Resumo

CANO RICCIARDI, LF  e  HOSPITAL DE CLINICAS. FACULTAD DE CIENCIAS MEDICAS - UNIVERSIDAD NACIONAL DE ASUNCION. Cátedra de Urología et al. Using of an Alternative Testicular Prosthesis (handmade) at the Department of Urology, Hospital de Clínicas, Asunción - Paraguay School of Medical Sciences - National University of Asunción. An. Fac. Cienc. Méd. (Asunción) [online]. 2015, vol.48, n.1, pp.49-58. ISSN 1816-8949.  https://doi.org/10.18004/anales/2015.048(01)49-058.

ABSTRACT INTRODUCTION: Orchiectomy are performed by varied and justified reasons. Failure of the testicles can cause not only a psychological problem, but also physical or aesthetic, so the search for alternative solutions to the problem is necessary. The objective of this study was to report results obtained with the making of a handmade testicular prosthesis. SUBJECTS AND METHODS: observational, analytical, cross-sectional, non-probability sampling of consecutive cases of patients undergoing orchiectomy, between January 2010 and August 2014. A Foley 18 was used as a silicone prosthesis. Data are expressed as proportions. For comparison of the groups was considered p RESULTS: We included 61 patients aged 14 to 89 years (45.5 ± 26.2), 34 (55.7%) from the interior. The indication was prostate cancer in 23 (37.7%) cases of testicular cancer in 30 (49.2%), twist cord in 7 (11.5%) and cryptorchidism 1 (1.6% ). 22 (36.1%) were on the right side, 16 (26.2%) left and 23 (37.7%) bilateral. 8 (13.1%) were outpatients under local anesthesia. In 33 (54.1%) accessed via the inguinal approach. Saline solution 0.9% in 52 (85.2%) patients and in 9 (14.8%) 2% lidocaine gel was instilled. The ball was blowing between 10 cc and 25 cc (15 ± 4.3). 8 (13%) had complications. In terms of partnerships: diagnosis and side (p = 0.000), age and diagnosis (p = 0.000), surgical approach and complications (p = 0.018), diagnosis and complications (p = 0.085), type of complications and surgical access (p = 0.001). The cost of the prosthesis was around $ 10. DISCUSSION: Testicular prosthesis craft an effective alternative, low-cost and low morbidity. Key Words: Testis. Handmade Prosthetics. Orchiectomy. Morbidity

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