Department of Urology, Braga's Hospital, Braga 4710, Portugal.
Faculty of Medicine, Coimbra University, Coimbra 3000, Portugal.
Asian J Androl. 2024 Mar 1;26(2):160-164. doi: 10.4103/aja202325. Epub 2023 Jul 11.
Orchiectomy is the recommended treatment for many testicular conditions. However, testicular prosthesis placement is not always performed for different reasons. In this study, we aimed to evaluate patients' opinions and the impact on sexual function and quality of life. This retrospective observational single-center study included patients who underwent orchiectomy between January 2014 and December 2020 at the Department of Urology, Braga's Hospital (Braga, Portugal), where testicular implants were always available and the decision to undergo the procedure was made fully independent of cost. Patients completed four questionnaires that assessed demographic data, satisfaction, self-esteem, and sexual function. Of the 96 patients who underwent orchidectomy, 59 replied to the questionnaires, and of these patients, 86.4% decided to undergo silicone-based testicular prostheses implantation. The remaining 13.6% refused the implant based on concerns about complications (37.5%), because they felt that it was unnecessary (37.5%), or because it was not offered by the doctor (25.0%). Overall, 96.1% of these patients were satisfied with the implant; however, 25.5% classified it as "too firm". No statistically significant differences were found in sexual function (all P > 0.05). However, it can be observed that there are more patients with prostheses presenting normal sexual activity compared to patients without prostheses (74.0% vs 50.0%), and none of them reported severe erectile dysfunction (0 vs 16.7%). Regarding self-esteem, both patients with and without prostheses present very similar average scores with no statistically significant differences. The present study highlights the highest level of satisfaction among patients who received testicular prostheses. Testicular prostheses implantation is a safe procedure that does not hamper sexual function after orchiectomy.
睾丸切除术是许多睾丸疾病的推荐治疗方法。然而，由于各种原因，并非总是进行睾丸假体放置。在这项研究中，我们旨在评估患者的意见以及对性功能和生活质量的影响。这项回顾性观察性单中心研究纳入了 2014 年 1 月至 2020 年 12 月期间在布拉加医院泌尿科接受睾丸切除术的患者（布拉加，葡萄牙），该医院始终提供睾丸植入物，且手术决策完全独立于费用。患者完成了四项问卷，评估了人口统计学数据、满意度、自尊和性功能。在 96 名接受睾丸切除术的患者中，有 59 名回答了问卷，其中 86.4%的患者决定进行硅胶睾丸假体植入。其余 13.6%的患者因担心并发症（37.5%）、认为没有必要（37.5%）或医生未提供（25.0%）而拒绝植入假体。总体而言，96.1%的患者对植入物满意；然而，25.5%的患者认为它“太硬”。在性功能方面未发现统计学差异（均 P > 0.05）。然而，可以观察到，与没有假体的患者相比，有假体的患者中表现出正常性行为的患者更多（74.0%比 50.0%），并且他们中没有人报告严重的勃起功能障碍（0 比 16.7%）。关于自尊，有假体和没有假体的患者的平均得分非常相似，没有统计学差异。本研究强调了接受睾丸假体的患者的最高满意度。睾丸假体植入是一种安全的手术，不会影响睾丸切除术后的性功能。
