Abstract
IntroductionWe 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 presentationA 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.ConclusionThe majority of cases reported to date have required exploration due to symptoms but we describe a case that was managed conservatively.
Highlights
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
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
Summary
Prosthesis insertion is commonplace following radical orchidectomy as it provides patients with a cosmetically normal scrotum. The overlying skin was normal and no regional adenopathy was evident His past history was remarkable for a right testicular teratoma seventeen years earlier treated by radical orchidectomy and adjuvant chemotherapy (Belomycin, Etoposide and Carboplatin). Twelve months following this he underwent retroperitoneal lymph node dissection for residual adenopathy. Hage et al in 1999 described cases of unilateral testicular implant rupture in a selected series of patients who had undergone transgender surgery with concomitant neoscrotal formation and bilateral implants All of these patients had a history of trauma or suspected intraoperative puncture and all underwent exploration of the affected area [10]
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