Cosmetic orchiectomy using pedicled fibro-fatty tissue graft for prostate cancer: a new approach.
OBJECTIVE
To preserve the appearance of a normal scrotum at orchiectomy, a pedicled fibro-fatty tissue graft was inserted in the lumen of the tunica vaginalis.


METHODS
42 testes of 21 patients with metastatic prostate cancer were treated. A pedicled fibro-fatty tissue graft prepared from the region between the spermatic cord and the scrotal septum was inserted in the lumen of the tunica vaginalis following epididymis-sparing orchiectomy under local or spinal anesthesia.


RESULTS
A pedicled fibro-fatty tissue graft which reached the epididymal tail was prepared in all instances. The average postoperative volume of the scrotal content was 18 ml (range 5-30 ml). Postoperative complications were scrotal edema, sensation of traction at the inguinal region and epididymitis. All but 1 patient were satisfied with the appearance of the scrotum and achieved sufficient androgen ablation. Mean follow-up was 8 (3-11) months.


CONCLUSIONS
This cosmetic orchiectomy is a safe, simple and economical procedure to preserve the appearance of a normal scrotum; it also achieves the reliable result of androgen deprivation.
Kihara
K
K
Department of Urology, Tokyo Medical and Dental University, School of Medicine, Tokyo, Japan. k-kihara.uro@med.tmd.ac.jp
Oshima
H
H
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy / Q000534:rehabilitation*; D011183:Postoperative Complications; D011471:Prostatic Neoplasms / Q000601:surgery*; D012611:Scrotum / Q000601:surgery*; D013524:Surgical Flaps; D013519:Urogenital Surgical Procedures / Q000379:methods