Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective
Abstract Objectives This study aimed to assess current international clinician practices, attitudes and barriers related to testicular prosthesis implantation in patients with testicular cancer at the time of radical inguinal orchidectomy. Methods An international online survey of urologists who per...
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| Format: | Article |
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Wiley
2025-01-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.465 |
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| author | Anthony Emmanuel Abi Kanthabalan Cameron Alexander Nikita Bhatt Vinson Chan Odunayo Kalejaiye Krishna Narahari Veeru Kasivisvanathan Majed Shabbir |
| author_facet | Anthony Emmanuel Abi Kanthabalan Cameron Alexander Nikita Bhatt Vinson Chan Odunayo Kalejaiye Krishna Narahari Veeru Kasivisvanathan Majed Shabbir |
| author_sort | Anthony Emmanuel |
| collection | DOAJ |
| description | Abstract Objectives This study aimed to assess current international clinician practices, attitudes and barriers related to testicular prosthesis implantation in patients with testicular cancer at the time of radical inguinal orchidectomy. Methods An international online survey of urologists who perform radical orchidectomy for testicular cancer was developed. The recruitment process used social media and the emailing lists of national urological societies. Responses were collected between 10 February 2021 and 31 May 2021. The primary outcome was the proportion of urologists who always offered testicular prosthesis implantation to patients undergoing radical orchidectomy. Secondary outcomes included the reasons for not offering testicular prosthesis implantation. Results A total of 393 respondents took part in the online survey; of these, the majority were from the UK (66%), with the remaining international respondents (34%) from six different continents. Urologists (53%) reported they always offer testicular prosthesis implantation. Of those that offered testicular prosthesis implantation, 28% did so as a secondary procedure after radical orchidectomy, rather than the time of radical orchidectomy (72%). The most frequently selected reasons for not offering testicular prosthesis implantation included concerns about delaying chemotherapy (41%), infection (33%), impaired cosmesis (17%) and lack of availability (17%). Conclusion Despite evidence confirming the safety and the psychological benefit of testicular prosthesis implantation during radical orchidectomy, current international practice suggests just over half of urologists always offer this to their patients. Increased clinician awareness of the low risk of complications and high patient satisfaction may act to reduce the perceived barriers in offering testicular prosthesis implantation. |
| format | Article |
| id | doaj-art-2fb14a77f0a043c19a8d94890442ff97 |
| institution | Kabale University |
| issn | 2688-4526 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj-art-2fb14a77f0a043c19a8d94890442ff972025-01-31T00:14:32ZengWileyBJUI Compass2688-45262025-01-0161n/an/a10.1002/bco2.465Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspectiveAnthony Emmanuel0Abi Kanthabalan1Cameron Alexander2Nikita Bhatt3Vinson Chan4Odunayo Kalejaiye5Krishna Narahari6Veeru Kasivisvanathan7Majed Shabbir8Department of Urology Freeman Hospital Newcastle upon Tyne UKDepartment of Urology Worcestershire Royal Hospital Worcester UKDepartment of Urology Royal Bolton Hospital Greater Manchester UKDepartment of Urology Norfolk and Norwich University Hospital Norwich UKSchool of Medicine, Faculty of Medicine and Health University of Leeds Leeds UKDepartment of Urology North Bristol NHS Trust Bristol UKDepartment of Urology, University Hospital of Wales, Cardiff and Division of Cancer & Genetics Cardiff University UKDivision of Surgery and Interventional Science University College London London UKDepartment of Urology Guy's & St. Thomas' Hospital, and Faculty of Life Sciences & Medicine, King's College London London UKAbstract Objectives This study aimed to assess current international clinician practices, attitudes and barriers related to testicular prosthesis implantation in patients with testicular cancer at the time of radical inguinal orchidectomy. Methods An international online survey of urologists who perform radical orchidectomy for testicular cancer was developed. The recruitment process used social media and the emailing lists of national urological societies. Responses were collected between 10 February 2021 and 31 May 2021. The primary outcome was the proportion of urologists who always offered testicular prosthesis implantation to patients undergoing radical orchidectomy. Secondary outcomes included the reasons for not offering testicular prosthesis implantation. Results A total of 393 respondents took part in the online survey; of these, the majority were from the UK (66%), with the remaining international respondents (34%) from six different continents. Urologists (53%) reported they always offer testicular prosthesis implantation. Of those that offered testicular prosthesis implantation, 28% did so as a secondary procedure after radical orchidectomy, rather than the time of radical orchidectomy (72%). The most frequently selected reasons for not offering testicular prosthesis implantation included concerns about delaying chemotherapy (41%), infection (33%), impaired cosmesis (17%) and lack of availability (17%). Conclusion Despite evidence confirming the safety and the psychological benefit of testicular prosthesis implantation during radical orchidectomy, current international practice suggests just over half of urologists always offer this to their patients. Increased clinician awareness of the low risk of complications and high patient satisfaction may act to reduce the perceived barriers in offering testicular prosthesis implantation.https://doi.org/10.1002/bco2.465implantationradical orchidectomysurveytesticular cancertesticular prosthesis |
| spellingShingle | Anthony Emmanuel Abi Kanthabalan Cameron Alexander Nikita Bhatt Vinson Chan Odunayo Kalejaiye Krishna Narahari Veeru Kasivisvanathan Majed Shabbir Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective BJUI Compass implantation radical orchidectomy survey testicular cancer testicular prosthesis |
| title | Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective |
| title_full | Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective |
| title_fullStr | Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective |
| title_full_unstemmed | Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective |
| title_short | Current attitudes to testicular prosthesis insertion during radical orchidectomy—An international perspective |
| title_sort | current attitudes to testicular prosthesis insertion during radical orchidectomy an international perspective |
| topic | implantation radical orchidectomy survey testicular cancer testicular prosthesis |
| url | https://doi.org/10.1002/bco2.465 |
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