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[Study of satisfaction of testicular prosthesis implantation in children]
Y Martínez1, A Millán, R Gilabert
1Servicio de Cirugía Pediátrica, Hospital Infantil Virgen del Rocío, Sevilla. yoli84mc@hotmail.com
Insights
Testicular prosthesis (TP) implantation effectively prevents psychological trauma in children. While generally successful, some parents desired larger sizes and softer prostheses, necessitating future replacements.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Psychological Health
Context:
- Testicular absence can lead to significant psychological distress in children.
- Testicular prosthesis (TP) offers a solution to mitigate this trauma.
- Optimal timing for TP implantation remains an area of debate.
Purpose:
- To evaluate the outcomes and complications of testicular prosthesis implantation.
- To assess patient and family satisfaction following TP implantation.
- To inform decisions regarding the optimal age and indications for TP placement.
Summary:
- A retrospective study analyzed 107 testicular prostheses implanted between 2004-2010.
- Data included patient age, prosthesis characteristics, surgical details, complications, and family satisfaction via survey.
- Most families reported satisfaction with prosthesis appearance and psychological well-being, though size and consistency were noted concerns.
Impact:
- Testicular prosthesis implantation is effective in preventing psychological trauma associated with testicular absence.
- Findings highlight the need for improved prosthesis characteristics (size, consistency) and potentially earlier implantation.
- Results provide valuable insights for clinicians and families considering TP intervention.
Unlabelled:
Testicular absence may cause psychological trauma in children. It can be avoided by placing testicular prosthesis (TP). However there is no consensus on the optimal age of implantation. We evaluate the results of TP implantation and their complications, as well as patient and family satisfaction.
Material And Methods:
This is a retrospective study of TP implanted between 2004-2010 in our center. Variables analyzed are: age, size and side, indication, surgical technique, complications and comorbidity. Telephone survey was done by a single interviewer to 50 families.
Data Collected:
general family satisfaction, characteristics of the prosthesis (size, shape, location and consistency), body image and psychological situation of the child, duration of analgesia after surgery, reoperation rate, and family advice to other parents. Statistical analysis with SPSS-18.0.
Results:
107 prostheses were placed (4 bilateral, 64 left and 35 rights) at a mean age of 70,10 +/- 58,6 months. The most common indication was cryptorchidism (48.2%). Initial inguinal approach in 69%, and simultaneous contralateral orchidopexy in 29.9%. Only one patient refused the prostheses. In 71% the mother was interviewed. Parents consider size, shape and position appropriate in 55.6%, 66.7% and 82.22% respectively. Hard consistency of TP was considered in 82.3% of the patients. Psychological problems were absent in 86.7%. Nighty five percent would be willing to replace when it was necessary. Parents would recommend the intervention to parents in the same situation in 86.7%.
Conclusion:
Testicular prosthesis avoids psychological trauma. The lack of satisfaction regarding to the small size and hardness makes necessary to replace the TP in adulthood. An open question remains whether we should consider the placement of TP in early ages, or if we should establish some indications based on a more rational communication with the family.
