Are Sperm Counts Affected By Testicular Wraparound Implants?

Q: Dr. Eppley, I’ve seen your article about testicular wraparound implants. 

It seems to be a very interesting alternative to standard half curved implants that always looks to be a bit easy to detect. 

How many patients have you already implanted that kind of implants? 

No blood circulation issues or decrease of sperm due to maybe hotter testicle temperature du to implant? 

How much did it will cost to have that surgery done? 

Thank you in advance and have a nice day.

A: In answer to your custom testicular wraparound implant questions:

1) I have performed six such cases or twelve total implants.

2) Since the testicle is dissected out on its neurovascular pedicle before placing it inside the implant, no circulatory or testicular survival issues would be expected.

3) I can not speak to the issue of sperm counts as that is not a preoperative or postoperative test that is done. In any such patients that have been implanted they have all been older (greater than 50 years of age so viable sperm was not a concern to them)

Dr. Barry Eppley
Indianapolis, Indiana