Testicular Prosthesis Satisfaction Survey

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* 1. Are you a testicular cancer survivor or a partner of a survivor

Testicular cancer survivor

Partner of survivor

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* 2. Age

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* 3. Sex

Male

Female

Trans-male

Trans-female

Other (please specify)

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* 4. How long has it been since you or your partner underwent prosthesis placement?

0-6 months

6-12 months

1-2 years

2-4 years

Greater than 4 years

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* 5. What was the survivor's age at the time of orchiectomy?

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* 6. Who discovered the testicular cancer survivor's mass?

Survivor

Partner

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* 7. Overall satisfaction with your partner's prosthesis on a scale of 1-10 (1 being extremely unsatisfied and 10 being completely satisfied)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 8. How much of an impact on a scale of 1-10 does the prosthesis have on your sexual satisfaction or practices?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 9. Are you satisfied with the feel of the testicular prosthesis?

Yes

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* 10. Are you satisfied with the size of the testicular prosthesis?

Yes

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* 11. Are you satisfied with the positioning of the testicular prosthesis?

Yes

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* 12. Do you notice the prosthesis during sexual intercourse?

Yes

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* 13. Have any problems arisen due to the prosthesis? (ie pain, prosthesis removal, refraining from sexual intercourse) And if so, what were they?

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* 14. Have you noticed a difference in self-image related to prosthesis placement?

Yes

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* 15. Has your partner ever verbalized positive remarks related to their prosthesis?

Yes

Other (please specify)

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* 16. Has your partner ever verbalized negative remarks related to their prosthesis?

Yes

Other (please specify)

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* 17. Knowing what you know now, would you recommend a testicular prosthesis after orchiectomy for future survivors.

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* 18. Thank you for taking the time to complete this survey. We truly value the information you have provided. Your responses are instrumental to our analyses of partner’s views on testicular prosthesis for testicular cancer survivors.

If there are any other further questions you would like to be assessed by studies regarding testicular cancer survivors in the future, please comment below. We are here to both help and support the community.