TESTICULAR IMPLANTS OR PROSTHETIC TESTICLES

WHAT ARE TESTICLES?

The testicles are two oval-shaped male organs located inside the scrotum and are a part of the male reproductive system. The testicles produce sperm and hormone testosterone (the primary male sex hormone).

The testis is also known as testicles  and gonads.

Injury or disorders of the testicles may lead to serious complications, such as hormonal imbalances, sexual dysfunction, and infertility.

Let us discuss the disorders of the testis and their treatment options in details.

WHAT DISORDERS AFFECT THE TESTES?

Common disorders that affect the testicles are as follows:

1. Testicular trauma or physical injury : The testicles are not protected by any muscle or bone and therefore are vulnerable to injury.
2. Testicular torsion : Symptoms of testicular torsion include sudden and severe pain, enlargement of the affected testicle, tenderness, and swelling.A condition where the testes twist around the spermatic cord resulting in cutting off the blood flow to the testicles. This twisting or torsion of testicles cause sudden and severe pain, enlargement of the affected testicle, tenderness, and swelling and should be treated as an emergency.
3. Testicular rupture : This condition arises when either or both the testicles receive a direct impact or are squeezed against the hard surface of the pelvis causing blood to leak into the scrotum. However, this condition is rare.
4. Testicular Cancer : Testicular cancer can develop in one or both testicles in men or young boys. Symptoms of testicular cancer are:
   • A lump,
   • irregularity or enlargement in either testicle;
   • the feeling of unusual heaviness in the scrotum or sensation of pulling of the scrotum
   • dull pain in the groin or lower abdomen;
   • pain or discomfort (on and off ) in a testicle or the scrotum.

   Surgical removal of the affected testicle is the most common treatment for testicular cancer.

5. Undescended testicle (cryptorchidism) : A condition where one or both the testicles are absent or undeveloped. The ideal treatment option is surgical intervention, orchiopexy to relocate the undescended testis but in case of the absent testis, a testicular implant is placed.

TREATMENT OPTIONS AFTER TESTICLES REMOVAL

If left untreated or unmanaged after testicular removal, it leaves a partially empty or completely empty scrotum.

Testicular prosthesis or implant: A soft saline-filled prosthesis used for cosmetic purposes only to resemble and feel like a natural testicle. This product can be used in males of all ages who have lost or anticipate losing a testicle.

By the 1990s, doctors were using silicone testicular implants, which was stopped in 1995 amidst concerns about the safety of the silicone material.

A testicular implant has subsequently helped thousands of men reclaim a natural appearance and a better quality of life.

HOW IS A TESTIS PROSTHESIS OR IMPLANT PLACED AT THE USUAL LOCATION?

• The Urologist under general or spinal anesthesia places testis prosthetics surgically through a small incision in the scrotum.
• The surgery takes approximately one hour.
• Length of stay required at the hospital is one day.
• The patient can resume most of his daily activities within 7-10 days of the testicle prosthesis placement.

WHAT IS TESTICULAR IMPLANT SURGERY?

Men whose testicles have been surgically removed or are absent due to a birth defect, any disorder or trauma, the Urologist may recommend testicular implants or prosthesis for them.

Losing one or both of your testicles is hard feeling for Men regardless of age resulting into psychological and emotional effects that can range from body image issues, feeling less masculine or feeling worried about how his sexual partner would react.

WHY CHOOSE A TESTICULAR IMPLANT?

• Create and restore an appearance of the natural testicles in the scrotum.
• The size, shape, weight, and softness of a normal testicle considered for each patient.
• Several sizes are available to accommodate children and adults.
• The testicular prosthesis has resulted in psychological benefits and high levels of patient satisfaction.
• Men or boys who lost their testicles, experience a surge in self-confidence after testicular implant placement.

HOW LONG DOES A TESTICULAR IMPLANT LAST?

Testicular implants like other medical prosthesis and implants are not considered as lifetime devices because, after a time, the implant may need to be adjusted or replaced.

In boys, the implant will likely need to be replaced by a larger implant as the child grows.

However, the testicular implants last up to 20 years.

It is important to understand that it is strictly for cosmetic appearances only, the implants can recreate the look and feel of a natural testicle, but cannot produce sperm or testosterone.

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