- Everything You Need to Know About Prosthetic Testicles
- Testicular Implants Before And After Photos
- Testicular Prosthesis Sizes
- Saline-filled Testicular Prosthesis Sizes
- More Information About Testicular Prosthesis
- Types of Prosthesis, Features and Application Forms
- Prosthetic Testicle
- Dr. Turek’s Key Role in the Development of the Modern Testicular Implant
- How Is a Testis Prosthesis Placed?
- How Long Does a Testicular Implant Last?
- Contact Dr. Paul Turek
- Testicular Prosthesis or Testicle Implant Surgery
- The Procedure
- Cost of Testicular Implant
- Recovery from Surgery
- Risks Involved
- Testicular Implants
- Testicular Implants – The Men’s Clinic at UCLA
Everything You Need to Know About Prosthetic Testicles
“The patient went to the press and that’s how I became involved,” he says.
In leading a five-year study that began in 1997, Turek helped develop the first and only implant approved by the FDA for use in the US. Had Jamie’s diagnosis come a year later, he would have been given the option of having the silicone-shell, salt-water filled testis prosthesis fitted but he tells me he’d still have passed. Jamie was already living with his future wife; a woman with whom he would later have two children and who also considered a fake testicle to be surplus to requirements. In addition, Jamie maintains his pubic hair camouflaged any discernible visual difference and he’d never been particularly fond of having his testicles played with anyway.
“I wouldn’t have had an implant put in but I guess I could see why guys who are going to have new partners would be more open to the idea,” he says.
Unlike Jamie, the next two guys I speak with were single and dating at the time of their orchiectomies. The removal of Oscar’s testicle was not the result of a cancer diagnosis but due to a mishap with a giant slingshot while on a camping trip in 2012.
“We were launching rocks and the thing misfired,” he explains. “I got rushed to hospital and when I woke up I was told that my testicle couldn’t be salvaged.” The doctor went on to tell Oscar that should he want an implant in the future he could have one put in at any time and he wouldn’t have to pay a penny for it. Oscar is Canadian.
“I was pretty nervous when I had sex with new partners,” he tells me. “I guess you could say it gave me some stage fright. But I met my current girlfriend soon after this all happened and I haven’t thought about it much since.”
Bryan, who had a cancerous testicle removed at about the same time also declined to have a implant. “I definitely considered it,” he tells me. “In my experience, partners either don’t notice that I’m missing one, notice but don’t say anything, or look up at me and say ‘are you okay?’ To which my response is: ‘I’m fine. Let’s carry on and I’ll tell you all about it afterward.”
The only time Bryan is cognizant of his missing ball, he tells me, is when he’s taking a picture of his junk. “You have to get the angle just right or it looks more like a uvula than a nut sack,” he says. “But other than that, I’m cool with it. And I can have one put in whenever if I change my mind but I think they’d have to have one that does something cool for me to be really interested. Like, one that doubles up as a wifi hotspot.”
Though an orchiectomy doesn’t seem to be in my immediate future, I can’t help thinking that unlike the three guys I spoke with, I would definitely opt for an implant had I found myself in their situation. “Our published study on testis implants showed that they were not simply cosmetic in nature,” Turek says, which helps to make me feel a little less vain. “Men genuinely felt better about themselves as assessed by Rosenberg and other self esteem scores.”
For Turek, this finding and years of experience presents a huge gender-disparity-in-health coverage. “Despite the fact that providers and insurers must discuss breast implants with patients undergoing mastectomy for breast cancer, no such similar requirement exists for men and testis cancer,” he says. “So, in essence having two testicles is a ‘cosmetic’ thing but having two breasts isn’t.”
He goes on to tell me that despite a slight uptick in testicular prosthesis implantation due to gender reassignment surgeries, manufacturing these suckers is not a profitable venture.
“Fewer companies are making them,” Turek explains, adding that in anticipation of more companies halting production, he bought a couple dozen to have on hand in a pinch. “This is a really important thing to a lot of men.”
