implementation of standardized techniques to mitigate hematomas and assess for any associated factors in a large multi-institutional penile implant cohort. Materials and Methods: A retrospective review from February 2018 to December 2020 of all patients who underwent inflatable penile prosthesis (IPP)implantation at 2 high volume implant centers was conducted. Cases were defined as ‘complex’ if they involved revision, salvage with removal/replacement, or were performed with concurrent penile, scrotal or intra-abdominal surgeries. The incidence of scrotal hematoma among primary and complex IPP recipients was measured and modifiable and innate risk factors associated with hematoma formation within the two cohorts were tracked. Results: Of 246 men who underwent IPP, 194 (78.9%) patients underwent primary implantation and 52 (21.1%) were complex. Although patients in the complex group had comparable drain outputs to non-hematoma patients on POD0 (66.8cc vs 49.6, p=0.488) and POD1 (20.0cc vs 40.3, p=0.114), hematomas in the complex group had a higher propensity for OR evacuation (p=0.03). Difference in duration of temporary device inflation between 2 and 4 weeks did not contribute to hematoma formation. Postoperative hematoma formation in complex cases (5/52, 9.6%) trended towards a higher incidence than primary cases (7/194, 3.1%) (HR=2.61, p=0.072). Conclusions: Complex IPP surgery performed for revision or with ancillary procedures are more likely to result in clinically significant hematomas that require surgical management, suggesting a need for heightened caution in managing these individuals.

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Step-by-step three-piece inflatable prosthesis scrotal approach implant

García Gómez,

Alonso-Isa,

Peña Vallejo

et al. 2025

Penile Prosthetic Surgery

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Closed suction drain outputs at 12 and 24 hours after primary three-piece inflatable penile prosthesis surgery

Cited by 10 publications

References 12 publications

Defining the incidence and management of postoperative scrotal hematoma after primary and complex three-piece inflatable penile prosthesis surgery

Defining the incidence and management of postoperative scrotal hematoma after primary and complex three-piece inflatable penile prosthesis surgery

Defining the Incidence and Management of Postoperative Scrotal Hematoma after Primary and Complex Three-piece Inflatable Penile Prosthesis Surgery

Step-by-step three-piece inflatable prosthesis scrotal approach implant

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