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Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection

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 i...

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Autores principales: Legemate, Catherine M., de Rooij, Freek P. W., Bouman, Mark-Bram, Pigot, Garry L., van der Sluis, Wouter B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118234/
https://www.ncbi.nlm.nih.gov/pubmed/34240075
http://dx.doi.org/10.1080/26895269.2020.1840476
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author Legemate, Catherine M.
de Rooij, Freek P. W.
Bouman, Mark-Bram
Pigot, Garry L.
van der Sluis, Wouter B.
author_facet Legemate, Catherine M.
de Rooij, Freek P. W.
Bouman, Mark-Bram
Pigot, Garry L.
van der Sluis, Wouter B.
author_sort Legemate, Catherine M.
collection PubMed
description 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.
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spelling pubmed-81182342021-11-09 Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection Legemate, Catherine M. de Rooij, Freek P. W. Bouman, Mark-Bram Pigot, Garry L. van der Sluis, Wouter B. Int J Transgend Health Research Article 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. Taylor & Francis 2020-11-09 /pmc/articles/PMC8118234/ /pubmed/34240075 http://dx.doi.org/10.1080/26895269.2020.1840476 Text en © 2020 The Author(s). Published with license by Taylor and Francis Group, LLC https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
spellingShingle Research Article
Legemate, Catherine M.
de Rooij, Freek P. W.
Bouman, Mark-Bram
Pigot, Garry L.
van der Sluis, Wouter B.
Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
title Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
title_full Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
title_fullStr Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
title_full_unstemmed Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
title_short Surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
title_sort surgical outcomes of testicular prostheses implantation in transgender men with a history of prosthesis extrusion or infection
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118234/
https://www.ncbi.nlm.nih.gov/pubmed/34240075
http://dx.doi.org/10.1080/26895269.2020.1840476
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