A testicular prosthesis is an artificial implant that placed in an empty scrotum. An implant can be used for men who are born without a testicle or those who have lost a testicle because of an injury or illness. The implant's purpose is only to improve appearance and calm psychological fears; it doesn't function like a real testicle.
What Can Be Expected Following Testicular Prosthesis Implantation Surgery?
After your procedure, you will need a little time to recover. A few things you can expect might include:
. Pain, discomfort and tenderness in the surgical area for at least the first 24 to 48 hours. Your healthcare provider will prescribe pain medicine as needed.
. Bandages will remain in place for at least a few days.
. Your ability to urinate should not be affected.
. The use of supports for the scrotum may be advised.
. Antibiotics, especially in cases of high risk of infection, may be needed.
. Avoidance of lifting heavy weights, bike riding or strenuous physical activity for about one month following surgery.
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What Is the Outlook for Someone with A Testicular Prosthesis?
There have been concerns about cancer and connective tissue disease resulting from the use of silicone implants. This has been the case with some silicone breast implants. Generally, the prostheses used in this procedure are either a silicone block (hard silicone throughout) or saline-filled. For this reason, the risks stated above for silicone gel-filled breast implants are not a concern. Talk to your healthcare provider about the type of implant used in your procedure and any risks associated with that implant.
Recovery after Testicular Prosthesis Surgery
Patients may return to work the same day or the next day after testicular implant insertion. Most men can return to physical activity, including going to the gym, 2-3 days after the procedure, as long as they feel comfortable and pain-free. For 2-3 weeks after the procedure, patients are advised not to go biking or engage in any activity that involves the scrotum. Patients may resume sexual activity 1-2 weeks following the surgery.
Physical Activity and Return to Work After Testicular Implant
Showering, Swimming, and Going to the Beach after Testicular Prosthesis
Patients can take a shower the same day or the next day after testicular implant placement. Patients are advised not to go to the beach and not to go swimming in a pool, lake, or ocean for 3 weeks after the procedure or until everything heals, whichever is later.
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Diet After Testicular Implant Surgery
There are no dietary restrictions after testicular implant surgery. Patients may drink alcoholic beverages, within reason, a day after the procedure.
Wound Care After Testicular Implant Placement
There is no special care for the incision after a testicular implant is placed. Patients are permitted to take showers and wash the incision with regular soap and water on a daily basis. There is no need to put any creams on the wound.
If you wish to use anti-scar creams, please wait until 3 weeks after the procedure.
If you notice something unusual or worrisome, please take a picture and send it to your doctor or schedule an appointment to be evaluated in their office. Often you will have surgical glue on the incision site, which can look like white fluffy stuff that frequently separates from the wound. Please do not try to remove it. It will fall off on its own after a few weeks.
Sex and Ejaculation After Testicular Implants
How soon can I have sex after testicular implant placement?
You can resume sexual activity 2 weeks after testicular implant insertion. A testicular implant does not change the ability to obtain and maintain erections. For patients who have low testosterone, testosterone replacement therapy may help obtain better erections and improve libido.
Prosthesis placement in the testicle does not change the ability to ejaculate or orgasm. There is no change in the amount of semen or ejaculate produced after the procedure.
Initially, after insertion of a testicular implant, you may have some unusual sensation or feeling due to the presence of a new testicle where there was none before. Most men adjust to the new reality after 1-2 months. Most men report improved sexual confidence and sexual function after placement of the prosthesis. Patients are usually highly satisfied with the procedure, with the understanding that a testicular implant does not completely reproduce the appearance and density of an actual testicle.