The application of polypropylene mesh for testicular prosthesis in surgical castration for patients with prostate cancer.

BACKGROUND: To explore whether a polypropylene mesh is suitable for application as a new material for testicular prostheses. METHODS: The data of 65 patients with advanced prostate cancer who underwent surgical castration in hospital were collected and analyzed. Patients who preferred to undergo traditional orchidectomy (n = 16) were assigned to the control group, and patients who underwent subcapsular orchiectomy plus implantation of a polypropylene mesh testicular prosthesis (n = 49) were assigned to the experimental group. The presence of hematoma, infection, and other complications in patients in these two groups were investigated at 3 and 12 months following the surgery. The patients were also followed up using a self-designed testicular castration satisfaction questionnaire. RESULTS: A higher score indicated greater satisfaction. The mean score was 15.33 ± 2.85 in the experimental group and 4.63 ± 1.45 in the control group at 3 months after the surgery. The mean score was 14.92 ± 1.74 in the experimental group and 4.25 ± 1.61 in the control group at 12 months after the surgery. The difference between the two groups was statistically significant at the two time points (P < 0.01). CONCLUSIONS: Compared with orchidectomy alone, patients were more satisfied with subcapsular orchiectomy plus the implantation of a polypropylene mesh testicular prosthesis for the treatment of advanced prostate cancer. Furthermore, the polypropylene mesh testicular prosthesis maintained its original character over the duration of the study, with a good long-term effect. Thus, implantation of a polypropylene mesh testicular prosthesis is indicated to be safe and effective, and polypropylene mesh is potentially useful as a new material for testicular prostheses.

[Polypropylene mesh for testicular prothesis implantation: A report of 57 cases].

OBJECTIVE: To search for an optimum method for testicular prothesis implantation in the treatment of testis loss. METHODS: We retrospectively analyzed the surgical methods and outcomes of 53 cases of terminal prostate cancer and 4 cases of unilateral testicular torsion treated by implantation of testicular prothesis with the polypropylene mesh. RESULTS: The 57 male patients all received testicular prothesis with the polypropylene mesh. All the patients were satisfied with the appearance and size of the scrotum after surgery. No scrotal hematoma, prosthesis infection, or autoimmune disease occurred postoperatively. CONCLUSION: Testis loss is not a rare condition clinically, for the treatment of which surgical implantation of testicular prothesis with the polypropylene mesh can achieve both a fine tissue compatibility and a desirable scrotal appearance.

[Effects of Organic Loading Rate on Startup Performance of Anaerobic Digestion with Vinegar Residues].

Biochemical methane potential experiments were conducted to investigate the effects of organic loading rate on the performance of anaerobic digesters with vinegar residues. According to the comparisons of methane production and liquid phase compositions, as well as thermogravimetry, X-ray Diffraction and infrared spectroscopy analyses, the conclusions could be drawn that:①Lower organic loading rate was better to mitigate the accumulation of VFAs and pH decrease during the hydrolysis and acidification of organic matters, which consequently improved methane production. When the inoculum to substrate ratio was 1:1[organic loading rate of 1.78 g·(L·d)-1, pH=7.60], the cumulative methane production was the highest, reaching 2249.7 mL, and the performance of the digesters was stable. The VFAs content increased with the increase of the organic loading rate, leading to the suppression and further the stop of methane production. And when the inoculum to substrate ratio was 1:4[organic loading rate of 7.12 g·(L·d)-1, pH=5.52], the simultaneous generation of acetate and lactic acids could be achieved at 8000 mg·L-1 and 2650 mg·L-1, respectively. ② As vinegar residues were short-range ordered with microcrystalline structure or mainly contained amorphous substances, they were more biodegradable than feedstocks such as corn stalk. During the anaerobic digestion processes, the degradation rates of lignin, cellulose and hemicellulose increased with the decrease of organic loading rate.