{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:57Z","timestamp":1787762037879,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                    Orchiectomy is the recommended treatment for many testicular conditions. However, testicular prosthesis placement is not always performed for different reasons. In this study, we aimed to evaluate patients\u2019 opinions and the impact on sexual function and quality of life. This retrospective observational single-center study included patients who underwent orchiectomy between January 2014 and December 2020 at the Department of Urology, Braga\u2019s Hospital (Braga, Portugal), where testicular implants were always available and the decision to undergo the procedure was made fully independent of cost. Patients completed four questionnaires that assessed demographic data, satisfaction, self-esteem, and sexual function. Of the 96 patients who underwent orchidectomy, 59 replied to the questionnaires, and of these patients, 86.4% decided to undergo silicone-based testicular prostheses implantation. The remaining 13.6% refused the implant based on concerns about complications (37.5%), because they felt that it was unnecessary (37.5%), or because it was not offered by the doctor (25.0%). Overall, 96.1% of these patients were satisfied with the implant; however, 25.5% classified it as \u201ctoo firm\u201d. No statistically significant differences were found in sexual function (all\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &gt; 0.05). However, it can be observed that there are more patients with prostheses presenting normal sexual activity compared to patients without prostheses (74.0%\n                    <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                    50.0%), and none of them reported severe erectile dysfunction (0 vs 16.7%). Regarding self-esteem, both patients with and without prostheses present very similar average scores with no statistically significant differences. The present study highlights the highest level of satisfaction among patients who received testicular prostheses. Testicular prostheses implantation is a safe procedure that does not hamper sexual function after orchiectomy.\n                  <\/jats:p>","DOI":"10.4103\/aja202325","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T06:00:09Z","timestamp":1689228009000},"page":"160-164","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":18,"title":["Testicular prostheses \u2013 impact on quality of life and sexual function"],"prefix":"10.4103","volume":"26","author":[{"given":"Ana Sofia","family":"Ara\u00fajo","sequence":"first","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Anacleto","sequence":"additional","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina","family":"Tinoco","sequence":"additional","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreia","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Le\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Urology, Braga\u2019s Hospital, Braga 4710, Portugal"},{"name":"Faculty of Medicine, Coimbra University, Coimbra 3000, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"1557988319861019","DOI":"10.1177\/1557988319861019","article-title":"Patient attitudes toward testicular prosthesis placement after orchiectomy","volume":"13","author":"Srivatsav","year":"2019","journal-title":"Am J Mens Health"},{"key":"R2-20240829","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s12894-015-0010-0","article-title":"Testicular prostheses in patients with testicular cancer \u2013acceptance rate and patient satisfaction","volume":"15","author":"Dieckmann","year":"2015","journal-title":"BMC Urol"},{"key":"R3-20240829","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/S0002-9610(41)90676-1","article-title":"Use of a vitallium testicular implant","volume":"53","author":"Girdansky","year":"1941","journal-title":"Am J Surg"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"64","DOI":"10.4103\/aja.aja_93_19","article-title":"The modern testicular prosthesis:patient selection and counseling, surgical technique, and outcomes","volume":"22","author":"Hayon","year":"2020","journal-title":"Asian J Androl"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.urology.2017.12.006","article-title":"Satisfaction with testicular prosthesis after radical orchiectomy","volume":"114","author":"Clifford","year":"2018","journal-title":"Urology"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"186","DOI":"10.4081\/aiua.2016.3.186","article-title":"Testicular prosthesis:patient satisfaction and sexual dysfunctions in testis cancer survivors","volume":"88","author":"Catanzariti","year":"2016","journal-title":"Arch Ital Urol Androl"},{"key":"R7-20240829","first-page":"253","article-title":"[Testis endothesis surgery. 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