Surgical Approach to Testicular Implant Surgery: Our Technique
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Alex Shteynshlyuger is one of the most experienced surgeons performing testicular implant insertion and revision in New York City.
Testicular Prosthesis Insertion: Surgical Considerations
The surgery for placement of a testicular prosthesis (implant) is fairly simple in experienced hands. There are two common ways to place a testicular implant in the scrotum. The first method is through an incision in the scrotum. The other method is through an incision in the inguinal/subinguinal or high scrotal region.
Groin versus Scrotal Incision for Testicular Prosthesis Placement
At New York Urology Specialists, we prefer to use a subinguinal incision for testicular implant placement in most cases. For patients who are undergoing inguinal orchiectomy (removal of the testicle), simultaneous insertion of the prosthesis is possible through the same incision. For most other patients, a subinguinal incision provides an opportunity for a smaller incision, faster recovery, and a smaller risk of complications compared to a scrotal incision.
Because the scrotal incision sits adjacent to the implant itself, wound infection is more likely to spread to the newly-inserted prosthesis, which could lead to wound opening and extrusion of the implant. In addition, the risk of extrusion is higher when the incision is adjacent to the prosthesis rather than when the incision is made away from the location of the prosthesis. A subinguinal incision also allows the surgeon more opportunity to expand the scrotal sac.
Suture Anchored versus Free Floating Implant
There are two surgical approaches to placing a testicular implant in the scrotum. Traditionally, the implant is sutured (anchored with a stitch) to the scrotal wall so that it does not move. Studies show that while that provides an adequate surgical outcome, the aesthetic outcome tends to be better when the prosthesis is left unanchored or free-floating in the scrotal sac.
If the patient can be relied on to comply with postoperative instructions for a few months, which include daily pulling of the implant down into the scrotum so that it heals in a good low position, then a more pleasing aesthetic outcome is typically achieved with a non-anchored prosthesis.
We prefer placing an unanchored or free-floating testicular implant, as it usually leads to a better cosmetic appearance and less scar tissue in the scrotum. To prevent the implant from riding up into the groin, we place a few stitches to close off the space leading to the skin opening in the subinguinal or inguinal region.
Disadvantages of Scrotal Sac Incision for Placement of Testicular Implants
The surgical placement of a testicular implant through the scrotal skin is simple, fast, and causes minimal pain to the patient. Unfortunately, in my opinion, it does not lead to optimal outcomes and increases the risks of prosthesis erosion and infection.
Underdeveloped Scrotum and Size Discrepancy
Testicular implant surgery is sometimes more complicated in patients with an underdeveloped scrotum on the side where the testicle is missing. This most commonly occurs when the testicular loss occurred in childhood or early adolescence. As a result of the missing testicle on one side, the testicle on the contralateral side may become larger than normal to compensate for the lost testicle.
The scrotum on the side where the testicle is missing is small and underdeveloped. There is limited space in which to insert the prosthesis. Because the size of the scrotum is not the same on the side of the missing testicle, the prosthesis would sit higher than the ‘normal testicle’ on the other side. To address this problem, the scrotum needs to be expanded before testicular implant insertion.
Fortunately, the scrotum is often fairly ‘pliable’ and stretchable. The scrotum can be expanded to some extent during surgery with mechanical stretching. In more severe cases, tissue expanders may be used in an effort to stretch the tissue for a few months prior to testicular implant insertion. Tissue expansion can take a few weeks to a few months to occur but may be beneficial in some men with disproportionately small scrotal volume compared to the ‘normal’ side. New York Urology Specialists is one of the few practices in the US to offer scrotal tissue expansion.
Ideally, during the surgical procedure, the surgeon selects a prosthesis similar in size to the normal testicle on the other side. When a patient is missing both testes, the decision-making is a little bit more complicated because both sides of the scrotum are underdeveloped.
Age at Implantation
The second variable in testicular implant insertion involves the child’s age. Early prosthesis placement has the advantage of possibly preventing shrinkage of the scrotum over time, which can be a cosmetic concern, especially in adolescent boys.
However, when a prosthesis is placed in children or pre-adolescents, it often necessitates placing a smaller implant because a large implant would be disproportionate to the scrotal size and the child’s anatomy. The problem arises when the child grows up, and the prosthesis becomes small relative to body size. Many patients desire testicular implant replacement to a larger-sized prosthesis commensurate with the size of adult anatomy. Upsizing the testicular implant is a fairly simple procedure for most patients. We do this routinely at New York Urology Specialists.
Testicular Implant Surgery at New York Urology Specialists – What to Expect
The testicular prosthesis does not affect the ability to obtain erections. It does not affect the ability to orgasm or ejaculate.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend, and evening office hours.
