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Is a Closed-Suction Drain Advantageous for Penile Implant Surgery? The Debate Continues


Andrew Kramer, MD, The University of Maryland, 22 S. Greene St., Apt. #800, Baltimore, MD 21231, USA. Tel: 410 328 6087; Fax: 410 328 0595; E-mail:


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. Kramer A, Goldmark E, and Greenfield J. Is a closed-suction drain advantageous for penile implant surgery? The debate continues. J Sex Med 2011;8:601–606.