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Erschienen in:
04.04.2020 | Male and Female Surgical Interventions (C Carson and P Selph, Section Editors)
Testicular Implant Surgery: Indications and Technique
Erschienen in: Current Sexual Health Reports | Ausgabe 2/2020
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Purpose of Review
Placement of a testicular implant may restore cosmesis and improve quality of life after testicular loss. This review will discuss contemporary indications for testicular prosthesis, considerations for patient selection, surgical techniques, and future directions for research.
Recent Findings
Immediate testicular prosthesis placement at the time of orchiectomy does not appear to compromise outcomes compared with delayed placement. Additionally, patients with a history of scrotal irradiation or chemotherapy appear to have prosthetic outcomes comparable to baseline. Recent quality-of-life studies reinforce the importance of patient counseling pre-operatively and demonstrate positive long-term effects of testicular implants on patient satisfaction and self-image. Active research in the field focuses on improving the prosthetic tactile feel and possibly producing hormonally active implants.
Summary
Testicular prosthetic placement at the time of orchiectomy is safe and should be offered to patients prior to surgery. Testicular implants produce high patient satisfaction with low complication rates.