Testicular prostheses in patients with testicular cancer - acceptance rate and patient satisfaction

BMC Urology

Research Article

Benjamin Soyka-Hundt¹  Petra Anheuser¹  Klaus-Peter Dieckmann¹  Stefan Schmidt²  Cord Matthies²  Christian G Ruf²  Philipp Schriefer³  Michael Hartmann³  Uwe Pichlmeier⁴ 

[1] Department of Urology, Albertinen-Krankenhaus Hamburg, Hamburg, Germany;Department of Urology, Bundeswehrkrankenhaus Hamburg, Hamburg, Germany;Department of Urology, Universitätsklinikum Eppendorf, Hamburg, Germany;Institute of Medical Biometry and Epidemiology, Universitätsklinikum Eppendorf, Hamburg, Germany;

关键词: Testicular cancer;    Testicular prosthesis;    Orchiectomy;    Masculinity;    Quality of life;    Body appearance;   

DOI  :  10.1186/s12894-015-0010-0

 received in 2014-10-25, accepted in 2015-02-20,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThe loss of a testicle to cancer involves much emotional impact to young males. Little is known about the number of patients with testicular germ cell tumour (GCT) who would accept a testicular prosthesis. Also, knowledge about the satisfaction of implant recipients with the device is limited.MethodsA retrospective chart analysis was performed on 475 consecutive GCT patients. Prior to orchiectomy, all patients were offered prosthesis insertion. Acceptance of implant was noted along with age, clinical stage, histology and year of surgery. 171 implant recipients were interviewed using an 18 item questionnaire to analyze satisfaction with the prosthesis. Statistical analysis involved calculating proportions and 95% confidence intervals. Multivariate analysis was performed to look for interrelations between the various items of satisfaction with the implant.Results26.9% of the patients accepted a prosthesis. The acceptance rate was significantly higher in younger men. Over-all satisfaction with the implant was “very high” and “high” in 31.1% and 52.4%, respectively. 86% would decide again to have a prosthesis. Particular items of dis-satisfaction were: implant too firm (52.4%), shape inconvenient (15.4%), implant too small (23.8%), position too high (30.3%). Living with a permanent partner had no influence on patient ratings. Multivariate analysis disclosed numerous inter-relations between the particular items of satisfaction.ConclusionsMore than one quarter of GCT patients wish to have a testicular prosthesis. Over-all satisfaction with implants is high in more than 80% of patients. Thus, all patients undergoing surgery for GCT should be offered a testicular prosthesis. However, surgeons should be aware of specific items of dis-satisfaction, particularly shape, size and consistency of the implant and inconvenient high position of the implant within the scrotum. Appropriate preoperative counselling is paramount.

【 授权许可】

CC BY   
© Dieckmann et al.; licensee BioMed Central. 2015