When I explain that I’ve had a hard time finding men who have had an implant, he explains that for many patients, their fake testicle is a closely guarded secret. “Testis implants are very popular among single adult men, both gay and straight, as it reduces the need for having to explain what happened down there to curious folk in the bedroom or locker room,” he says, adding that married men don’t get them as often as their single counterparts.
“I see quite a few middle age men who are single again and want implants placed, maybe to improve their perceived sexual marketability. There’s also a group of men who take testosterone hormone replacement which results in significant testicular shrinkage who are interested in having implants place below or in front of their intact native testicles which is also possible.”
I’m put in touch with one of Turek’s patients. Ivan lost a testicle due to an injury as a child. He had a replacement that served him for 38 years before it started to become misshapen and had to be removed. He wasn’t happy with the replacement he got courtesy of Britain’s National Health Service at the beginning of 2017 and flew to California to have Turek insert what he hopes will be his third and final decoy ball.
Ivan, now 51, tells me that he didn’t deliberate much about getting a prosthetic when given the option. “When you’re 12, that last thing you want to be is different when changing in front of your school mates.” he says. “Kids can be cruel.”
As one of very few circumcised boys in my school in England, I knew this to be true. I wondered if the experience of being different at a young age played into why I’d be more inclined to have a phony ball if it had come to that.
Read This Next: Now Deodorant Companies Are Eyeing Men’s Balls
Testicular Implants Before And After Photos
Urology NewsFollow Feb 12, 2019 · 8 min read
On this page, detailed information about the Testicular Implants Before And After Photos is given for our valued visitors. Detailed information about testicular prosthesis will be provided separately.
Saline-filled Testicular Prosthesis — Rigicon® Testi10™ (Testicular Implant) Firm Testicular Prosthesis — Rigicon® Testi10™ (Testicular Implant) Testicular Prosthesis Before After Photos
Testicular Prosthesis Sizes
Testicular prosthesis sizes vary according to brands. Let us examine, for example, the prosthetic length of the Silicon testicular prosthesis manufacturer Rigicon®.
Saline-filled Testicular Prosthesis Sizes
Saline-filled Testicular Prosthesis Sizes
Saline-Filled Testicular Prosthesis Size Directions Rigicon® Rigi10™ Saline-filled Testicular Prosthesis Sizes
Saline-Filled Testicular Prosthesis A (Length)
- TestiSF-XS 2.7 cm
- TestiSF-S 3.2 cm
- TestiSF-M 4.1 cm
- TestiSF-L 4.7 cm
- TestiSF-XL 5.1 cm
Saline-Filled Testicular Prosthesis B (Diameter)
- TestiSF-XS 2.1 cm
- TestiSF-S 2.6 cm
- TestiSF-M 2.9 cm
- TestiSF-L 3.2 cm
- TestiSF-XL 3.2 cm
Saline-Filled Testicular Prosthesis Volume
- TestiSF-XS 6 cc
- TestiSF-S 12 cc
- TestiSF-M 18 cc
- TestiSF-L 22 cc
- TestiSF-XL 26 cc
Firm Testicular Prosthesis Size Directions Rigicon® Rigi10™ Firm Testicular Prosthesis Sizes
Firm Testicular Prosthesis A (Length)
- TestiF-XS 2.7 cm
- TestiF-S 3.2 cm
- TestiF-M 4.1 cm
- TestiF-L 4.7 cm
- TestiF-XL 5.1 cm
Firm Testicular Prosthesis B (Diameter)
- TestiF-XS 2.1 cm
- TestiF-S 2.6 cm
- TestiF-M 2.9 cm
- TestiF-L 3.2 cm
- TestiF-XL 3.2 cm
Firm Testicular Prosthesis Volume
- TestiF-XS 6 cc
- TestiF-S 12 cc
- TestiF-M 18 cc
- TestiF-L 22 cc
- TestiF-XL 26 cc
Treatment: Monorchism, Congenital Anorchism, Cryptorchidism, Orchiectomy, Other conditions or procedures.
