Prosthetic testicle

Overview 

A prosthetic device is a type of prosthesis, designed to replace a missing body part. In the case of a prosthetic testicle, it serves to fill the space in the scrotum where a testicle is absent due to birth conditions, injury, or surgical removal (orchiectomy). While it mimics the appearance and feel of a natural testicle, it doesn’t perform any biological functions like producing sperm or testosterone.  

Typically, people request a prosthetic testicle to enhance their appearance or ease psychological concerns, especially if they lost a testicle later in life. For those born without a testicle, the desire for a prosthesis is less commn. Despite its benefits in improving self-image, having a prosthetic testicle is not medically necessary for sexual function, as the absence of one doesn’t interfere with erection or penetrative intercourse. 

In the past, prosthetic testicles were made from materials like vitallium, a metal alloy. However, today’s prosthetic testicles are primarily composed of silicone rubber filled with either silicone gel or saline, providing a more natural feel. These prostheses are designed to resemble a clear or translucent egg, matching the weight, shape, and texture of a real testicle, and come in various sizes to suit individual needs

Qualities that make a good testicular prosthesis  

A prosthetic testicle should ideally:  

• Are not reactive to chemicals. Some of the elements in the prosthesis may cause your body to react, leading to its eventual breakdown.  
• Not elicit inflammation. Your prosthesis may be attacked by your immune system, resulting in tissue inflammation around it.  
• Withstand mechanical strain. Your scrotum or the surrounding tissue shouldn’t be subjected to pressure or force from your implant.  
• Maintain sterility. Implants that are sterile lower your chance of getting an infection.  
• Have the ability to assume and maintain the proper form. They ought to appear organic and make any movement or sensation almost imperceptible.  
• Take a seat comfortably. Your regular life shouldn’t be interrupted by a testicular prosthesis. When you sit, walk, run, or exercise, they shouldn’t hurt.  

Reasons for undergoing the procedure  

Doctors usually recommend testicular prostheses primarily for cosmetic purposes and to help alleviate psychological concerns. It’s important to note that having a missing testicle doesn’t necessitate getting a prosthetic one. The absence of a testicle does not impact your ability to achieve and maintain an erection or engage in penetrative sexual intercourse. Despite this, many individuals opt for a prosthetic testicle to enhance their self-esteem.

There are various reasons why someone might be missing a testicle, including:  

• Your testicles were deformed or absent at birth.  
• Testicular torsion left untreated.  
• Testicles not descended.  
• Epididymitis.  
• Cancer of the testicles.  

Testicular prosthesis are another option available to you as a component of gender confirmation surgery.   

Risks 

Risks associated with testicular prosthesis implantation procedure include:  

• The prosthesis leaks or ruptures.  
• Injuries surrounding the implant.  
• There is a movement of the prosthesis.  
• A hematoma, or pooling of blood in your penis.  
• Dissatisfaction with your post-operative appearance.  
• The prosthesis is expelled by your body (prosthetic expulsion). This typically occurs when a testicular prosthesis becomes contaminated.  
• Infection. 

Undergoing any medical procedure carries some level of risk. However, if you have certain pre-existing conditions before receiving a testicular prosthesis, your likelihood of experiencing complications may be higher. Conditions that could increase this risk include:  

• Experiencing diabetes or immune system suppression. Your risk of infection may rise as a result.  
• If you currently have an infection somewhere on your body.  
• A previous scrotal surgery.  

During the procedure  

The following steps are typically included in implanting a testicular prosthesis:  

• You will receive either local or general anesthesia from an anesthesiologist. Your entire body is affected by general anesthesia. Throughout the process, you won’t feel any pain and will be asleep. Your scrotum and the surrounding tissues go numb due to local anesthetic.  
• The urologist will make an incision in either the upper or lower portion of your scrotum or the lower area of your groin using a sharp knife, or scalpel.  
• A pouch will be made for your scrotal prosthetic testicle.  
• After positioning the implant correctly in your scrotum, they will sew it in place.   
• Lastly, they will close the incision using stitches, or sutures. 

Implanting a testicular prosthesis is a reasonably easy process. Usually, less than an hour passes. Usually, it’s an outpatient process. This implies that once the treatment is finished, you can return home. Yet, if you are given general anesthesia, you ought to have a friend or relative drive you home.

Outcome 

It will take some time for you to heal following your operation. What to anticipate following testicular prosthesis implantation  

• Expect pain, discomfort, or tenderness in your scrotum or nearby areas for at least the first 24 to 48 hours. A healthcare provider will prescribe pain medication if needed.  
• Your bandages will stay on for a few days.  
• You should be able to urinate comfortably.  
• You may need to wear supportive garments for your scrotum.  
• Your provider may prescribe antibiotics, particularly if you are at high risk for infection.  
• Avoid heavy lifting, biking, motorcycling, and any strenuous physical activities for about a month after surgery.

It is advisable to postpone masturbation or sexual activity for a week or two following testicular prosthesis implantation surgery.