Q: Dr. Eppley, I have an odd question about testicle implants that I hope you will not think is too weird. I have had great loss of testicular size due to testosterone therapy. Is it possible to get two testicle implants and not disturb the small testicles that I have?
A: I think your question is whether you can add two testicle implants while keeping your existing small testicles. Provided there is adequate scrotal sac space, and there most likely is, the answer would be that you could. You would just have to be sure that you can get a testicle implant in the sac that is appreciably bigger than the existing smaller testicle. That way you could have two ‘dominant’ testicles and not just four smaller ones. (aka sac of marbles) The obvious assumption is that you are trying to have a more normal testicle size while keeping the simultaneous function of the existing testicles, small as they may be.
Testicle implants are placed through high scrotal incisions near the groin crease so the final resting place of the implant is not directly against the incisions. This is a procedure that is performed as an outpatient under general anesthesia.
Dr. Barry Eppley