Testicular torsion: a modified surgical technique for immediate intravaginal testicular prosthesis implant

Autor: Daniel Hampl, Leandro Koifman, Ricardo de Almeida, Marcio Ginsberg, Francisco J. B. Sampaio, Luciano A. Favorito
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Brazilian Journal of Urology, Vol 47, Iss 6, Pp 1219-1227 (2021)
Druh dokumentu: article
ISSN: 1677-6119
1677-5538
DOI: 10.1590/s1677-5538.ibju.2021.9917
Popis: ABSTRACT Purpose: The aim of this paper is to propose a modified surgical technique for immediate intravaginal prosthesis implantation in patients undergoing orchiectomy due to testicular torsion, and to evaluate the wound healing process and patient’s satisfaction. Material and methods: We prospectively analyzed 137 patients with testicular torsion admitted to our facility between April 2018 and May 2020. Twenty-five patients who underwent orchiectomy were included in this study. Fifteen had a testicular prosthesis implanted at the same time as orchiectomy using a modified intravaginal technique (summary figure) and 10 received implants 6 to 12 months after orchiectomy. Wound healing was evaluated at a minimum of four checkpoints (on days 15, 45, 90 and 180 after surgery). At the end of the study, a questionnaire was administered to measure patients’ satisfaction rate. Student’s t test was used for comparison of quantitative data between negative vs. positive cultures (p
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