Testi10™ is designed with high-quality silicone to experience the natural feeling for the patients.
Testi10™ is being used for missing one or two testicles due to monorchism, orchiectomy, congenital anorchism or similar procedures.
- Natural Design
- High Patient Satisfaction
- Size Options
Firm Testicular Prosthesis and Saline-Filled Testicular Prosthesis aid the restoration of natural appearance for the people who are missing one or both testicles.
Natural&Soft Texture and shape designed for natural testicle feeling.
Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
More Information About Testicular Prosthesis
Treatment of implant prosthesis implantation; the deficiency of the testis due to the loss of the testis or its surgical removal due to the failure to descend from the congenital scrotum, torsion, inflammation, trauma, and cancer; is a surgical procedure for aesthetic removal.
Due to the psychogenic trauma that can be caused by testicular loss, the placement of the testicular prosthesis depends entirely on the request of the person to be administered. placed the prosthesis will have no functional function. The placement procedure is performed by open surgery. Surgical The procedure can be done with general anesthesia depending on the suitability of the patient and anesthesia with the preference of the anesthetist. as; spinal, epidural or local anesthesia.
The most frequent procedure for placing the prostate prosthesis; undescended testis (agenesis) or incomplete development (atrophy) as a result of missing the test is done for the purpose.
Agenesis or atrophy of the testis is seen in approximately 8–10% of children with undescended testes. Testicular prosthesis, In addition, undescended testes, varicocele or groin hernia surgery can be placed in the testicular losses due to damage to the vessels. Failure to detect or display the testicles may result in the torsion of the testicle or trauma may occur. When testicular cancer is detected when testicular removal (orchiectomy) operation is foreseen; In addition, testis prosthesis placement should be recommended.
In addition, patients with intersex or gender disorders due to congenital genetic disease and orchiectomy due to prostate cancer patients are candidates for testicular prosthesis surgery. Although there is no alternative to the testicular prosthesis, prostate cancer is due to the testes to be taken; the operation of the external part of the testicle by subcapsular The like of the testis image can be provided. This structure will be smaller than normal testis and function You will see.
Types of Prosthesis, Features and Application Forms
Placing a testicular prosthesis; is a cosmetically designed process for optimally eliminating the negative psychogenic effect resulting from the loss or absence of one or both testes.
Testicular prostheses were first made in 1941 as a dental filler. 1950
glass balls were used in years and in 1972, gel-filled natural prostheses were obtained. 1988 also produced standard testis prosthesis with silicon. In 1995, both silicone gel and silicone filled testicular prosthesis was started to be applied to volunteers. Today, most of the testicular prostheses in Europe
The placement of the testicular prosthesis in children is still being discussed. The prosthesis can be placed with the removal of the testes during the undescended testis operation.
However, with other age-related growth, the prosthesis remains small and can cause psychogenic effects in children. On the other hand, this approach is It is advantageous to prevent surgical treatment. Development of scrotum in case of undescended testis may not have completed. In this case, expanders to expand the scrotum or the bubble of the Foley catheter available. Children with undescended testes and Adelson’s; trauma and tumor due to orchiectomy they demand fewer dentures. Implantation of the testicular prosthesis is difficult in some cases. Untreated cancer and especially The testicular prosthesis should not be performed in patients with scrotal infection. Application decision should be given together with the evaluation between the patient and the physician.
In the operation of placement of testis prosthesis; Depending on the side of the testis, an incision of 4–5 centimeters is made on the right or left groin area and the place of the testis prosthesis is prepared. If the undescended testis
If the scrotum is not developed, expanders or the bubble of the Foley catheter are used. Normal prosthesis After the selection is made, the insertion process is performed and the fixing stitch is removed so that it remains in place. Later
all floors are covered with suitable seams.
