What this Trial Is About

Researchers are evaluating whether using an external scrotal drainage during penile prosthetic surgery can lower the risk of post-operative complications without increasing infections in men with erectile dysfunction. This prospective randomized study involves adult male patients who have erectile dysfunction that does not respond to medication. The study aims to compare outcomes between patients receiving drainage and those who do not during penile prosthesis implantation. Participants are randomly assigned to one of two groups: Group A receives external scrotal drainage placed during surgery for 24 hours, while Group B does not receive drainage. All patients undergo implantation of a three-component penile prosthesis with antibiotic prophylaxis before and after surgery. The drainage is removed on the first post-operative day. The degree of hematoma is assessed using a standardized scale. Follow-up visits occur at 7, 15, and 30 days after surgery to monitor hematoma and surgical site infections. Additional check-ups happen monthly for the first 3 months, then every 3 months up to one year, and annually up to five years after surgery. Researchers also track the time of penile prosthesis use. The main outcome measured is the incidence of post-operative infections within one month.

Risks and Benefits of Scrotal Drainage in Penile Prosthesis Implant