Long-term results of 90 allotransplantations of vascularized testicle are analyzed. The operations were performed at the patients with primary hypogonadism, androgenic deficient and endocrine form of impotence. Maximal follow-up period is 21 years. Sexual activity and adequate erections were seen at the majority of the patients (67 of 90). At 11 cases in 5 years and at 12 cases in 10 years the erections were absent. The problem of fibrous transformation of vascular pedicle of transplant is discussed. Fibrous process was not diagnosed at all the patients and should be probably regarded as the reaction of chronic rejection.
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