Pain within 24–48 hours after the placement of the testis prosthesis.
and discomfort can occur. There is no need for dressing within a day or two. Patient a week-on day to day activities. Protection of the surgical site against bumps during recovery must. In case of excessive swelling of the surgical area, severe pain, fever, chills, and shivering contact the physician concerned.
It must be passed.
Complications associated with implantation of the testicular prosthesis
The testis prosthesis is low after implantation therapy
It is possible to encounter some complications, even with rates. These prostheses, a foreign body for the body
should be perceived as. Despite all scientific developments, hypersensitivity and rejection of the prosthesis are very rare. Complications we may experience after implantation of the testicular prosthesis;
a- Calcium accumulation: In case of any surgical procedure or testicular injury to normal testis,
Calcium accumulation may occur in the testicle and can be seen in x-ray films. If calcium accumulation occurs for any reason in the testis, they may be at risk of cancer. In this case, a biopsy should be taken from the testis. Testicular prostheses
After many years, calcium accumulation may occur and they cause no problems in the prostate prosthesis.
These structures have no risk of cancer.
b- Tearing and deflation of the prosthesis: This rate is approximately 0.7%; accidental injury or over-inflation of the prosthesis during surgery, physical trauma, and cycling may occur due to reasons such as.
c- Confusion and pain: about 4% post-operative discomfort and 5.5% pain
and may occur due to surgery. In such cases, the physician should be consulted.
2 1 B TESTER PROSTHETIC IMPLANTATION (PLACEMENT) ILLUMINATED PATIENT CERTIFICATE 191
d- Dislocation/displacement of the prosthesis: The displacement and displacement of the prosthesis are seen at a rate of 2% compared to clinical studies. In addition, excessive pressure on the skin of the
In case of failure of the prosthesis to the skin, the circulation of the skin is disrupted and
Separations on the skin, wounds may occur.
e-accumulation of fluid around the prosthesis: This occurs at a rate of about 0.7% and accumulates fluid around the prosthesis.
f- Hardening and thickening of the prosthesis: Over time the prosthesis against the prosthesis
reaction-induced scar tissue
g- Bleeding and hematoma: Depending on the surgical procedure, bleeding and hematoma (blood collection) occur in the surgical site. If an excessive hematoma occurs, surgical removal may be required. Hematoma, about
h- Infection-sepsis: It is one of the most serious complications. It may be at the beginning of the surgical procedure or
may develop at times. Excessive tenderness in the surgical site, swelling, pain, fever, chills, and chills Watch. Surgical removal of the prosthesis and antibiotic therapy may be required.
i- Other: Keloid, scar formation, tissue necrosis in the surgical area, the fistula may develop other complications Patient satisfaction after penile prosthesis implantation treatment The success rate of testicular prosthesis implantation is almost complete. Patient satisfaction is also very high. According to the studies, low patient dissatisfaction was reported due to the change in consistency compared to the other testis.
Dr. Turek’s Key Role in the Development of the Modern Testicular Implant
Testicular implants have been used in some form since the 1930s. The earliest implants were made from a metal alloy, and over the years other materials like glass, lucite and polyurethane foam were used.
By the 1990s, doctors were using silicone testicular implants. The manufacturing and use of testicular implants briefly stopped in 1995 amidst concerns about the safety of the silicone material. When this happened, Dr. Turek led a team that helped to develop and study what became the first formally FDA-approved testicular implant.
Through a five-year, nationwide study of hundreds of male adults and children, Dr. Turek was able to show that the devices were safe and effective. He has subsequently helped thousands of men reclaim a natural appearance and better quality of life with testicle implants.
How Is a Testis Prosthesis Placed?
Testis prosthetics are placed during an outpatient procedure that takes about 30 to 60 minutes. Light intravenous anesthesia is used for complete patient comfort. Recovery usually takes 24 to 48 hours.
