Can I Get Testicle Implants With A Hyperactive Cremaster Muscle?

Q: Dr. Eppley I’m interested in the testicle enhancement surgery and have a question. I’m. 52 years old and my testicles have atrophied significantly over the years and at some point in the next couple years I would like to have the type enhancement surgery you offer. My issue is I also have severe testicle retraction due to a botched hernia surgery years ago in addition to extremely overactive cremaster muscles. This causes my testicles to ride extremely high or inside me and are basically impossible to pull down very much. I was thinking about possibly having the microsurgical cremaster muscle release procedure but is it even necessary if I have testicle enhancement like you offer which displaces my natural testicles? I’d appreciate any information you can provide me regarding this issue.

A: Your situation is not one that I have yet encountered. In theory one would think that retracted testicles would be very favorable for the implant displacement method for the obvious reason that they are already ‘displaced’ superiorly and any risk of postoperartive testicle show would be greatly reduced or eliminated. On the other hand a hyperactive cremaster muscle may not necessarily relax after implant placement and may be a potential source of pain or chronic discomfort.

In short without actual clinical experience  I can only speculate about the risk:benefiit ratio.

Dr. Barry Eppley