Testicular Prosthesis – Excellence in Care
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Where to Get Testicular Prosthesis for Men with a Missing Testicle in NYC?
At New York Urology Specialists, we offer same-day treatment for men. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-212-204-6300 or make an appointment online.
We perform testicular implants, scrotal surgery, penile procedures, varicocele and hydrocele repair, and cosmetic circumcision. We offer treatment for phimosis, balanitis, missing testis, low testosterone, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
We perform cystoscopy, penile and testicular ultrasound in our office. We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office. We treat urinary and erection problems. We offer confidential appointments.
Cost of Men’s Health Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more. The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
Cost of Treatment and Insurances
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for Testicular Implants and Treatment of Testicular Problems?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
- We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office. Office procedures avoid the risks, costs, and recovery from general anesthesia.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Testicular Problems Look Like?
You can find pictures of circumcision as well as before and after treatment images in our image gallery.
Scheduling Appointments for Testicular Implants at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.
by Winston - via Healthgrades.com on Feb 14, 2021
Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.
by via HealthGrades.com on Jan 29, 2021
Dr. Shteynshlyuger helped to solve my problem with ED
by A. Pereira via Vitals.com on Jan 21, 2021
Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S
by via HealthGrades.com on Jan 21, 2021
Dr. Shteynshlyuger did what I would call an 100% perfect circumcision on me. I can’t even find my scar. He cut the precise right amount of skin. I now feel extremely happy, confident, and proud of how it looks. I am 100% satisfied with my results and I would recommend him to any guy seeking an adult circumcision. I healed in 5.5 weeks but his recommendation is 6 weeks to heal so that means zero “activity” for 6 weeks to avoid damaging the stitching. The surgical glue I pulled off at 5.5 weeks. It is important to not remove it before! The lower posterior of my shaft did not look good at first, especially w/ the surgical glue on it, but over weeks it looked better and better w/ the final results by 5.5-6 weeks being excellent When the doctor injected the anesthetic, it was painful since he must inject it deep ~6-8times. During the surgery my discomfort was maybe a 1/10, so tolerable. Make sure to buy lots of bandages/gauze before/after for daily change for 5-6 weeks
What went well
Appointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsWhat could be improved
Long wait timesby Luis via Google.com on Jan 11, 2021
THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU
by Anthony via Healthgrades.com on Jan 07, 2021
My problem with ED is gone with my treatment from New York Urology!
What went well
Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsWhat could be improved
by via HealthGrades.com on Jan 04, 2021
Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.
by Josh via Google.com on Dec 16, 2020
Dr. Alex absolutely changed my life and restored my faith in doctors. When my condition first started I saw four different urologists over a period of about 6 months. All four either laughed me out of their office saying there’s nothing they could do to help, that my pain was normal, or prescribed me something that did not help or made everything worse. I prepared to live my life (22 years old now) with chronic pain that made participating in every day activities extremely difficult. Finally after getting the courage to start looking for new doctors again I found Dr. Alex Shteynshlyuger and decided to give his office a call. I proceeded to see him shortly after my call, and now a few visits and months later I am finally able to enjoy life again. Dr. Alex took the time to do the tests that other doctors did not even mention. He took different approaches, gave well explained answers to all of my questions, and made me feel like there are some doctors who really do care. On top of all of that he has some of the most helpful and kind staff I have come across. I cannot stress enough how thankful I am for Dr. Alex!
by Elson via Google.com on Nov 25, 2020
This was a very fast and easy process. No pain at all and the job was very well done. He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!!
by Yannis via Google.com on Nov 09, 2020
Very friendly staff, A great experience from the front desk to seeing the doctor. Dr.Shteynshlyuger is very professional and makes you comfortable when you’re in the room. He answers every question with detail. Great place..
by Vladimir via Google.com on Sep 23, 2020
I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.
by Grant via Google.com on Aug 20, 2020
To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I'd refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.
by via HealthGrades.com on Apr 12, 2020
excellent doctor and all very friendly staff
by Christopher via Google.com on Mar 11, 2020
The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.
by Jose A La Luz on Jan 24, 2020
by Marcos perez on Jan 14, 2020
Muy buen doctor. Y sobre todo el personal muy amable se preocupan por uno buen servicio
by via HealthGrades.com on Oct 29, 2019
Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I'm pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I'd recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.
What went well
Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsWhat could be improved
by via HealthGrades.com on Aug 14, 2019
Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!
