研究动态
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睾丸假体:历史和当前文献回顾。

Testicular prostheses: a historical and current review of the literature.

发表日期:2024 Aug 09
作者: Asia N Matthew-Onabanjo, Stanton Honig
来源: Sexual Medicine Reviews

摘要:

对于许多良性和恶性睾丸疾病,可以在睾丸切除术时放置睾丸假体。美国泌尿外科协会指南建议在手术前讨论植入物。我们回顾了有关睾丸假体植入的文献,包括病史、心理影响、手术技术、并发症、满意度和新出现的医学意义。Medline 进行了搜索与“睾丸植入”、“睾丸假体”、“睾丸植入满意度”和“睾丸植入历史”相关且包括“睾丸植入历史”的多个术语。确定了 20 篇包含患者满意度数据的文章。 13 项研究中,除了对设备的满意度外,还报告了对舒适度、形状、尺寸和重量的满意度。据报道,睾丸假体的总体满意度很高。应在睾丸切除术时或根据患者的喜好在随后的任何时间为患者提供植入物。本文对睾丸假体文献进行了当代和全面的回顾。植入后的满意度始终保持较高水平。此外,正在研究创新方法,包括探索治疗性腺功能减退症的新型植入物。此外,3 维打印技术的利用正在彻底改变睾丸植入物的制造,旨在实现与人类睾丸非常相似的质地和密度。© 作者 2024。由牛津大学出版社代表国际睾丸学会出版性医学。版权所有。如需权限,请发送电子邮件至:journals.permissions@oup.com。
Testicular prosthesis can be placed at the time of orchiectomy for many benign and malignant testicular conditions. The American Urological Association guidelines recommend discussing the implant prior to the procedure.We review the literature on testicular prosthesis placement with respect to the history, psychological impact, surgical technique, complications, satisfaction, and novel emerging medical implications.A Medline search was conducted with several terms related to and including "testicular implant," "testicular prosthesis," "testicular implant satisfaction," and "testicular implant history." Twenty articles were identified with patient satisfaction data. Satisfaction with the comfort, shape, size, and weight was reported in addition to satisfaction with the device from 13 studies.Overall satisfaction of testicular prosthesis is reported as high. Patients should be offered an implant at the time of orchiectomy or at any subsequent time based on their preference.This article presents a contemporary and comprehensive review of the literature on testicular prostheses. Satisfaction rates following implantation remain consistently high. Additionally, innovative approaches are being investigated, including the exploration of novel implants for treating hypogonadism. Moreover, the utilization of 3-dimensional printing technology is revolutionizing the creation of testicular implants, aiming to achieve a texture and density closely resembling human testicles.© The Author(s) 2024. Published by Oxford University Press on behalf of The International Society for Sexual Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.