[Testicular prosthesis after subcapsular orchiectomy]

A technique of plastic testicular reconstruction from scrotal tissue after subcapsular orchiectomy has been developed. The procedure involves formation of a gauntlet graft from scrotal tissue which is implanted into tunica albuginea cavity after removal of testicular parenchyma. The graft is fixed in the cavity and the cut is sutured up to the graft pedicle. The grafts sized 5 x 4 x 3 cm-5.5 x 4.5 x 4.0 cm were established in 14 patients. Postoperative 4-year follow-up registered neither complications nor graft size diminution.