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RecruitingNCT06147791Updated Jan 24, 2025

Risks and Benefits of Scrotal Drainage in Penile Prosthesis Implant

An interventional study of External scrotal drainage in Erectile Dysfunction, sponsored by A.O.U. Città della Salute e della Scienza. Recruiting at 2 sites in Italy. Open to male participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2025-01-24.

Sponsored by A.O.U. Città della Salute e della Scienza · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2023; still recruiting 3 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
Male
01

Study summary

The goal of this prospective randomized study is to demonstrate if the use of an external scrotal drainage in penile prosthetic surgery can reduce the risk of post-operative complications without increase the risk of infections.

Read the detailed description

After being informed about the study, all patients give writted informed consent. After that they will be randomized in two groups (A with drainage, B without drainage) using a random sequence generator. Then the patient will undergo the implantation of a three-component penile prosthesis following peri antibiotic prophylaxis with cephalosporins and aminoglycosides, the antibiotic prophylaxis will be continued on the first post-operative day surgery with a cephalosporin. In the group A it will be positioned at the scrotal level (using surgical access or using a second incision) an external drainage (10 Ch in aspiration) for 24 hours. The drainage will be removed on the first post-operative day. The degree of the hematoma will be determined using a 5-point Likert scales already approved in previous cases. Subsequently patients will carry out periodic check-ups at 7, 15 and 30 days after the operation to evaluate the appearance of hematomas and surgical site infection. After that, they will carry out check-ups every month for the first 3 months, then every 3 months for the first year and finally annually up to the fifth year after the intervention. During the clinical check-ups, it will also be defined the time of use of the penile prosthesis.

02

Conditions studied

  • Erectile Dysfunction

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03

In context

Erectile Dysfunction

701 studies on the registry are indexed under Erectile Dysfunction; 125 are open to participants now.

This study's planned enrollment of 50 is below the median of 70 across 551 interventional studies indexed under Erectile Dysfunction.

Browse Erectile Dysfunction studies →

Lead sponsor

A.O.U. Città della Salute e della Scienza is the lead sponsor of 65 studies on the registry; 13 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Written signed voluntarily according to the rules of good clinical practice (Declaration of Helsinki) and national regulations (Appendix B).
  • Genetically male patient.
  • Age ≥ 18 years.
  • Patient suffering from ED of variable and/or multifactorial etiology.
  • Patient suffering from ED not responsive to iPDE-5.
  • Patient suffering from unresponsive or non-tolerant ED

Exclusion criteria

Exclusion Criteria:

  • Absence of signed written (Appendix B).
  • Age \<18 years.
  • Genetically female patients.
  • Patient with active peno-scrotal infection.
  • Patient with active systemic infection.
  • patient.
  • Patient with haematological pathologies that may cause an increased risk of bleeding.
  • Patients suffering from Peyronie's Disease who must undergo simultaneous plaque surgery.
  • Any condition or situation that, in the opinion of the investigator, places the patient at significant risk, may confound the results of the study, or significantly interfere with the patient's participation in the study.
  • The patient declares that it will be impossible for him to participate in follow-up consultations.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Group with drainage

    Device: External scrotal drainage

  • No intervention
    Group without drainage

Interventions

  • DeviceExternal scrotal drainage

    Application of external scrotal drainage during three-component penile prosthesis placement

06

What researchers measure

Primary outcomes

  1. Post-operative infectious episodes

    Define the number of post-operative infectious episodes in the two study arms.

    Time frame: One month

Secondary outcomes

  1. Post-surgical hematoma

    Define the risk of post-surgical hematoma formation in the two study arms.

    Time frame: One month

  2. Volume of drained material

    Evaluate the volume of drained material in the group with external drainage.

    Time frame: 24 hour

  3. Manipulation of the activation pump

    Define the time elapsed between surgery and subsequent manipulation of the activation pump in the two study arms, usually 2 weeks.

    Time frame: Up to 12 weeks

  4. Activation of the device

    Define the time elapsed between the surgical intervention and the subsequent activation of the device in the two study arms, usually 3 weeks.

    Time frame: Up to 12 weeks

  5. Use of the penile prosthesis

    Define the time elapsed between surgery and the use of the penile prosthesis for sexual activity in the two study arms, usually 4 weeks after surgery.

    Time frame: Up to 12 weeks

  6. Effectiveness of external drainage in subgroups

    Compare, through a sub-analysis, the effectiveness of external drainage in different patient populations: heart patients, diabetics, duration of surgery. We will test the effectiveness of external drainage in these soubgroups using the IIEF questionnaires.

    Time frame: Up to 12 months

  7. Effectiveness of external drainage in subgroups

    Compare, through a sub-analysis, the effectiveness of external drainage in different patient populations: heart patients, diabetics, duration of surgery. We will test the effectiveness of external drainage in these soubgroups using the SSIPI questionnaires.

    Time frame: Up to 12 months

  8. Effectiveness of external drainage in subgroups

    Compare, through a sub-analysis, the effectiveness of external drainage in different patient populations: heart patients, diabetics, duration of surgery. We will test the effectiveness of external drainage in these soubgroups using the QoLPSS questionnaires.

    Time frame: Up to 12 months

07

Study locations

1 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — The data will be shared only among physician participating in the study.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06147791
Lead sponsor
A.O.U. Città della Salute e della Scienza
Responsible party
Mirko Preto (Principal Investigator, A.O.U. Città della Salute e della Scienza) — Principal investigator
First posted
Nov 28, 2023
Start date
Oct 1, 2023
Primary completion
Oct 1, 2028 (estimated)
Completion
Oct 1, 2033 (estimated)
Last update
Jan 24, 2025

Study contacts

Falcone Mr Marco, Physician
Contact
marco.falcone@unito.it
0116336594
Preto Mr Mirko, Physician
Contact
mirko.preto@unito.it
0116336594
Falcone Mr Marco, Physician
principal investigator · Urology

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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