Unilateral spontaneous rupture of a testicular implant thirteen years after bilateral insertion: a case report.
BACKGROUND
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.


METHODS
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.


CONCLUSIONS
The majority of cases reported to date have required exploration due to symptoms but we describe a case that was managed conservatively.
Dept of Urology, Wrexham Maelor Hospital, Croesnewydd Road, Wrexham, LL13 7TD, UK. nilbury@oceanfree.net.
Michael St J
MS
Floyd
Helen
H
Williams
Sanjay K
SK
Agarwal
Alan R
AR
De Bolla