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Incidence of venous thromboembolism and safety of perioperative subcutaneous heparin during inflatable penile prosthesis surgery

Urology Aug 21, 2021

Hebert KJ, Findlay BL, Yang DY, et al. - Men undergoing inflatable penile prosthesis (IPP) surgery are at elevated risk for venous thromboembolism (VTE). In this study, SqH use was described as safe for the first time in the perioperative IPP surgery setting when utilized in conjunction with a scrotal drain.

  • Utilizing the Caprini risk score, 84% of the men in this study were classified as high or highest risk for VTE.

  • Perioperative SqH with or without additional anti-thrombotics was administered in 55%.

  • Those who received SqH had higher postoperative day 0 scrotal drain output.

  • Patients who received perioperative SqH, vs those who did not, showed similar rates of minor scrotal hematomas.

  • Postoperative VTE rate of 0.9% was recorded overall.

  • There were no postoperative infections.

  • Findings suggest the possibility of performing preoperative VTE risk stratification and its utility in guiding clinical decision making regarding pharmacologic prophylaxis.

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