Soft Silicone Testicle Implant
Q: Dr. Eppley, Six weeks ago I had my right (undescended) testicle removed due to a mass detected by ultrasound and replaced with a Mentor Coloplast prosthetic testicle implant. This implant is very ill-fitting, riding high and fixed in position by a permanent suture. Two weeks ago I asked the urologist to remove the permanent suture because it was painful and did not permit any movement of the implant. Unfortunately, he accidentally punctured the implant which caused it to leak and deflate. He then stitched up the incision he had made trying to cut the permanent suture (which is still there causing pain/irritation) and said that another surgery would have to be scheduled. He is willing to replace the Coloplast prosthesis with a soft/solid version like you use, but the surgery center here will not permit the surgery because this type of prosthesis is not FDA approved. Can you help me?
A: Your experience with a saline-filled testicle implant has exhibited all of its downsides. A saline implant usually feels very hard (water under pressure), has a lifelong risk of eventual rupture and deflation and the frequent use of a fixation suture can prohibit natural mobility. A silicone testicle implant that is to sutured in has none of these liabilities. They always feel much more natural. Getting a good size match is always important and a silicone prosthesis has much bigger size options than those that exist in saline-filled implants.
Dr. Barry Eppley