Testicular prosthesis implantation and revision
Placement, exchange or removal of a testicular prosthesis after absent or removed testis, with timing and scrotal tissue quality treated as variants.
Interactive 3D Interactive testicular prosthesis insertion Open the 3D animation Teaching catalogue only. This coverage record is not a patient pathway or operative instruction.
Typical place in practice
Body-image restoration after orchidectomy or congenital absence when size, expectations and implant risks have been discussed.
Alternatives and neighbouring procedures
No implant, external prosthesis, delayed implantation or reconstructive scrotal surgery before considering an implant.
Same procedure family, explicit technique branches
These are variations of this canonical operation. Complication modules below identify whether they apply to all branches or only to named approaches.
Immediate implantation
Avoids a second operation when contamination and tissue conditions are suitable.
Delayed implantation
Places a prosthesis after the original wound and diagnosis have settled.
Revision or explantation
Addresses infection, erosion, pain, size mismatch or malposition.
High-level sequence
Coverage outline only; not a step-by-step technical guide.
- Confirm implant goals, size and tissue suitability
- Create a clean pocket with protected scrotal blood supply
- Place and orient the selected prosthesis
- Secure position without excessive tension
- Close and monitor infection, position and satisfaction
Every failure mode is its own module.
Timing and variation coverage are recorded for each module.
Infection
Prosthesis infection may require removal and delayed reconsideration.
Applies to: All variantsExtrusion or skin erosion
A tight pocket, poor tissue or infection can expose the implant.
Applies to: All variantsHaematoma or wound breakdown
Scrotal bleeding and tension can compromise closure.
Applies to: All variantsMigration, high position or rotation
Pocket and fixation problems can leave an asymmetric or uncomfortable implant.
Applies to: All variantsPersistent pain or dissatisfaction with size/feel
A technically intact implant may not meet cosmetic or tactile expectations.
Applies to: All variantsDelay to cancer treatment or surveillance concern
Implant-related morbidity must not obscure pathology follow-up or delay indicated oncological care.
Applies to: Immediate implantationSources for this module
Penile prosthesis, Peyronie disease, priapism and reproductive surgery.
Accessed 2026-08-03 · opens source British Association of Urological Surgeons Patient information leaflets by procedureUK patient-facing procedure, alternatives, recovery and complication framing.
Accessed 2026-08-03 · opens source