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Review
. 2020 Jan-Feb;22(1):64-69.
doi: 10.4103/aja.aja_93_19.

The modern testicular prosthesis: patient selection and counseling, surgical technique, and outcomes

Solomon Hayon  1 , Jamie Michael  2 , R Matthew Coward  1
Affiliations
Review

The modern testicular prosthesis: patient selection and counseling, surgical technique, and outcomes

Solomon Hayon et al. Asian J Androl. 2020 Jan-Feb.

Abstract

The testicular prosthesis can be an afterthought for providers when performing an orchiectomy for testicular cancer, torsion, atrophic testis, or trauma. However, data suggest that patients find the offer of a testicular prosthesis and counseling regarding placement to be extremely important from both a pragmatic and a psychosocial perspective. Only two-thirds of men undergoing orchiectomy are offered an implant at the time of orchiectomy and of those offered about one-third move forward with prosthesis placement. The relatively low acceptance rate is in stark contrast with high patient satisfaction and low complication rates for those who undergo the procedure. The most common postoperative patient concerns are minor and involve implant positioning, size, and weight. Herein, we provide an up-to-date review of modern preoperative evaluation, patient selection, expectation management, surgical technique, and expected outcomes for testicular prostheses.

Keywords: anorchia; orchiectomy; patient satisfaction; prostheses and implants; testicular neoplasms; testis.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Torosa™ saline-filled testicular prostheses by Coloplast. Figures 1–3 are reproduced with permission from Coloplast Corp.
Figure 2
Figure 2
Testicular prosthesis filling procedure.
Figure 3
Figure 3
Torosa™ testicular prosthesis (a) injection port and (b) suture tab.
Figure 4
Figure 4
Cosmetic result 2 weeks postoperatively from left inguinal orchiectomy and placement of testicular implant. The figure is reproduced with patient permission.
See this image and copyright information in PMC

References

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Supplementary concepts