What went well
Appointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsby via HealthGrades.com on Aug 09, 2019
Dr. Shteynshlyuger is professional, knowledgeable, and experienced. I had a positive experience with him.
by Robert Clarke on Aug 04, 2019
Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.
by Karl Henry on Jul 24, 2019
Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.
by JOHN on Jul 18, 2019
Therefore I would like to recommend you to anyone who need your services.
by Oliver on Jul 18, 2019
Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
by Allan B. on Jul 09, 2019
Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!
by Charles Thompson on Jul 06, 2019
I am a 54 year-old male who is extremely happy with my care at New York Urology Specialists. I came to see Dr. Alex out of near desperation after consulting with three other urologists. Literally over one night, I began experiencing severe penile pain and burning. None of the other urologists were able to help diagnose what my problem was and seemingly didn't take my problem very seriously. In fact, one of them specifically told me at it had nothing to do with my prostate. After 6 weeks of suffering, I saw Dr. Alex. He examined me and gave me some tests and lab work. He very quickly ascertained that my problem was due to an enlarged prostate. He proscribed medicine to deal with my pain in the short-term and keep my prostate size in check over the long-term. My problem quickly disappeared. Today, 5 years later, I feel great. Dr, Alex listens to you as a patient, takes your opinion and health concerns seriously and knows his field inside-and-out so that you can get proper treatment for your problem. I can't thank him enough for diagnosing and solving my malady - you sometimes can't appreciate a problem until you have it. Getting rid of it and getting back to normal is so important - I am so glad that I saw Dr. Alex for my problem.
by HealthGrades.com on Jun 18, 2019
Dr. Shteynshlyuger is a very patient, understanding and caring doctor. I came to take opinion on my father’s treatment going on in my home country. Highly satisfied from his responses. He even responded to so many of my queries through patient portal . Highly grateful.
by HealthGrades.com on Jun 18, 2019
Professional staff as well as the Doctor
by Mike on Apr 26, 2019
All is perfect. Was perfectly done. Fast recovery. Healed fast.. not 1 complaint
by Dan on Oct 27, 2018
Dr Alex is a wonderful Urologist Among the best. Patient, caring, professional. Highly recommend him and his efficient staff. Thanks
by Joseph Waddy on Oct 24, 2018
I have been a patient of another Urologist for years, with no positive results. Then I learned about Dr. Alex Shteynshlyuger through a TV newscast. I immediately decided to have a consultation with him. Best decision I ever made!!! Dr. Alex performed the Rezum procedure and has literally changed my life. I highly recommend Dr. Alex and his staff to anyone who wants the most caring, capable and result oriented urological medical care. Thumbs up to Dr. Alex and staff!!!!!!!!!
by DAM BEN STANTON on Sep 24, 2018
From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.
by Wyts on Sep 15, 2018
Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
Outstanding service
by Andrei on Aug 15, 2018
Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by JD on Jan 15, 2018
Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis
by Peter on Dec 14, 2017
Hello, I wanted to simply thank you for your help. My condition has improved. I saw my regular Urologist yesterday and he agreed with everything you said. I am most appreciative of the speed and efficiency with which I was able to see you. I will be using the cream for another 2-3 weeks and hopefully that will be the end of my trouble. However, if not you can be assured that I will visit your practice again. Thank you for seeing me yesterday. In many ways my mind was put at ease. The operation is very efficient and professional.
by Jacob on Dec 05, 2017
"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Scott Cameron on Aug 18, 2017
Received circumcision from Dr. Shteynshlyuger. Dr. Shteynshlyuger is a very good specialist who cares for his patients. He was always concerned with my physical and mental comfort prior, during and post-operation. Dr. Alex is very thorough in his work to assess any problems and provide the necessary solution. Being that he has recently moved to a new location, this may afford for speedier appointments and easier flow of patients in and out. In addition, more personal space for waiting patients. If there was any con, it would be, the lack of space at his prior office and being able to see his patients at the appointed time, but a necessary sacrifice for good, careful work. I would recommend him as a very good doctor.
by Patient on Jun 04, 2017
" He found my source of testicular pain that was missed by a Urologist from my insurance provider. Although I paid to go out of network- any price is less than testicular pain. He is generous with his time and will not short change anyone for care." via Vitals.com Posted on June 4th, 2017
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by Charles M on May 23, 2013
Dear Dr. Alex – Since starting the [treatment], my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years. Charles M. Date: 2013
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joanne R. on Sep 17, 2012
Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.
Treatment for Men With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns including sexual problems and urinary problems in men. We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.
Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis. We offer medical and surgical treatment for men’s sexual problems.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- Enlarged prostate
- Penile skin adhesions
- Phimosis Treatment
- Penile Pain During Sex
- Impotence in men with diabetes.
- Vasectomy
- Premature Ejaculation
- Prostate Cancer.
- Infertility and low sperm count
- Peyronie’s Disease
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance.
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