Limits...
Management of Testicular Silicone Gel-Filled Prosthesis Rupture: Case Report of a Rare Event and a Review of the Literature.

Phan QB, Koutlidis N, Duperron C, Mourey E, Michel F, Cormier L - Case Rep Urol (2016)

Bottom Line: Case Presentation.We removed this implant without replacement, in accordance with the patient's wishes.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University Hospital Fran├žois Mitterrand, 14 rue Paul Gaffarel, 21000 Dijon, France.

ABSTRACT
Introduction. We report a case of spontaneous rupture of a single testicular prosthesis in a patient who had undergone bilateral orchiectomy and silicone gel-filled prosthesis insertion. The consequences of this rare event are discussed. There is no management algorithm. Case Presentation. A 55-year-old man presented to our outpatient department with altered consistency in his right testicular prosthesis and a painful right hemiscrotum with no systemic symptoms thirty-three years after the implantation of the prosthesis. We removed this implant without replacement, in accordance with the patient's wishes. Conclusion. The long time between the implantation and the spontaneous rupture is remarkable and was never before described. The removal of the prosthesis was straightforward and it would have been possible to implant a new prosthesis after taking into account the condition of the skin.

No MeSH data available.


Related in: MedlinePlus

Siliconome and the implant capsule.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4829707&req=5

fig4: Siliconome and the implant capsule.

Mentions: In view of the symptoms and in accordance with the patient's wishes, the right prosthesis was surgically removed without replacement. A scrotal approach was chosen. The skin incision released the silicone gel which had spread into the scrotum. After the removal of the ruptured prosthesis, the implant capsule and the surrounding fibrosis were also removed (Figure 4) and the altered scrotal skin was excised. Follow-up was uneventful.


Management of Testicular Silicone Gel-Filled Prosthesis Rupture: Case Report of a Rare Event and a Review of the Literature.

Phan QB, Koutlidis N, Duperron C, Mourey E, Michel F, Cormier L - Case Rep Urol (2016)

Siliconome and the implant capsule.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4829707&req=5

fig4: Siliconome and the implant capsule.
Mentions: In view of the symptoms and in accordance with the patient's wishes, the right prosthesis was surgically removed without replacement. A scrotal approach was chosen. The skin incision released the silicone gel which had spread into the scrotum. After the removal of the ruptured prosthesis, the implant capsule and the surrounding fibrosis were also removed (Figure 4) and the altered scrotal skin was excised. Follow-up was uneventful.

Bottom Line: Case Presentation.We removed this implant without replacement, in accordance with the patient's wishes.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University Hospital Fran├žois Mitterrand, 14 rue Paul Gaffarel, 21000 Dijon, France.

ABSTRACT
Introduction. We report a case of spontaneous rupture of a single testicular prosthesis in a patient who had undergone bilateral orchiectomy and silicone gel-filled prosthesis insertion. The consequences of this rare event are discussed. There is no management algorithm. Case Presentation. A 55-year-old man presented to our outpatient department with altered consistency in his right testicular prosthesis and a painful right hemiscrotum with no systemic symptoms thirty-three years after the implantation of the prosthesis. We removed this implant without replacement, in accordance with the patient's wishes. Conclusion. The long time between the implantation and the spontaneous rupture is remarkable and was never before described. The removal of the prosthesis was straightforward and it would have been possible to implant a new prosthesis after taking into account the condition of the skin.

No MeSH data available.


Related in: MedlinePlus