Pseudoneotesticle formation using indigenous scrotal structures.

We report on our experience with a new surgical procedure of forming a pseudoneotesticle from indigenous tissues obtained from the existing scrotal contents. This procedure has been performed in 32 patients with a diagnosis of hormone dependent cancer of the prostate as a therapeutic manoeuvre, and in 3 children who had diminution of their testicle down to a peanut size secondary to neglected testicular torsion on the ipsilateral side. The follow-up examination revealed a small decrease in the size of the pseudotesticles that remained stable in further evaluation. This new surgical technique is proposed as a viable alternative to the placement of various artificial scrotal prostheses.