Skoogh J, Steineck G, Cavallin-Ståhl E, Wilderäng U, Håkansson U K, Johansson B, Stierner U
Department of Oncology, Division of Clinical Cancer Epidemiology, Institute of Clinical Sciences, The Sahlgrenska Academy, Gothenburg, Sweden.
Int J Androl. 2011 Apr;34(2):183-92. doi: 10.1111/j.1365-2605.2010.01073.x.
Few data illustrate the man's reaction to orchidectomy. We investigated long-lasting feelings of loss and uneasiness or shame about the body after removal of a testicle by orchidectomy. We identified 1173 eligible men diagnosed with non-seminomatous testicular cancer treated according to the national cancer-care programmes Swedish-Norwegian Testicular Cancer Group I-IV between 1981 and 2004. We asked the survivors about feelings of loss and uneasiness or shame after having had a testicle removed by orchidectomy. We obtained information from 960 (82%) testicular cancer survivors. We found that 32% of these men miss or previously missed their removed testicle(s) and that 26% have or previously had feelings of uneasiness or shame about their body because of the removed testicle(s). Men who had never been offered a prosthesis reported feelings of loss [relative risk (RR): 2.0; 95% confidence interval (CI): 1.3-3.0] and uneasiness or shame (RR: 2.0; 95% CI: 1.3-3.2) to a higher extent than those who had been offered, but rejected a prosthesis. An orchidectomy may result in long-lasting feelings of loss and uneasiness or shame in some men; offering a testicular prosthesis may hinder this experience.
几乎没有数据能说明男性对睾丸切除术的反应。我们调查了睾丸切除术后男性对身体的长期失落感、不安感或羞耻感。我们确定了1173名符合条件的男性，他们被诊断患有非精原细胞瘤性睾丸癌，并在1981年至2004年期间按照瑞典 - 挪威睾丸癌小组I - IV的国家癌症护理计划接受治疗。我们询问了这些幸存者在睾丸切除术后的失落感、不安感或羞耻感。我们从960名（82%）睾丸癌幸存者那里获得了信息。我们发现，这些男性中有32%想念或曾经想念过被切除的睾丸，26%因被切除的睾丸而对自己的身体有或曾经有过不安或羞耻感。从未被提供过假体的男性报告的失落感[相对风险（RR）：2.0；95%置信区间（CI）：1.3 - 3.0]以及不安或羞耻感（RR：2.0；95% CI：1.3 - 3.2）程度高于那些被提供过但拒绝假体的男性。睾丸切除术可能会在一些男性中导致长期的失落感、不安感或羞耻感；提供睾丸假体可能会减少这种体验。
