Patient Decision-making and Predictors of Genital Satisfaction Associated With Testicular Prostheses After Radical Orchiectomy: A Questionnaire-based Study of Men With Germ Cell Tumors of the Testicle.
Objective: To better understand patient decision-making and genital satisfaction associated with postorchiectomy testicular prosthesis (TP) implantation in patients with germ cell tumors of the testicle.Materials and Methods: An electronic survey to assess TP decision-making and genital satisfaction...
| Published in: | Urology Vol. 124; pp. 276 - 282 |
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| Main Authors: | , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Elsevier B.V.
Feb2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134732579&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134732579 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00904295 1YG jtl: Urology issn: 00904295 maglogo: N pubinfo: dt: Feb2019 vid: 124 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 134732579 134732579 NLM30381246 134732579 10.1016/j.urology.2018.09.021 NLM30381246 134732579 ppf: 276 ppct: 6 formats: tig: atl: Patient Decision-making and Predictors of Genital Satisfaction Associated With Testicular Prostheses After Radical Orchiectomy: A Questionnaire-based Study of Men With Germ Cell Tumors of the Testicle. aug: au: Nichols, Paige E. Harris, Kelly T. Brant, Aaron Manka, Madeleine G. Haney, Nora Johnson, Michael H. Herati, Amin Allaf, Mohamed E. Pierorazio, Phillip M. affil: James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD sug: subj: Neoplasms, Germ Cell and Embryonal Surgery Patient Satisfaction Statistics and Numerical Data Decision Making Testis Testicular Neoplasms Surgery Orchiectomy Methods Prostheses and Implants Adolescence Middle Age Self Report Young Adult Adult Male Human Adolescent: 13-18 years Middle Aged: 45-64 years Adult: 19-44 years Male ab: Objective: To better understand patient decision-making and genital satisfaction associated with postorchiectomy testicular prosthesis (TP) implantation in patients with germ cell tumors of the testicle.Materials and Methods: An electronic survey to assess TP decision-making and genital satisfaction was distributed to patients via an institutional database (n = 70) and social media outlets (n = 167). Statistical analyses were performed using chi-square tests for categorical variables, Wilcoxon-Mann-Whitney tests for continuous variables, and multivariate regression analyses to identify independent predictors of receiving a prosthesis, genital satisfaction, and prosthesis satisfaction.Results: 24.9% of respondents elected to receive a TP, but 42% of men without a prosthesis reported never being offered one. Identifying as a heterosexual man (2.86) and receiving a TP (odds ratio = 3.29) were both positive predictors of overall genital satisfaction. Having the orchiectomy performed at an academic institution (odds ratio = 2.87) was a positive predictor of testicular prosthesis TP placement. 89.8% of TP recipients were satisfied with the look of their prosthetic, but only 59.3% of respondents were satisfied with prosthetic feel.Conclusion: There are high levels of genital satisfaction in those who elect to receive a TP postorchiectomy. Associations between TP placement, genital satisfaction, and sexuality merit further investigation. Our results also indicate that patients who pursue an orchiectomy at an academic institution are more likely to receive a TP. The use of social media to recruit study participants in urology should be explored further. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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