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

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.