Orchiectomy after torsion testis: Simultaneous prosthesis placement versus staged procedures.

Area of Science:

• Urology
• Surgical Oncology
• Patient Experience Research

Background:

• Testicular torsion (TT) resulting in an unsalvageable testis carries significant psychosocial implications.
• Orchiectomy is the standard treatment, with optional testicular prosthesis (TP) placement often deferred (dTP).
• Simultaneous testicular prosthesis placement (sTP) has been implemented as a potentially beneficial alternative.

Purpose of the Study:

• To analyze patient experiences with TT and orchiectomy.
• To evaluate the feasibility, safety, and patient satisfaction of sTP compared to dTP.

Main Methods:

• Retrospective analysis of patients undergoing orchiectomy for TT.
• Anonymous questionnaires assessed patient experience, satisfaction, and quality of life.
• Comparison of clinical outcomes between sTP and dTP groups.

Main Results:

• Of 54 orchiectomy patients, 37 received a TP (17 sTP, 20 dTP).
• Patients overwhelmingly preferred prosthesis placement at the time of orchiectomy (all dTP, 66.7% of no-TP).
• sTP showed similar outcomes to dTP, with minor differences in prosthesis position and operative time; both groups reported high satisfaction.

Conclusions:

• Simultaneous testicular prosthesis placement (sTP) is a safe and effective alternative to delayed placement (dTP).
• Patients prefer sTP due to avoiding a second surgery and potentially mitigating psychological distress.
• sTP offers a favorable option for patients undergoing orchiectomy for testicular torsion.