No abstract

the prosthesis can be placed within the scrotum and the Indications wound closed (Fig. 3). Testicular prostheses are usually inserted for cosmetic reasons after orchidectomy and as such, the key to the Comparison with other methodsprocedure is the correct positioning of the prosthesis in the normal dependent location within the scrotum. We A few techniques have been described to optimise intrascrotal placement. The use of a vaginal speculum, describe a technique that ensures optimal positioning and prevents postoperative migration.placed in the inguinal wound, to identify the most dependent position also has the advantage of dilatation of the scrotal neck [1]. However, the size of the speculum MethodUsing an inguinal approach, the neck of the scrotum is dilated with Hegar dilators of increasing size until it will admit the prosthesis. The largest dilator is then pushed downwards to the most dependent part of the scrotum (Fig. 1a). A second dilator is then placed on the scrotal skin, in opposition to the intrascrotal dilator, clamping the most dependent part of the scrotum between the dilators (Fig. 1b). The dilators are then moved cephalad together, such that the most dependent part of the scrotum is invaginated over the second dilator and lies outside the inguinal wound (Fig. 2a). The prosthesis is then anchored to this area using a 3/0 polyglactin suture (Fig. 2b).