Testicular prosthesis implantation

The loyalty program applies to surgical interventions in the inpatient department, making treatment even more affordable.

Congenital absence or removal of a testicle can affect not only the appearance of the scrotum but also a man’s psychological comfort. In such cases, one of the options for reconstructive treatment is testicular prosthesis implantation — an operation during which a special implant is placed in the scrotum, reproducing the shape and volume of a natural testicle.

Testicular prosthesis implantation in Kyiv at the «Oxford Medical» medical center is performed by experienced genital surgeons using modern surgical techniques. The prosthesis is selected individually, taking into account the patient’s anatomical characteristics, in order to achieve the most natural aesthetic result possible. Make an appointment for a consultation to receive answers to all your questions and individual recommendations.

Modern testicular prostheses are made of biocompatible materials and are available in different sizes in order to reproduce the natural shape of the scrotum as accurately as possible. Most often, two main types of implants are used:

• solid silicone prostheses — made of soft medical-grade silicone and have a uniform elastic structure;
• prostheses with a silicone shell and filling — the inside may contain saline solution or silicone gel, due to which the consistency of the prosthesis is close to that of a natural testicle.

Prostheses also differ in size. If the other testicle is preserved, the doctor selects a prosthesis according to its size in order to restore the natural symmetry of the scrotum as much as possible.

The prosthesis can be implanted simultaneously with the testicle removal operation or during a separate reconstructive intervention months or even years after it. The optimal time for the operation is determined individually, taking into account the clinical situation and the patient’s wishes.

Doctors at «Oxford Medical» recommend discussing the possibility of prosthesis implantation before the planned removal of the testicle. This makes it possible to plan the reconstructive stage in advance and, if the patient wishes, perform both operations simultaneously.

Testicular prosthesis implantation is performed after a preliminary examination to make sure that there are no conditions that may increase the risk of postoperative complications or affect tissue healing. Most contraindications are temporary, so the operation can be performed after treatment or stabilization of the condition.

Temporary contraindications to testicular prosthesis implantation in men are:

• acute infectious diseases accompanied by an increase in body temperature;
• inflammatory processes or pustular skin lesions in the scrotal or groin area;
• acute inflammatory diseases of the genitourinary system;
• blood clotting disorders that require preliminary correction;
• decompensated diabetes mellitus;
• exacerbation of severe chronic diseases.

After the temporary contraindications have been eliminated, the doctor reassesses the patient’s condition and determines when the operation can be performed safely.

Doctors at «Oxford Medical» recommend reporting all chronic diseases, previous operations, allergic reactions, and medications you are taking during the initial consultation. This will help to properly plan the preparation for the operation and minimize the risk of possible complications.

Preparation for prosthesis implantation begins with a consultation with a genital surgeon. The doctor performs an examination, assesses the condition of the scrotum, and takes a medical history. During the appointment, he explains which prostheses are used, how they differ, what result can be expected after the operation, and answers all the patient’s questions. After this, he prescribes a preoperative examination.

Before the operation, it is usually necessary to undergo:

• complete and biochemical blood tests;
• a coagulogram;
• a general urine test;
• tests for HIV, viral hepatitis B and C, and syphilis;
• ultrasound examination (ultrasound) of the scrotum;
• electrocardiography (ECG) — if indicated.

If the patient regularly takes anticoagulants, antiplatelet agents, or other medications, it is necessary to inform the doctor about this during the consultation. If necessary, the treatment regimen may be temporarily adjusted to reduce the risk of bleeding during the operation.

If the operation will be performed under general anesthesia or sedation, it is usually necessary to refrain from food for 6–8 hours and from drinking fluids for 2 hours before the operation. The doctor provides specific recommendations depending on the type of anesthesia and the characteristics of the patient’s health condition.

The operation is performed under general or spinal anesthesia. After the anesthesia begins to take effect, the surgeon makes a small incision and forms a pocket for placement of the prosthesis.

Depending on the clinical situation, one of two surgical approaches is used:

• inguinal — the incision is made in the inguinal fold, through which the implant is placed into the scrotum;
• scrotal — the incision is made directly on the scrotum.

The choice of approach is determined by the genital surgeon during surgical planning. He takes into account the anatomical features and the presence of previous operations in order to safely place the prosthesis and achieve the best aesthetic result.

After placing the implant, the doctor checks its position, sutures the surgical wound, and applies a sterile dressing. After the intervention, the patient remains under medical supervision. In most cases, hospitalization lasts one day, after which, if the patient feels well and there are no complications, the patient is discharged.

During the first days after testicular prosthesis implantation, moderate pain, swelling, a small bruise, or a feeling of discomfort in the scrotal area may be observed. This is a normal reaction of the body to surgical intervention, which gradually passes.

For successful tissue healing, it is recommended to:

• regularly come for dressing changes and follow-up examinations;
• keep the postoperative wound clean and dry;
• wear supportive underwear for 2–4 weeks;
• avoid intense physical activity and lifting objects weighing more than 5 kg for 4 weeks;
• abstain from sexual activity for 4–6 weeks.

If absorbable sutures were used during the operation, they do not need to be removed. If non-absorbable sutures were applied, they are usually removed after 10–14 days. In the absence of complications, most patients can return to work not associated with significant physical exertion after 1–2 weeks.

Like any surgical intervention, testicular prosthesis implantation is associated with a certain risk of complications. At the same time, they occur rarely, especially provided that the doctor’s recommendations are followed during the postoperative period.

Possible complications include:

• bleeding or hematoma formation;
• infection of the postoperative wound;
• displacement or incorrect positioning of the prosthesis;
• prolonged pain or pronounced swelling;
• implant rejection (occurs rarely).

Doctors at «Oxford Medical» recommend immediately consulting a doctor if pain or swelling increases after the operation, body temperature rises above 38 °C, purulent discharge from the wound appears, or bleeding occurs. These symptoms may indicate the development of postoperative complications and require a timely medical examination.

At «Oxford Medical», operations are performed by experienced genital surgeons using modern surgical techniques. Thorough preoperative examination, adherence to the principles of asepsis, and postoperative medical support help minimize the risk of complications and ensure safe recovery.

You can find out in advance what the price of testicular implantation is here. The doctor will provide you with more precise information regarding the total cost of the operation during the consultation. It depends on the type of prosthesis, the method of anesthesia, the duration of the stay in the inpatient department, and other individual characteristics.

You can make an appointment for a consultation with a genital surgeon through the online appointment form on the website or by calling the contact center. The doctor will perform an examination, answer all questions, help select the optimal prosthesis, and draw up an individual treatment plan.

The information is for informational purposes only and does not replace a consultation with a doctor.

Sources:

• Sexual Medicine Reviews
• Asian Journal of Andrology
• US National Library of Medicine