Testicular replacement

Losing one or both testicles can have a huge impact on self-esteem, relationships and even lifestyle, but there are solutions. Read more about the function of the testicles

Reference

(1). The Management of Peyronie’s Disease: Evidence-based 2010 Guidelines.

Ralph, D., Gonzalez-Cadavid, N., et al. J. Sex Med 2010; vol. 7

(2). It’s a Guy Thing. Levin, L. Med Update 2007

Testicles, or testes are part of the male reproductive system. They are two oval organs located inside the scrotum, the loose sack of skin that hangs behind the penis. The testicles make the male hormones, including testosterone, and produce sperm, the male reproductive cells.

Disorders of the testes or trauma to the testes can lead to serious complications, including hormonal imbalances, sexual dysfunction and infertility. Loss of the testes can have a negative psychological effect and may impact your self esteem and/or self confidence (1).

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Signs and causes

Functioning of the testicles Functioning of the testicles Read more

Reference

1. Testicular prostheses: body image and sexual functioning, BJU International (1999), 84, p1043-1045.

Testicles, or testes are part of the male reproductive system. They are two oval organs located inside the scrotum, the loose sack of skin that hangs behind the penis.

The testicles make the male hormones, including testosterone, and produce sperm, the male reproductive cells. Disorders of the testes or trauma to the testes can lead to serious complications, including hormonal imbalances, sexual dysfunction and infertility. Loss of the testes can have a negative psychological effect and may impact your self esteem and/or self confidence (1).

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Disorders that affect the testicle Disorders that affect the testicle Learn more about common issues that affect the testes

References

Reference:

1. Testicular Cancer: Causes, Risk Factors, and Prevention Topics, www.cancer.org.

2. The Fact on Undescended Testicles, KidsHealth from Nemours, www.kidshealth.org.

Some of the more common disorders that affect the testes include the following:

 

Testicular trauma or physical injury

Unlike other body organs, testicles are not protected by muscle or bone and are therefore vulnerable to impact and injury.

 

Testicular torsion

The spermatic cord, which secures the testicles at either end, gets twisted around a testicle, cutting off the testicle's blood supply. Symptoms of testicular torsion include sudden and severe pain, enlargement of the affected testicle, tenderness, and swelling.

This is a medical emergency, and if the blood supply to the testicles is cut off for an extended  period of time, the testicle can become permanently damaged and correction of the problem may be through surgical removal of the testicle.

 

Testicular rupture

A rare type of testicular trauma, called testicular rupture, occurs when the testicle receives a direct impact or is squeezed against the hard surface of the pelvis. This injury can cause blood to leak into the scrotum. In severe cases, surgery to repair the rupture and save the testicle may be necessary.

 

Cancer

Testicular cancer can develop in one or both testicles in men or young boys. Symptoms of testicular cancer may include a lump, irregularity or enlargement in either testicle; a pulling sensation or feeling of unusual heaviness in the scrotum; a dull ache in the groin or lower abdomen; and pain or discomfort (which may come and go) in a testicle or the scrotum.(1)

Surgery is the most common treatment for testicular cancer and involves removing one or both testicles.

 

Undescended testicle (cryptorchidism)

This is a condition in which the testicles do not descend from the abdomen, where they are located during development before birth, to the scrotum. This condition is a major risk factor for testicular cancer. (2)

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Treatment options

If you have had or are about to have one or both testicles removed, read more about what your choices are. Read more

There are options for you to consider if you have had or are about to have one or both testicles removed during surgery.

Before making any decision, you should talk to your doctor about your long-term expectations, your concerns, and the potential risks or complications posed by each available option. Here’s an overview:

 

Non-surgical

No treatment: Leaves a partially empty or completely empty scrotum.

 

Surgical

Subcapsular orchiectomy: Removes much of the tissue from the testicular capsule, leaving a smaller scrotal structure.

Kiwee™ testicular prosthesis: Made of a chemically and mechanically resistant silicone elastomer material that is thin, soft and durable. It contains a defned volume of high performance, transparent and highly resilient silicone gel. The unique shape, density and overall prosthesis consistency have been developed to resemble natural human tissue and give the highest patient satisfaction.

 Torosa® testicular prosthesis: This is a soft, saline-filled prosthesis, used only for cosmetic purposes and that mimics the look and feel of the natural testicle. Torosa is the only FDA approved testicular prosthesis on the market. It is about the same size, shape, weight and softness of a normal testicle. Several sizes are available to fit both children and adults.

testicular prosthesis

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What to expect?

A testicular prosthesis can be implanted either during surgery when the testicle is removed or at a later date. Read more
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What to expect before surgery?

The KiWee™ testicular prosthesis is made of a chemically and mechanically resistant silicone elastomer material that is thin, soft and durable.

The KiWee testicular implants are supplied ready prepared for suture with a protective suture guard for easy implantation. A technique without fixation may also be used.The Kiwee testicular implants are indicated to be implanted in aesthetic surgery or reconstructive plastic or orchiectomy surgery.

The Torosa saline-filled testicular prosthesis is made of a soft, flexible silicone elastomer shell, and is filled with saline, or salt water, during surgery.

Torosa® can be implanted either during surgery when the testicle is removed or at a later date. Once the implant is in, it’s important to limit your activities for a short time to allow proper healing. Your doctor will create an individual plan for your recovery, activities, and when you can resume sexual activities.

Once the healing process is completed, you will regain confidence about the appearance of your testicles and can return to your former lifestyle.

KiWee - testicular prosthesis

KiWee silicone filled testicular prosthesis. Not actual size

Torosa saline filled testicular prosthesis. Not actual size

Torosa saline filled testicular prosthesis. Not actual size

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