{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:31:04Z","timestamp":1777433464671,"version":"3.51.4"},"reference-count":43,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research Council of the University of Patras"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: To evaluate the quality of life (QoL) of adolescent and young adult males who had testicular prosthesis surgery during their childhood, as well as their own and their parents\u2019 inner perceptions and feelings. To our knowledge, this is the first qualitative study and one of few with an integrated approach on the QoL of pediatric testicular prosthesis recipients. Methods: Recipients and their parents were interviewed regarding their life with the testicular prosthesis. Major QoL domains (i.e., physical and mental health, interpersonal relationships, sexuality) were assessed. Results: Although there were participants who viewed the outcomes with negativity, most expressed satisfaction. Daily routine returned to normal after a postoperative period with precautions, such as fear of damaging either the implant or the healthy testis. Prosthesis feeling was acceptable and normalized with time, while self-image and self-confidence were boosted by the presence of the prosthesis. All participants outlined the importance of privacy as being kept in the inner family circle. Some exhibited introverted behavior. Regarding sentimental and sexual intimacy, the prosthesis produced anxiety and concern both in experienced recipients and minors, which was moderated by a normal scrotal appearance. Conclusions: Testicular prosthesis surgery performed from childhood to adulthood may create profound and variable concerns, which may affect the recipients and their companions in the long term. Therefore, it should not be considered in a simplistic manner as a routine procedure and should be preceded by thorough conversation with experts.<\/jats:p>","DOI":"10.3390\/children12060720","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T12:27:09Z","timestamp":1748867229000},"page":"720","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Quality of Life of Adolescents and Young Adults After Testicular Prosthesis Surgery During Childhood: A Qualitative Study and Literature Review"],"prefix":"10.3390","volume":"12","author":[{"given":"Zoi","family":"Chantzi","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, University Hospital, 26504 Patras, Greece"},{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7617-9076","authenticated-orcid":false,"given":"Sotirios","family":"Fouzas","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"},{"name":"Department of Pediatrics, University Hospital, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros","family":"Drivalos","sequence":"additional","affiliation":[{"name":"Department of Urology, General Hospital of Ilia, 27100 Pyrgos, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athanasia","family":"Stamati","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, General Hospital of Ilia, 27100 Pyrgos, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agapios","family":"Gkentzis","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Bolton Hospital, Farnworth, Bolton BL40JR, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Athanasopoulou","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital, 26331 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0817-6513","authenticated-orcid":false,"given":"Katerina","family":"Kambouri","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Democritus University of Thrace, 69100 Alexandroupolis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1421-0813","authenticated-orcid":false,"given":"Despoina","family":"Gkentzi","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"},{"name":"Department of Pediatrics, University Hospital, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7051-7537","authenticated-orcid":false,"given":"Eirini","family":"Kostopoulou","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"},{"name":"Department of Pediatrics, University Hospital, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Vareli","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital, 26331 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelos","family":"Blevrakis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Hospital, 71003 Heraklion, Greece"},{"name":"School of Medicine, University of Crete, 71003 Heraklion, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Zachos","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital, 26331 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Alexopoulos","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital, 26331 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonios","family":"Panagidis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital, 26331 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5514-7083","authenticated-orcid":false,"given":"Panagiotis","family":"Plotas","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aspasia","family":"Louta","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Hospital, 26504 Patras, Greece"},{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ageliki A.","family":"Karatza","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"},{"name":"Department of Pediatrics, University Hospital, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Dassios","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"},{"name":"Department of Pediatrics, University Hospital, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7929-1573","authenticated-orcid":false,"given":"Gabriel","family":"Dimitriou","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"},{"name":"Department of Pediatrics, University Hospital, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7499-4034","authenticated-orcid":false,"given":"Eleni","family":"Jelastopulu","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medicine, University of Patras, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0878-0668","authenticated-orcid":false,"given":"Xenophon","family":"Sinopidis","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Hospital, 26504 Patras, Greece"},{"name":"School of Medicine, University of Patras, 26504 Patras, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1093\/sxmrev\/qeae055","article-title":"Testicular prosthesis: A historical and current review of the literature","volume":"12","author":"Honig","year":"2024","journal-title":"Sex. 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