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Testicular prostheses: body image and sexual functioning.

机译:睾丸假体:身体形象和性功能。

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摘要

OBJECTIVES: To evaluate retrospectively the body image and sexual functioning in patients who have a testicular prosthesis (TP). PATIENTS AND METHODS: The medical charts were evaluated for 30 adult patients who received 32 TPs between 1985 and 1997. A questionnaire was mailed to each patient, asking about body image, satisfaction with the implant and with sexual functioning. RESULTS: Of the 30 patients, 22 (73%) replied; their mean (range) age was 30 (18-47) years. Most of the patients had a silicone gel-filled TP. No complications were reported in 25 (83%) patients and 80% reported no sexual problems; 20% felt uncomfortable in intimate contacts, 68% found their body image improved after having a TP, 58% were satisfied with their current sexual life, 90% had no erectile dysfunction and 45% reported premature ejaculation. CONCLUSIONS: Patients who have lost a testis for any reason should be informed about the availability of a TP. Prostheses were well accepted and no systemic disease was reported. Almost all patients reported an improvement in their body image. Sexual life and performance were apparently not compromised by having a TP. New surgical procedures are recommended to improve the cosmetic appearance of a TP in the scrotum.
机译:目的:回顾性评估睾丸假体(TP)患者的身体形象和性功能。患者与方法:对1985年至1997年间接受32 TP的30名成年患者的病历进行了评估。向每位患者邮寄了一份问卷,询问他们的身体图像,对植入物的满意度以及对性功能的满意度。结果:30例患者中,有22例(73%)回答;他们的平均年龄(年龄)为30(18-47)岁。大多数患者有填充硅胶的TP。 25例(83%)患者中没有并发症的报告,而80%的患者没有性问题。 20%的人与亲密接触感到不舒服; 68%的人在接受TP后发现其身体形象得到改善; 58%的人对当前的性生活感到满意; 90%的人没有勃起功能障碍; 45%的人表示早泄。结论:因任何原因而失去睾丸的患者应被告知TP的可用性。假体被广泛接受,没有系统性疾病的报道。几乎所有患者均报告其身体形象有所改善。性生活和性能力显然并没有因为接受TP而受到损害。建议采用新的手术程序以改善阴囊中TP的外观。

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