tailieunhanh - báo cáo khoa học: "Unilateral spontaneous rupture of a testicular implant thirteen years after bilateral insertion: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unilateral spontaneous rupture of a testicular implant thirteen years after bilateral insertion: a case report | Floyd et al. Journal of Medical Case Reports 2010 4 341 http content 4 1 341 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Unilateral spontaneous rupture of a testicular implant thirteen years after bilateral insertion a case report . . - . . r- . . 1 . . . . 1 - . .z . Michael St J Floyd Jr Helen Williams Sanjay K Agarwal2 Alan R De Bella Abstract Introduction We describe a case of spontaneous non traumatic rupture of a single artificial testis in a patient who had undergone bilateral staged radical orchidectomy followed by prosthesis insertion. The consequences and radiological appearances of implant rupture are discussed. We believe it is the longest time interval recorded between prosthesis insertion and rupture. Case presentation A 50 year old Caucasian man presented to our outpatient department with an altered consistency in his right testicular prosthesis without any systemic symptoms or local inflammation. His left testicular prosthesis had retained its consistency since insertion. Conclusion The majority of cases reported to date have required exploration due to symptoms but we describe a case that was managed conservatively. Introduction Prosthesis insertion is commonplace following radical orchidectomy as it provides patients with a cosmetically normal scrotum. The first case of a prosthetic testis was described in 1941 by Girdansky and Newman using a Vitallium implant 1 . Puranik in 1973 2 in the paediatric population and Lattimer in 1973 3 in adults are credited with introducing a silicone gel filled implant that resembled a naturally feeling testis. Implants consist of an outer silicone elastomer which envelops a transparent gel. Complications with breast implants have been well documented and include pain deformity and autoimmune phenomenon. Following concerns over silicone breast implants the American Urological Association in 1992 advised against the use of silicone gel testicular implants and advocated