Kihara K, Oshima H
Department of Urology, Tokyo Medical and Dental University, School of Medicine, Tokyo, Japan.
Eur Urol. 1998 Sep;34(3):210-5. doi: 10.1159/000019715.
To preserve the appearance of a normal scrotum at orchiectomy, a pedicled fibro-fatty tissue graft was inserted in the lumen of the tunica vaginalis.
42 testes of 21 patients with metastatic prostate cancer were treated. A pedicled fibro-fatty tissue graft prepared from the region between the spermatic cord and the scrotal septum was inserted in the lumen of the tunica vaginalis following epididymis-sparing orchiectomy under local or spinal anesthesia.
A pedicled fibro-fatty tissue graft which reached the epididymal tail was prepared in all instances. The average postoperative volume of the scrotal content was 18 ml (range 5-30 ml). Postoperative complications were scrotal edema, sensation of traction at the inguinal region and epididymitis. All but 1 patient were satisfied with the appearance of the scrotum and achieved sufficient androgen ablation. Mean follow-up was 8 (3-11) months.
This cosmetic orchiectomy is a safe, simple and economical procedure to preserve the appearance of a normal scrotum; it also achieves the reliable result of androgen deprivation.
为在睾丸切除术中保留正常阴囊外观，将带蒂纤维脂肪组织移植物植入鞘膜腔内。
对21例转移性前列腺癌患者的42个睾丸进行了治疗。在局部或脊髓麻醉下，行保留附睾的睾丸切除术后，将取自精索与阴囊中隔之间区域的带蒂纤维脂肪组织移植物植入鞘膜腔内。
所有病例均制备了到达附睾尾部的带蒂纤维脂肪组织移植物。术后阴囊内容物的平均体积为18毫升（范围5 - 30毫升）。术后并发症为阴囊水肿、腹股沟区牵拉感和附睾炎。除1例患者外，所有患者对阴囊外观均满意，并实现了充分的雄激素去除。平均随访时间为8（3 - 11）个月。
这种美容性睾丸切除术是一种安全、简单且经济的手术方法，可保留正常阴囊外观；它还能实现可靠的雄激素剥夺效果。
