Adshead J, Khoubehi B, Wood J, Rustin G
Department of Urology, Watford NHS Trust, Linda Jackson Centre and Department of Medical Oncology, Mount Vernon Hospital, Middlesex, UK.
BJU Int. 2001 Oct;88(6):559-62. doi: 10.1046/j.1464-4096.2001.02392.x.
To assess the satisfaction of men with their testicular implants after undergoing orchidectomy for testicular cancer, and to determine their reasons for accepting or declining a prosthesis.
In all, 424 men who had undergone radical orchidectomy and were part of the testicular cancer follow-up programme were sent an anonymous questionnaire comprising 10 questions covering two main areas. First, the reasons for accepting or declining an implant and second (if they received an implant) their satisfaction with the size, position, feel, shape and overall comfort; 234 men (55%) responded.
About a third (71 men) accepted an implant, a third declined and a third were not offered the choice. Of the men who replied 91% felt that it was extremely important to be offered an implant at the time of surgery. Of the 71 who received an implant, 19 (27%) were dissatisfied and felt that they had an average or poor cosmetic result. The reasons for this dissatisfaction are presented and discussed.
All men undergoing orchidectomy should be offered a testicular implant, irrespective of age. Sample implants in all sizes should be available in the outpatient department. This will give men realistic expectations and allow them to choose a suitable size of implant. The dimensions of the available implants should be improved to create a more elliptical prosthesis, to avoid dissatisfaction with the shape. Adequate fixation to the base of the scrotum is important to avoid the 'high riding' implant.
评估睾丸癌患者在接受睾丸切除术后对睾丸植入物的满意度，并确定他们接受或拒绝植入物的原因。
共有424名接受了根治性睾丸切除术且参与睾丸癌随访项目的男性收到了一份包含10个问题的匿名问卷，这些问题涵盖两个主要方面。第一，接受或拒绝植入物的原因；第二（如果他们接受了植入物），他们对植入物的大小、位置、触感、形状和整体舒适度的满意度。234名男性（55%）进行了回复。
约三分之一（71名男性）接受了植入物，三分之一拒绝了，另有三分之一未被提供选择。在回复的男性中，91%认为在手术时提供植入物极其重要。在接受植入物的71名男性中，19名（27%）不满意，认为他们的美容效果一般或较差。文中呈现并讨论了导致这种不满的原因。
所有接受睾丸切除术的男性都应被提供睾丸植入物，无论年龄大小。门诊部应备有各种尺寸的样本植入物。这将让男性有实际的期望，并使他们能够选择合适尺寸的植入物。应改进现有植入物的尺寸，以制造出更接近椭圆形的假体，避免对形状不满意。将植入物充分固定在阴囊底部对于避免植入物“上移”很重要。
