The absence of a testis from the scrotal sac characterizes a psychologically traumatic experience in the males of any age groups from childhood to elder people. Testicular loss will arise following orchidectomy for trauma, torsion, mal-descent, malignancy or infection. Testicular absence was observed in cryptorchidism from any undescended or ectopic testis. It can also be the result of testicular agenesis or atrophy that is followed by intra-uterine torsion (vanishing testis syndrome). This type of patients may, at some certain stage, request the implantation of the artificial testis for psychological or cosmetic reasons. This was more likely in patients who haves lost a testis compare to those born with an missing testis. Female-to-male trans-sexuals can also seek a testicular prosthesis as the part of their gender re-alignment operation.
The benefits of getting a testicle implant were: from outside, the scrotum will be appears the same as it was before. Most patients who already have a testicle implant say it will make them feel better themselves. The implant was available in the sizes starting from extra small to extra large, so by that it can be matched to the other testicle.
PROCEDURE:
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Testis prostheses were placed by a small surgical method that will takes about 30-60 minutes under anesthesia and is done on outpatient procedure.
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Patients will receive intravenous antibiotics by the skin preparation prior to the procedure. A small cut or incision will be made either in the groin or scrotum to place the device.
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Muscle sparing upper scrotal cut or incision which will allow for the entry site which was distant from the final resting location of the prosthesis.
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After the cut or incision, a scrotal pouch was created & a suture may be used to fix the prosthesis in a dependent position in the scrotum.
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The prosthetic was bathed in the antibiotic solution, which was filled with salt water, located in the scrotum & examined for overall fitness and for correct and good position.
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The incision was closed in multiple, non-overlapping layers after the antibiotic irrigation. Then patients were discharged with several days and dosages of oral antibiotics & followed up carefully over the next 3 months.
