What Is The Best Scrotal Incision Location for Testicle Implants?
Q: Dr. Eppley, Was curious if high scrotal is possible compared to mid raphe for same low hanging effect, I heard high scrotal has low pain after and fast recovery. Whichever has lowest extrusion rate and least pain is preferred, other than inguinal.
Also, can you ask implantech for durability testing data? I’m curious how resilient the shape of these are after being compressed I am extremely active. This is important for me to know for peace of mind.
A: When it comes to an incision, not matter where it is placed, what is done inside remains the same. Thus an incision is a point of access and is not where most of the discomfort emanates.
The midline low raphe incision has the least discomfort and ensures the best chance for a desired low testicle implant position. I have never seen extrusion and would not consider it a likely risk. That would occur due to the combination of an inadequate implant pocket and poor wound closure techniques.
There is no biomechanical data that I am aware of that would provide what the required amount of compressive force that it would take for the implant to fracture/fail. But I would suspect it is way beyond twhatever force to which you are going to expose it.
Dr. Barry Eppley
World-Renowned Plastic Surgeon