TESTICULAR IMPLANT

Pros

• They can replace missing testes, correct cosmetic concerns like asymmetry, or fill out a new scrotum as part of gender confirmation surgery. 
• Research shows increases in patient satisfaction and psychological health. 
• The procedure is safe, with few risks and side effects.  

Cons

• If it’s not covered by medical insurance, testicle implant surgery can be costly. 
• Testicular implants don’t have the functionality of a natural testicle. 
• As with any surgical procedure, there's a risk of infection or other side effects like extrusion, in which the implant presses against the skin.

Most testicular implant surgeries are covered by insurance in the case of loss of a testicle after cancer surgery.

Good candidates for testicular implant surgery include men who are unhappy with the absence of a testicle (or both), hoping to address their cosmetic appearance, or undergoing gender confirmation surgery. 

Prime candidates are nonsmokers in good health. Before giving you the green light for testicular implant surgery, your doctor should perform a routine physical and run a few common tests, including blood and urine analyses.

Testicular implant surgery is usually performed by a urologist, with the patient under general anesthesia—meaning that you will be in a sleep-like state during the procedure. 

It’s a relatively quick procedure, often taking less than 45 minutes. 

The implants, which come in a range of sizes from extra small to extra large, are placed through a small scrotal incision in an outpatient procedure, according to Carmel, Indiana–based plastic surgeon Dr. Barry Eppley. Your surgeon will make a small incision, either in the scrotum or the lower groin area, create a pocket for the implantation, and place the prosthetic testicle. 

If the procedure is replacing an existing testicle, they’ll carefully remove your natural testicle through the incision in the lower groin, closing the previously attached blood vessels and vas deferens with tiny sutures and removing the spermatic cord. 

Then they’ll insert the new implant in the scrotal pocket and close the incision.

You’ll need one to two days of downtime after surgery. Your surgeon will likely recommend that you leave your surgical dressings on for the first 24 hours. 

They'll provide instructions on how to keep the incision clean and avoid infection. They will also prescribe pain medication to help keep you comfortable during the first few days. 

You can expect to have a follow-up appointment within the first week, to ensure you're healing well.

“Recovery is fairly rapid, with scrotal swelling for a few weeks,” explains Dr. Eppley in a RealSelf Q&A. 

You may be able to resume normal physical activity around 10 days after the procedure, depending on your doctor’s recommendations, but the scrotal area will remain swollen and sensitive to the touch for a few weeks. 

Refrain from vigorous exercise and sexual activity until you feel fully healed.

Studies have shown that they are generally safe and well-tolerated by healthy patients. Other research has documented improvements in patient satisfaction and overall psychological health after testicular implant surgery. 

Another recent study concluded that testicular implant surgery has a low complication rate. 

These implants have been around, in various versions, since the 1940s. Early iterations were made of metal, rubber, plastic, glass, lucite, and silicone. The first silicone rubber-shell, liquid-silicone-filled testicular implant was introduced in the U.S. in 1973.

In 1993, the FDA mandated that all implants cease to be produced until companies could fully document their safety. This action was in response to silicone implants of all types (including breast implants) leaking liquid silicone into surrounding tissue. Since then, testicular implant safety has improved.

Before proceeding with testicular implant surgery, discuss your overall goals and any past or current health issues with your surgeon, to ensure you’re a good candidate.