title: Cosmetic orchiectomy using pedicled fibro-fatty tissue graft for prostate cancer: a new approach.
abstract: 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.
authors.affiliation: Department of Urology, Tokyo Medical and Dental University, School of Medicine, Tokyo, Japan. k-kihara.uro@med.tmd.ac.jp
authors.forename: K
authors.initials: K
authors.lastname: Kihara
authors.forename: H
authors.initials: H
authors.lastname: Oshima
mesh_terms: 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