Premium
Is it safe to insert a testicular prosthesis at the time of radical orchidectomy for testis cancer: an audit of 904 men undergoing radical orchidectomy
Author(s) -
Robinson Richard,
Tait Campbell D.,
Clarke Noel W.,
Ramani Vijay A.C.
Publication year - 2016
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12920
Subject(s) - medicine , prosthesis , surgery , complication , penile prosthesis , odds ratio
Objective To compare the complication rate associated with synchronous prosthesis insertion at the time of radical orchidectomy with orchidectomy alone. Patient and Methods All men undergoing radical orchidectomy for testis cancer in the N orth W est R egion of E ngland between A pril 1999 to J uly 2005 and N ovember 2007 to N ovember 2009 were included. Data on postoperative complications, length of stay ( LOS ), re‐admission rate and return to theatre rate were collected. Results In all, 904 men [median (range) age 35 (14–88) years], underwent a radical orchidectomy during the study period and 413 (46.7%) were offered a prosthesis, of whom 55.2% chose to receive one. Those offered a prosthesis were significantly younger ( P < 0.001), with a median age of 33 vs 37 years. There was no significant difference between the groups for LOS ( P = 0.387), hospital re‐admission rates ( P = 0.539) or return to theatre rate ( P = 0.999). In all, 33/885 patients were readmitted ≤30 days of orchidectomy, with one of 236 prosthesis patients requiring prosthesis removal (0.4%). Older age at orchidectomy was associated with an increased risk of 30‐day hospital re‐admission (odds ratio 1.032, P = 0.016). Conclusions Concurrent insertion of a testicular prosthesis does not increase the complication rate of radical orchidectomy as determined by LOS , re‐admission or the need for further surgery. Prosthesis insertion at the time of orchidectomy for testis cancer is safe and concerns about increased complications should not constrain the offer of testicular prosthesis insertion concurrently with primary surgery.