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Testicular prostheses: development and modern usage.

D Bodiwala1, D J Summerton, T R Terry

  • 1Department of Urology, Leicester General Hospital, Gwendoline Road, Leicester, UK. dbodiwala@hotmail.com

Annals of the Royal College of Surgeons of England
|May 31, 2007
PubMed
Summary
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Testicular prostheses offer psychological benefits for males experiencing testicular absence. This review examines materials, complications, and benefits of testicular implants, considering alternatives to silicone.

Area of Science:

  • Urology
  • Medical Device Technology

Background:

  • Testicular prostheses have been used since 1941 to address the psychological trauma associated with testicular absence.
  • Indications for prosthesis insertion include congenital absence or post-surgical removal due to malignancy, torsion, or orchitis.
  • Silicone is a common material globally, but its use is restricted in the US due to theoretical health risks, promoting saline-filled alternatives.

Purpose of the Study:

  • To review the available literature on testicular prostheses.
  • To highlight controversies surrounding prosthetic materials and insertion complications.
  • To discuss the potential benefits of testicular implantation procedures.

Main Methods:

  • A comprehensive literature search was conducted using Medline.

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  • The search focused on articles related to testicular prostheses published between 1966 and 2006.

    • Main Results:

    • The review identified various materials used in testicular prostheses.
    • Complications associated with the insertion of testicular implants were noted.
    • The psychological and functional benefits of testicular prostheses were considered.

    Conclusions:

    • There are ongoing debates regarding the optimal materials for testicular prostheses.
    • Understanding and managing insertion complications is crucial for successful outcomes.
    • Testicular prostheses provide significant benefits for patients undergoing this procedure.