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

• Main Authors: Solomon Hayon, Jamie Michael, R Matthew Coward
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Asian Journal of Andrology
• Subjects: anorchia; orchiectomy; patient satisfaction; prostheses and implants; testicular neoplasms; testis
• Online Access: http://www.ajandrology.com/article.asp?issn=1008-682X;year=2020;volume=22;issue=1;spage=64;epage=69;aulast=Hayon

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.