The prosthetic is placed through a small incision in the scrotum. Whenever possible, Dr. Turek prefers a muscle-sparing upper scrotal incision that can be hidden in the natural scrotal folds and allow for an entry site that is distant from the final resting position of the prosthesis. He creates a small pouch in the scrotum in which the implant rests, and closes the incisions with small absorbable sutures.
The implants that Dr. Turek uses are either made of a silicone shell and filled with saltwater at the time of placement or are made of a soft-solid silicone, termed “soft gel” prostheses. Dr. Turek’s goal is to match the size, position and “feel” of the native testicle to achieve optimum patient satisfaction with the implant.
It is important to understand that although the implants can recreate the look and feel of a natural testicle, they cannot produce sperm or testosterone.
How Long Does a Testicular Implant Last?
Like other medical implants, testicular implants are not considered lifetime devices. At some point, the implant may need to be replaced or adjusted. In children, a smaller implant will likely need to be replaced by a larger implant as the child grows. However, it has been Dr. Turek’s experience that they have lifespans in excess of 10 to 20 years. Dr. Turek can provide more information about the longevity of testicular implants during a one-on-one consultation.
Contact Dr. Paul Turek
If you are exploring your testicular implant options, Dr. Turek welcomes you to schedule an informational consultation. Please call or email The Turek Clinic today to book your visit.
- Turek PJ , Master V and Testis Prosthesis Study Group. J. Urol. 2004, 172:1427-30.
Testicular Prosthesis or Testicle Implant Surgery
Soft Silicone Testicular Implant
Ovoid testicular prostheses are available both in saline filled and soft silicone models. The texture of the soft silicone models is minimally firmer than a normal testicle and generally well accepted by our patients. The implants come in different sizes but generally they are: Large, medium and small.
Custom made prosthesis are also available but more expensive. We do not recommend a very large testicular implants as they would appear distinctly unnatural, dwarf your penis and might even reduce penetrating depth. With made to order implants the consistency may vary. Whereas with standard sizes, consistency control is excellent and demonstrators are available at the office.
For prospective patients considering even the remote possibility of parenthood we suggest sperm banking.
The testicular implants surgery
Types of Testicular Implants I commonly use. Soft Silicone and Solid Soft Silicone Elastomer
Testicle Implants Insertion is done on an outpatient basis and under anaesthesia, after surgical preparation, Dr Barnouti makes a small incision in the lower part (facing the ground) of the scrotum and expose the internal aspect of the scrotal sack. He then place the testicular prosthesis or Testicle Implants in the dedicated sac. Following the placement of the prosthesis or testicle implants, the scrotal skin is closed in two layers. Due to the scrotal skin elasticity, the incision areas are hidden in the skin folds and the final scar is barely noticeable.
The testicle implants (Testicular Prosthesis) serves to enhance the testicular size or to adjust the size of one testicle to the opposite site. Typical patients for the Testicle Implants are men, who desire an overall aesthetic enhancement of their scrotum, who suffer from asymmetrical testicular size, or have undergone an orchiectomy with prosthesis placement and asymmetrical results. (Testicular Enhancement)
Lance Armstrong has one, and studies indicate that thousands of men in the U.S have chosen to restore their testicles using implants. A custom made soft, saline filled testicular implant can help to create a normal cosmetic appearance and texture and restore confidence to men who have an un-descended testicle, lost a testicle to cancer, or suffered injury to the testicle.
The decision to have plastic surgery is a personal and significant decision, and should be made with the help of a board-certified plastic surgeon. Your consultation will help you to decide what type, size and shape of implant is the right choice for you. It is common for implants to be inserted at the same time as a testicle is being removed due to cancer. Be sure to speak to your doctor about the implant surgery following removal surgery.
