Analysis of the quality of life and patient satisfaction with the results of testicular prosthetics
- 作者: Shormanov I.S.1, Shchedrov D.N.1,2, Spasskaya Y.S.2, Garova D.Y.1,3
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隶属关系:
- Yaroslavl State Medical University
- Regional Pediatric Clinical Hospital
- Central City Hospital
- 期: 卷 14, 编号 1 (2024)
- 页面: 23-33
- 栏目: Original articles
- URL: https://journals.eco-vector.com/uroved/article/view/625785
- DOI: https://doi.org/10.17816/uroved625785
- ID: 625785
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详细
BACKGROUND: Satisfaction with the results is a complex and poorly studied aspect of testicular prosthetics, which currently has no comprehensive consecration in the literature. There are no works that are based on a comprehensive view of the problem, from a subjective analysis of the local physical characteristics of the implant itself and the aesthetic perception of one’s body to assessing the impact of prosthetics on the patient’s sex life and socialization.
AIM: The aim of this study is to evaluate the results of testicular prosthetics using an original questionnaire reflecting satisfaction with the physical characteristics of the implant, sexual behavior characteristics and the socio-psychological status of the patient.
MATERIALS AND METHODS: Questionnaires of 236 patients were analyzed — 112 adults 1 year after prosthetics and 124 adolescents after reaching 18 years of age with a period after surgery from 1 to 8 years. The survey was carried out using an original questionnaire that included 15 questions reflecting various aspects of the patient’s attitude to the results of prosthetics.
RESULTS: Overall satisfaction with prosthetics was more than 90% in both groups, prevailing in patients operated on in adolescence. The greatest satisfaction with prosthetics was noted in patients after testicular torsion and trauma, less satisfaction in patients with cryptorchidism, testicular hypoplasia, and monorchidism. When analyzing the patient’s interest in this procedure depending on the period before prosthetics, it was noted that satisfaction does not tend to decrease over time, up to a 10-year interval between the loss of the gonad and prosthetics. Requirements for the final result of prosthetics tend to increase in more educated patients. The results of the survey demonstrate the greatest demands for prosthetics in patients in the age group of 21–30 years as the most sexually active age category.
CONCLUSIONS: Patient satisfaction with modern implant prosthetics is quite high — at least 90%. However, these values are not maximum and leave room for further optimization of this method, which follows from the lack of a maximum assessment of satisfaction with the results of prosthetics — for all criteria the indicators do not exceed 95%.
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作者简介
I. Shormanov
Yaroslavl State Medical University
编辑信件的主要联系方式.
Email: i-s-shormanov@yandex.ru
ORCID iD: 0000-0002-2062-0421
SPIN 代码: 7772-8420
Scopus 作者 ID: 6507085029
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, 5 Revolutsionnaya st., Yaroslavl, 150000Dmitry Shchedrov
Yaroslavl State Medical University; Regional Pediatric Clinical Hospital
Email: shedrov.dmitry@yandex.ru
ORCID iD: 0000-0002-0686-0445
SPIN 代码: 7354-7379
MD, Dr. Sci. (Medicine)
俄罗斯联邦, 5 Revolutsionnaya st., Yaroslavl, 150000; YaroslavlYulia Spasskaya
Regional Pediatric Clinical Hospital
Email: ys.spasskaya@mail.ru
ORCID iD: 0009-0004-1373-6946
MD
俄罗斯联邦, YaroslavlDarya Garova
Yaroslavl State Medical University; Central City Hospital
Email: dar.garova@yandex.ru
ORCID iD: 0000-0003-4457-9694
SPIN 代码: 5789-8889
Assistant of the Department of Urology with Nephrology; Pediatric urologist-andrologist
俄罗斯联邦, 5 Revolutsionnaya st., Yaroslavl, 150000; Yaroslavl参考
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