Department of Urology, University of North Carolina School of Medicine, Chapel Hill, NC 27500-7235, USA.
University of North Carolina School of Medicine, Chapel Hill, NC 27500-7235, USA.
Asian J Androl. 2020 Jan-Feb;22(1):64-69. doi: 10.4103/aja.aja_93_19.
The testicular prosthesis can be an afterthought for providers when performing an orchiectomy for testicular cancer, torsion, atrophic testis, or trauma. However, data suggest that patients find the offer of a testicular prosthesis and counseling regarding placement to be extremely important from both a pragmatic and a psychosocial perspective. Only two-thirds of men undergoing orchiectomy are offered an implant at the time of orchiectomy and of those offered about one-third move forward with prosthesis placement. The relatively low acceptance rate is in stark contrast with high patient satisfaction and low complication rates for those who undergo the procedure. The most common postoperative patient concerns are minor and involve implant positioning, size, and weight. Herein, we provide an up-to-date review of modern preoperative evaluation, patient selection, expectation management, surgical technique, and expected outcomes for testicular prostheses.
当进行睾丸癌、扭转、睾丸萎缩或创伤的睾丸切除术时，睾丸假体对于医生来说可能是一个次要的考虑因素。然而，数据表明，从实际和心理社会的角度来看，患者发现提供睾丸假体以及关于放置的咨询非常重要。只有三分之二的接受睾丸切除术的男性在接受睾丸切除术时被提供植入物，而在提供的男性中，约有三分之一的人继续进行假体放置。接受该手术的患者满意度高且并发症发生率低，但接受率相对较低，这形成了鲜明的对比。术后患者最常见的担忧是轻微的，涉及植入物的位置、大小和重量。在此，我们提供了对睾丸假体的现代术前评估、患者选择、预期管理、手术技术和预期结果的最新综述。
