Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies
Testicular prostheses are regularly used in urological surgery and are important for postoperative psychological well-being in many patients undergoing orchiectomy. One of the recognised complications of this procedure is graft extrusion, which can result in significant morbidity for patients and re...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/434951 |
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| _version_ | 1849687032738086912 |
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| author | Jack Donati-Bourne A. Deb Suresh Jay Mathias Mark Fraser Saxby Herman Fernando |
| author_facet | Jack Donati-Bourne A. Deb Suresh Jay Mathias Mark Fraser Saxby Herman Fernando |
| author_sort | Jack Donati-Bourne |
| collection | DOAJ |
| description | Testicular prostheses are regularly used in urological surgery and are important for postoperative psychological well-being in many patients undergoing orchiectomy. One of the recognised complications of this procedure is graft extrusion, which can result in significant morbidity for patients and require operative reintervention. Whilst most cases of extrusion involve upward graft migration to the external inguinal ring or direct displacement through the scrotal skin, we present an unusual case of complete expulsion of testicular implant three weeks postoperatively through a previously healthy scrotum. During surgical insertion of testicular prostheses, the urological surgeon must carefully consider the different surgical strategies at each step of the operation to prevent future extrusion of the graft. A stepwise review of the preventive surgical strategies to reduce the risk of graft extrusion encompasses the choice of optimal surgical incision, the technique of dissection to create the receiving anatomical pouch, the method of fixation of the implant within the receiving hemiscrotum, and the adoption of good postoperative care measures in line with the principles of sound scrotal surgery. |
| format | Article |
| id | doaj-art-01ff80dcd05a4c5c8eb2f17d575cfefa |
| institution | DOAJ |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-01ff80dcd05a4c5c8eb2f17d575cfefa2025-08-20T03:22:27ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/434951434951Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical StrategiesJack Donati-Bourne0A. Deb1Suresh Jay Mathias2Mark Fraser Saxby3Herman Fernando4Royal Stoke University Hospital, University Hospitals North Midlands, Newcastle Road, Stoke-on-Trent ST4 6QG, UKRoyal Stoke University Hospital, University Hospitals North Midlands, Newcastle Road, Stoke-on-Trent ST4 6QG, UKRoyal Stoke University Hospital, University Hospitals North Midlands, Newcastle Road, Stoke-on-Trent ST4 6QG, UKRoyal Stoke University Hospital, University Hospitals North Midlands, Newcastle Road, Stoke-on-Trent ST4 6QG, UKRoyal Stoke University Hospital, University Hospitals North Midlands, Newcastle Road, Stoke-on-Trent ST4 6QG, UKTesticular prostheses are regularly used in urological surgery and are important for postoperative psychological well-being in many patients undergoing orchiectomy. One of the recognised complications of this procedure is graft extrusion, which can result in significant morbidity for patients and require operative reintervention. Whilst most cases of extrusion involve upward graft migration to the external inguinal ring or direct displacement through the scrotal skin, we present an unusual case of complete expulsion of testicular implant three weeks postoperatively through a previously healthy scrotum. During surgical insertion of testicular prostheses, the urological surgeon must carefully consider the different surgical strategies at each step of the operation to prevent future extrusion of the graft. A stepwise review of the preventive surgical strategies to reduce the risk of graft extrusion encompasses the choice of optimal surgical incision, the technique of dissection to create the receiving anatomical pouch, the method of fixation of the implant within the receiving hemiscrotum, and the adoption of good postoperative care measures in line with the principles of sound scrotal surgery.http://dx.doi.org/10.1155/2015/434951 |
| spellingShingle | Jack Donati-Bourne A. Deb Suresh Jay Mathias Mark Fraser Saxby Herman Fernando Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies Case Reports in Urology |
| title | Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies |
| title_full | Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies |
| title_fullStr | Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies |
| title_full_unstemmed | Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies |
| title_short | Complete Expulsion of Testicular Prosthesis via the Scrotum: A Case-Based Review of the Preventive Surgical Strategies |
| title_sort | complete expulsion of testicular prosthesis via the scrotum a case based review of the preventive surgical strategies |
| url | http://dx.doi.org/10.1155/2015/434951 |
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