Objectives
To assess the practice
of testicular prosthesis insertion (TPI) related to orchidectomy in one
geographical region and to identify the difference in the rates of insertion
among different age groups.
Patients and methods
Males who underwent
orchidectomy between 1989 and 2009 were identified from data collected from
Scottish Morbidity Records. Patients were classified into six age groups. The
TPI rate and relation to original orchidectomy were analysed according to
different age groups.
Results
In all, 3364 patients
underwent orchidectomy in the 20-year period of the study. The most common
indications for orchidectomy were atrophy, undescended testes, torsion, and
tumour. In the same period, 530 patients had a TPI, with 59.4% of them (316
patients) having TPI at initial surgery, 17.3% (92) as a second surgical
procedure, and 22.8% (122) having the TPI without prior history of
orchidectomy. Among patients who underwent TPI, postpubertal males were more
likely to have simultaneous insertion at the time of orchidectomy than
prepubertal males (83% vs 32%; odds ratio 10.44, 95% confidence interval
5.23–20.82;P < 0.01).
Conclusion
Younger males are more
likely to have TPI at a later date. Paediatric urologists should be mindful of
the possibility of concurrent TPI at the time of initial scrotal/groin
exploration.
Below: Timing of TPI after orchidectomy
Full article at: http://goo.gl/BTGDd3
By: Aza Mohammed,a,⁎ Musaab Yassin,b David Hendry,b and Gregory Walkerc
aThe Royal Derby Hospital, Derby, UK
bGartnavel General Hospital, Glasgow, UK
cThe Royal Hospital for Sick Children,
Glasgow, UK
Aza
Mohammed: moc.liamg@61demmahom.aza
⁎Corresponding author. Email: moc.liamg@61demmahom.aza
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