Testicular implant surgery is a fairly simple procedure and can take from 30 minutes to one hour to complete. Performed in a hospital setting, your surgeon will determine if you require general or local anesthetic to ensure that you are comfortable during the surgery. Depending on your specific needs and physiology, the surgeon will make a small incision in the testicle in a discrete area, and insert the implant into the correct position to achieve a normal appearance. The incision will be closed using sutures and the area will be bandaged to minimize movement and help with fluid absorption.
Cost of Testicular Implant
Often, medical insurance will cover testicular implants if it is to correct an injury, cancer surgery, or un-descended testicle problems. The cost for testicle implants is approximately $3000, and can depend on the individual costs of the implant, the anesthetic and hospital cost and the surgical fees.
Recovery from Surgery
During surgery you will experience no discomfort. Post surgery, expect some moderate pain; there will be tenderness, some swelling and you will be very sensitive to physical contact for 24 to 48 hours. Planning your recovery ahead of time by pre-making meals and arranging your recovery area will make the recovery process much easier. You will be prescribed pain medication and instructed to keep your bandages on for up to five days. After this time, your sutures will be removed and you will likely be able to return to normal in about two weeks. Your surgeon may recommend that you wear a jock strap or compression shorts during activity for up to one month.
The most common complications associated with testicular implants can be infection and wound opening. There is also the possibility that scar tissue may form around the implant and cause a hardening of the area. Though there are few instances of these risks occurring, you should be aware that any surgery can carry serious risks and discuss all possible outcomes with your surgeon.
Testicular Implants – The Men’s Clinic at UCLA
What is Testicular Implant Surgery?
Testicular implants may be performed after the testes have been surgically removed or are absent because of birth defect, illness or trauma.
Dr. Jesse Mills with Testicular Implant Patient, Andrew – “30 years ago this month, I had a testicular cancer and it took a part of me and almost my life”. View Patient Story >
Testicular implants may also be performed in certain cosmetic cases. An implant is sized to match the normal testicle, or when both testes are absent, sized to fill the scrotum to restore symmetry.
Testicular implants are filled with saline and placed inside the scrotum. They are soft to the touch to provide a realistic look and feel. Testicular implants are performed as an outpatient and can be done with minimal anesthesia.
Currently, Torosa is the only FDA approved testicular implant. It is manufactured by Coloplast, a world leader in prosthetic technology.
What to expect from Testicular Implant Surgery
Prior to surgery, testicular implant patients will undergo some routine tests. These tests usually include a general physical exam, including blood and urine samples.
There are several factors that may affect a testicular implant procedure, patient recovery and results.
Factors to consider before surgery:
- Overall health
- Healing capabilities (which can be affected by smoking, alcohol and medications)
- Prior scrotal surgeries
Factors to consider after surgery:
- Shifting of the implant
- Scarring from the incision
- Possible hardening of the capsule around the implant
Prior to a testicular implant surgery, a man will be evaluated by a UCLA Men’s Clinic physician to make sure he is ready for surgery, and to answer any and all questions a patient may have.
Typically, testicular implant procedures are relatively simple and last 20 to 40 minutes.
Patients will experience some discomfort during the first 24 to 48 hours after their procedure. Surgical bandages usually stay on 24 hours. Patients will most likely feel fatigued after the surgery and the scrotum will be swollen, tender and sensitive to physical contact for some time.
Patients should be able to resume most of their non-strenuous daily activities within 7-10 days.
During initial patient consultations, a UCLA Health Men’s Clinic provider will discuss the pros and cons of undergoing testicular implant surgery. It is important for the patient to feel comfortable with the procedure and the surgeon.
Learn more about testicular implants
- Testicular Implant Info: What You Need to Know “
- Video stories from patients who have undergone testicular implant surgical procedures “
Scheduling an Appointment
Board-certified urologists staff The Men’s Clinic at UCLA and you can be assured you are getting an experienced physician performing your evaluation and procedure in a relaxed and comfortable environment. For more information and to schedule an appointment, please call the UCLA Urology Appointment line at (310) 794-7700.