L Incrocci1, J L Bosch, A K Slob. 1. Department of Urology, University Hospital, Rotterdam, The Netherlands.incrocci@rtdh.azr.nl
Abstract
OBJECTIVES: To evaluate retrospectively the body image and sexual functioning in patients who have a testicular prosthesis (TP). PATIENTS AND METHODS: The medical charts were evaluated for 30 adult patients who received 32 TPs between 1985 and 1997. A questionnaire was mailed to each patient, asking about body image, satisfaction with the implant and with sexual functioning. RESULTS: Of the 30 patients, 22 (73%) replied; their mean (range) age was 30 (18-47) years. Most of the patients had a silicone gel-filled TP. No complications were reported in 25 (83%) patients and 80% reported no sexual problems; 20% felt uncomfortable in intimate contacts, 68% found their body image improved after having a TP, 58% were satisfied with their current sexual life, 90% had no erectile dysfunction and 45% reported premature ejaculation. CONCLUSIONS: Patients who have lost a testis for any reason should be informed about the availability of a TP. Prostheses were well accepted and no systemic disease was reported. Almost all patients reported an improvement in their body image. Sexual life and performance were apparently not compromised by having a TP. New surgical procedures are recommended to improve the cosmetic appearance of a TP in the scrotum.
OBJECTIVES: To evaluate retrospectively the body image and sexual functioning in patients who have a testicular prosthesis (TP). PATIENTS AND METHODS: The medical charts were evaluated for 30 adult patients who received 32 TPs between 1985 and 1997. A questionnaire was mailed to each patient, asking about body image, satisfaction with the implant and with sexual functioning. RESULTS: Of the 30 patients, 22 (73%) replied; their mean (range) age was 30 (18-47) years. Most of the patients had a silicone gel-filled TP. No complications were reported in 25 (83%) patients and 80% reported no sexual problems; 20% felt uncomfortable in intimate contacts, 68% found their body image improved after having a TP, 58% were satisfied with their current sexual life, 90% had no erectile dysfunction and 45% reported premature ejaculation. CONCLUSIONS:Patients who have lost a testis for any reason should be informed about the availability of a TP. Prostheses were well accepted and no systemic disease was reported. Almost all patients reported an improvement in their body image. Sexual life and performance were apparently not compromised by having a TP. New surgical procedures are recommended to improve the cosmetic appearance of a TP in the scrotum.
Authors: Christopher Kim; Katherine A McGlynn; Ruth McCorkle; Yonghong Li; Ralph L Erickson; Shuangge Ma; David W Niebuhr; Guangsheng Zhang; Yaqun Zhang; Yana Bai; Li Dai; Barry I Graubard; Tongzhang Zheng; Briseis Aschebrook-Kilfoy; Kathryn H Barry; Yawei Zhang Journal: J Psychosom Res Date: 2012-04-21 Impact factor: 3.006
Authors: Klaus-Peter Dieckmann; Petra Anheuser; Stefan Schmidt; Benjamin Soyka-Hundt; Uwe Pichlmeier; Philipp Schriefer; Cord Matthies; Michael Hartmann; Christian G Ruf Journal: BMC Urol Date: 2015-03-13 Impact factor: 2.264