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[Testicular implants, patient's and partner's satisfaction: a questionnaire-based study of men after orchidectomy]
E Xylinas1, G Martinache, V Azancot
1Service d'urologie, faculté de médecine, université Paris-Descartes, hôpital Cochin, AP-HP, 75014 Paris, France.
Objective:
To assess the satisfaction of men and of their partner towards their testicular implants after undergoing orchidectomy.
Materials And Methods:
Hundred and twenty-four consecutive patients, who had undergone orchidectomy, and their partner were sent an anonymous questionnaire. The follow-up after the implantation was at least one year. The testicular implants used were all Perthèse.
Results:
Seventy-two patients answered to the questionnaire, among whom 63 had a testicular implant. Fifty-eight partners answered. From the patients with implant, 5% thought their body image was worse than before the operation and 80% thought their sexual activity was unchanged. Ninety-six percent thought the implantation was worthwhile and would do it again if they had to do the choice again. The reasons for dissatisfaction were: for the shape (n=8), for the size (n=3), for the position (n=2) and one patient thought the implant was too cold. Forty percent of the partners did not care about the implants and 58% thought the implant was essential. The dissatisfaction rate for the partners was 26% and reasons for were: for the shape (n=5), for the size (n=2), and one partner thought the implant was too cold. From the patients without implant, only one is thinking about having one.
Conclusion:
Testicular implants are well accepted, but some reasons of dissatisfaction appeared in our study. It was the first evaluation of the partner's satisfaction.
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