Experience of testicular prosthetics in children and adolescents: the results of a multicenter study

The article is devoted to the problem of testicular prosthesis in childhood and adolescence. Analyzed З45 such operations of the eight clinics of pediatric urology. The generalized experience with the definition of the most rational terms of prosthetics, evaluation of indications and conditions that led to prosthetics, recommendation of optimal accesses and methods of operation, as well as postoperative management. The analysis of complications in prosthetics, their structure, causes, methods of prevention and tactics in the loss of the implant. It is shown that the most common indication for prosthesis is the twisting of the testis and cryptorchidism with the loss of gonads, less monorchism, anarchism, neoplasms and other condition. The optimal age for prosthetics is 16-17 years. What is associated with the least number of complications and the possibility of correction of the condition before passport maturity. The operation wound irrationally. The most profitable is technically inguinal access...