Testicular Implant Surgery
Testicular implant surgery is performed when a patient loses one of the testicles due to surgical removal, accidental injury, or other causes. In such cases, an artificial testicle can be implanted to restore the natural appearance of the scrotum.
The artificial testicle matches the weight, shape, and feel of a natural testicle and is available in different sizes to ensure proper matching with the patient’s body. It is used only to improve appearance and to relieve psychological concerns. It has no functional role like a real testicle.
Testicular implants have been used since the 1940s. In the past, they were made from various materials, but today they are mainly made of silicone rubber and are filled with either silicone gel or saline solution (sterile salt water).
What cases require a testicular implant?
- Congenital absence or deformity of a testicle at birth
- Surgical removal due to injury, such as severe testicular torsion
- Undescended testicle (when it does not descend into the scrotum)
- Removal due to infection
- Removal as part of testicular cancer treatment
- Gender-affirming surgery (female-to-male transition cases)
Characteristics of an ideal testicular implant
An ideal implant should:
- Be chemically inert and non-reactive with the body
- Not cause infections
- Resist mechanical stress from movement
- Be well sterilized
- Maintain durability and proper shape
- Provide comfort for the patient
How the procedure is performed
The surgery uses a silicone implant filled with saline solution, fully approved by the U.S. Food and Drug Administration (FDA). It does not interact with body tissues or cause complications.
Standard surgical steps:
- The procedure is performed in a fully equipped hospital, usually as a short-stay operation
- The patient is given general or regional anesthesia (lower body numbness)
- A small incision is made in the scrotum
- The artificial testicle is inserted into place
- It is secured to ensure correct positioning and stability
- The incision is closed with cosmetic sutures that leave minimal or no visible scar
The operation is considered a simple day surgery, lasting about 30–60 minutes. The implant is placed in the correct position inside the scrotum through a small incision, sometimes after being treated with antibiotic solution. The wound is then closed in layers using cosmetic stitching.
The patient usually returns home the same day, needs about three days of rest, and can return to normal work afterward while avoiding heavy exertion and sexual activity. Sexual activity can typically be resumed after 3–4 weeks.
What to expect after surgery
- Mild pain and discomfort for 24–48 hours, controlled with painkillers
- Dressings remain in place for a few days
- Urination is not affected
- Supportive underwear is recommended
- Avoid heavy lifting, cycling, or strenuous physical activity for about one month