Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
| Autor: | Catherine M. Legemate, Garry L.S. Pigot, Mark-Bram Bouman, Freek P. W. de Rooij, Wouter B. van der Sluis |
|---|---|
| Přispěvatelé: | Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Urology, AII - Infectious diseases, APH - Methodology, Other Research, APH - Quality of Care |
| Rok vydání: | 2020 |
| Předmět: |
Transgender men
medicine.medical_specialty Health (social science) metaidioplasty Demographics business.industry Health Policy medicine.medical_treatment Prosthesis Implantation Medicine (miscellaneous) Prosthesis clinical outcomes Surgery Gender Studies neoscrotal augmentation Testicular prosthesis phalloplasty Transgender medicine Phalloplasty Implantation procedure business Research Article |
| Zdroj: | Legemate, C M, de Rooij, F P W, Bouman, M-B, Pigot, G L & van der Sluis, W B 2021, ' Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection ', International Journal of Transgender Health, vol. 22, no. 3, pp. 330-336 . https://doi.org/10.1080/26895269.2020.1840476 International Journal of Transgender Health article-version (VoR) Version of Record International Journal of Transgender Health, 22(3), 330-336. Routledge |
| ISSN: | 2689-5269 |
| DOI: | 10.1080/26895269.2020.1840476 |
| Popis: | Background: Testicular prostheses implantation may be used for neoscrotal augmentation in transgender men. In current literature, explantation rates range from 0.6% to 30% and most are a result of infection or extrusion. Information on the surgical path of individuals after prosthesis explantation is scarce. Aim: To assess the frequency and success rate of testicular prosthesis implantation after previous explantation due to infection or extrusion. Methods: All transgender men who underwent testicular prosthesis explantation between January 1991 and December 2018 were retrospectively identified from a departmental database. A retrospective chart study was conducted, recording demographics, surgical and prosthesis characteristics, reoperations, and outcomes. Results: A total of 41 transgender men were included who underwent testicular prosthesis explantation in the study time period. Of these, 28 (68%) opted for new prosthesis implantation. Most explanted prosthesis had a volume ≥30cc and were replaced with an equally sized one. The postoperative course was uneventful in 19 out of 28 (68%) individuals. Explantation of one or both prostheses occurred in 7 out of 28 (25%) individuals, because of infection (n = 3, 11%) or extrusion (n = 4, 14%). Patients that experienced complications had more often a history of smoking (p = 0.049). The explantation rate was lower if a smaller or lighter prosthesis was reimplanted (p = 0.020). Discussion: Most patients opt for testicular prosthesis implantation after previous explantation due to extrusion or infection. Explantation rates are higher than after the primary implantation procedure. Results of current study can be used to inform individuals on postoperative outcomes. |
| Databáze: | OpenAIRE |
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