Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

14:53 - 14:56

S17-6

(PP)

TESTICULAR PROSTHESES: IS EARLIER BETTER?

Matthieu PEYCELON, Guillaume ROSSIGNOL, Cécile Olivia MULLER, Elisabeth CARRICABURU, Pascale PHILIPPE-

CHOMETTE, Annabel PAYE-JAOUEN and Alaa EL GHONEIMI

Robert-Debré University Hospital, AP-HP; Université Paris Diderot, Sorbonne Paris Cité, Pediatric Surgery and Urology,

Paris, FRANCE

PURPOSE

Testicular prosthesis implantation in children is uncommon; its optimal time for placement is still unclear. The aim of

this study was to determine risk factors of complications.

MATERIAL AND METHODS

A monocentric retrospective review of patients implanted with a testicular prosthesis between 2008 and 2014 was

performed. All implantations were performed through an inguinal incision. Children were divided into two groups

depending on the interval after orchiectomy, (A) early implantation (< 1 year), and (B) delayed surgeries (> 1 year).

Statistical analysis: Student and Fisher tests.

RESULTS

Twenty-six patients (A, 15; B, 11) had a total of 38 testicular prostheses placements. Mean follow up was 36.2 months.

First surgery was done at the mean age of 11.8 years (0-17.9) (A, 14.1; B, 8.1) and testicular prosthesis implantation

at the mean age of 14.7 years (9-18) (A, 14.3; B, 14.6) with a mean delay of 36.1 months (A, 1.3; B, 80.3). Indications

were mainly testicular torsion (27%), bilateral anorchia (27%), and testicular atrophy after cryptorchidism surgery

(19.2%). Complications (10.5%) included two cases of extrusion, one infection and one migration. Complication rate

was significantly higher if the delay between the two surgeries exceeded one year (p=0.04). Indications of orchiectomy,

scrotal approach and prosthesis size were not risk factors.

CONCLUSIONS

Testicular prosthetic implantation is relatively safe in children. However a delay exceeding one year between the

orchiectomy and the prosthetic placement may lead to complications. Our results suggest that reducing the delay

between orchiectomy and prosthesis implantation may lead to fewer complications.