Management of Testicular Silicone Gel-Filled Prosthesis Rupture: Case Report of a Rare Event and a Review of the Literature

Abstract

Introduction. We report a case of spontaneous rupture of a single testicular prosthesis in a patient who had undergone bilateral orchiectomy and silicone gel-filled prosthesis insertion. The consequences of this rare event are discussed. There is no management algorithm. Case Presentation. A 55-year-old man presented to our outpatient department with altered consistency in his right testicular prosthesis and a painful right hemiscrotum with no systemic symptoms thirty-three years after the implantation of the prosthesis. We removed this implant without replacement, in accordance with the patient's wishes. Conclusion. The long time between the implantation and the spontaneous rupture is remarkable and was never before described. The removal of the prosthesis was straightforward and it would have been possible to implant a new prosthesis after taking into account the condition of the skin.

Using neural networks to mine text and predict metabolic traits for thousands of microbes

“…This makes their metabolism important to nutrient cycling in the environment [1][2][3]. Their metabolism is also important to symbiotic relationships with other organisms [4,5] and for synthetic biologists in the lab [6,7]. As such, information on microbial metabolism is of value to investigators throughout biology.…”

Spontaneous testicular silicone prosthesis rupture, a rare event

“…Implant, regardless of intra or extracapsular rupture, should be removed in order to prevent the development of inflammatory changes of the surrounding tissue and locoregional lymph nodes which can lead to the clinical manifestations of scrotal pain and ilioinguinal neuralgia. 1 In most documented cases, patients were referred to Urology for implant removal to alleviate and prevent progression of symptoms. Unfortunately, our patient was lost to follow up and urology referral was not pursued.…”

“…The silicone shell with gel implant was most commonly used up until the 1990s, at which time it was discontinued due to the well-documented complications seen with silicone breast implants, particularly the effects of silicone gel leakage and autoimmune disorders. 1 Now, testicular prostheses consist of three types of devices including saline filled prosthesis, silicone elastomer implant and coloplast soft solid implant. The focus of our report is on the silicone elastomer implant.…”

Insertion of a testicular prosthesis at the time of radical orchiectomy for testicular cancer is safe in patients who will subsequently undergo chemotherapy or radiotherapy

“…Thus, we check the prosthesis every year with ultrasound, and we use magnetic resonance imaging in case of suspicion of rupture. Anyway, to our knowledge, only one case of rupture of a silicone‐filled prosthesis was reported, and it was straightforwardly managed with prosthesis removal without consequences (Phan et al., 2016).…”