Catanzariti Francesco, Polito Benedetta, Polito Massimo
Polytechnic University of Marche, Faculty of Medicine, Department of Odontostomatologic and Specialized Clinical Sciences, Urology Clinic, Department of General and Specialized Surgery, University Hospital, Ancona.
Arch Ital Urol Androl. 2016 Oct 5;88(3):186-188. doi: 10.4081/aiua.2016.3.186.
We studied patient satisfaction about sexual activity after prosthesis implantation using validated questionnaires with the aim to discover if testicular prosthesis could be responsible of sexual dysfunctions (erectile dysfunction or premature ejaculation).
We evaluated a total of 67 men who underwent radical orchiectomy for testicular cancer and a silicon testicular prosthesis implantation from January 2008 to June 2014 at our Hospital. These patients completed 5 validated questionnaires the day before orchiectomy and 6 months after surgery: the International Index of Erectile Function 5 (IIEF5), the Premature Ejaculation Diagnostic Tool (PEDT), the Body Exposure during Sexual Activities Questionnaire (BESAQ), the Body-Esteem Scale and the Rosenberg Self- Esteem Scale. We also evaluated 6 months after surgery any defects of the prosthesis complained by the patients.
The questionnaires completed by patients didn't show statistically significant changes for erectile dysfunction (p > 0.05) and premature ejaculation (p > 0.05). On the contrary the psychological questionnaires showed statistically significant change for the BESAQ (p < 0.001) and the Body Esteem Scale (p < 0.001), but not for the Rosenberg Self-Esteem Scale (p > 0,05). A total of 15 patients (22.37%) were dissatisfied about the prosthesis: the most frequent complaint (8 patients; 11.94%) was that the prosthesis was firmer than the normal testis.
Testicular prosthesis implantation is a safe surgical procedure that should be always proposed before orchiectomy for cancer of the testis. The defects complained by patients with testicular prosthesis are few, they don't influence sexual activity and they aren't able to cause erectile dysfunction or premature ejaculation.
我们使用经过验证的问卷研究了假体植入后患者对性活动的满意度，旨在发现睾丸假体是否会导致性功能障碍（勃起功能障碍或早泄）。
我们评估了2008年1月至2014年6月期间在我院因睾丸癌接受根治性睾丸切除术并植入硅橡胶睾丸假体的67名男性。这些患者在睾丸切除术前一天和术后6个月完成了5份经过验证的问卷：国际勃起功能指数5（IIEF5）、早泄诊断工具（PEDT）、性活动期间身体暴露问卷（BESAQ）、身体自尊量表和罗森伯格自尊量表。我们还在术后6个月评估了患者抱怨的假体任何缺陷。
患者填写的问卷在勃起功能障碍（p>0.05）和早泄（p>0.05）方面未显示出统计学上的显著变化。相反，心理问卷在BESAQ（p<0.001）和身体自尊量表（p<0.001）方面显示出统计学上的显著变化，但在罗森伯格自尊量表方面未显示（p>0.05）。共有15名患者（22.37%）对假体不满意：最常见的抱怨（8名患者；11.94%）是假体比正常睾丸更硬。
睾丸假体植入是一种安全的手术程序，在睾丸癌睾丸切除术前应始终推荐。睾丸假体患者抱怨的缺陷很少，不影响性活动，也不会导致勃起功能障碍或早泄。
