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Satisfaction With Testicular Prosthesis After Radical Orchiectomy
Thomas G Clifford1, Madeleine L Burg1, Brian Hu2
1USC Institute of Urology, USC/Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA.
Urology
|December 31, 2017
Summary
Patient satisfaction with testicular prostheses (TP) following orchiectomy for testicular cancer is high. Offering a TP implant before orchiectomy is important for patient counseling and satisfaction.
Area of Science:
- Oncology
- Urology
- Reconstructive Surgery
Background:
- Testicular prostheses (TP) are important for reconstruction after orchiectomy for testicular cancer.
- Placement of TP is infrequently performed, necessitating improved patient satisfaction data.
Purpose of the Study:
- To determine patient satisfaction with testicular prostheses (TP) after orchiectomy for testicular cancer.
- To provide data for counseling patients undergoing orchiectomy.
Main Methods:
- A blinded survey evaluated satisfaction in 40 patients who underwent orchiectomy and TP placement.
- Fisher's exact test compared categorical variables associated with satisfaction.
Main Results:
- 82.5% rated TP satisfaction as good or excellent; 87.5% would have the prosthesis implanted again.
- 92.5% found the TP comfortable, but 44% considered it too firm and 20% felt the position was inappropriate.
- TP comfort, size, and position were significantly associated with overall satisfaction (P<.05).
Conclusions:
- Overall patient satisfaction with testicular prostheses after orchiectomy for testicular cancer is high.
- Testicular prostheses should be offered to patients, especially at the time of orchiectomy.
- Optimizing implant firmness, size, and positioning is crucial for patient satisfaction.
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