Bodiwala D, Summerton D J, Terry T R
Department of Urology, Leicester General Hospital, Gwendoline Road, Leicester, UK.
Ann R Coll Surg Engl. 2007 May;89(4):349-53. doi: 10.1308/003588407X183463.
Testicular prostheses produced from various materials have been in use since 1941. The absence of a testicle has been shown to be a psychologically traumatic experience for males of all ages. The indications for insertion of a prosthesis include absence or following orchidectomy from a number of causes such as malignancy, torsion and orchitis. The most common substance used around the world in the manufacture of these implants is silicone; however, in the US, this material is currently banned because of theoretical health risks. This has led to the development of saline-filled prostheses as an alternative.
A Medline search was carried out on all articles on testicular prosthesis between 1966 and 2006.
This review highlights the controversies regarding prosthetic materials, the complications of insertion and the potential benefits of this commonly performed procedure.
自1941年以来,由各种材料制成的睾丸假体一直在使用。睾丸缺失已被证明对所有年龄段的男性来说都是一种心理创伤经历。植入假体的适应症包括因多种原因(如恶性肿瘤、扭转和睾丸炎)导致的睾丸缺失或睾丸切除术后。全球制造这些植入物最常用的材料是硅酮;然而,在美国,由于理论上的健康风险,这种材料目前已被禁止使用。这导致了盐水填充假体作为替代品的发展。
对1966年至2006年间所有关于睾丸假体的文章进行了医学文献数据库检索。
本综述突出了关于假体材料、植入并发症以及这一常见手术潜在益处的争议。