Q: Dr. Eppley, I have had a Mentor saline-filled testicular implant for approximately three years. While the implant has been relatively trouble-free, I do have some issues with it. I tend to get some occasional soreness due to the hardness of the implant. Also, as you might imagine, it is somewhat akin to having a nerd ball on one side and a superball on the other. Additionally, the implant, even though it was the largest size available, is perhaps one-third to one-half the size of my natural one. In other words, it’s far from a matched set. What options are available to me? Thank you very much for your help.
A: Soft silicone testicle implants feel a lot more natural than saline implants for sure. As for size I obviously do not know exactly what size your existing saline implant is by dimensional measurements. (saline is done by volume instillation) But the largest silicone testicle implants is 4.5 x 3.5 cms which would seem to be more than adequately large. It would be hard to imagine you would need a testicle implant bigger than that. (although custom ones can be made of any dimension) The pocket for the silicone implant replacement will need to be bigger than your current pocket but it should be no problem expanding the existing scrotal capsule.
Dr. Barry Eppley