Will XXL Wrap Around Testicle Implants Solve My Chronic Testicle Implant Problems?
Q: Dr. Eppley, My past history of testicle enlargement, I had surgery to get his XXL size cup style implant in 2015 and everything was great for about a year then the left on fell off the testicle. I had another surgery to fix it in 2016 and the same thing happened again in 2018 and then again in 2019. My right testicle has never had an issue with the implant coming off, but it is an odd shape and pretty hard. I am on TRT and have been from the age of 28, I am now 50 and not sure if that maybe part of the issue. I have spent a lot of money on this. I am really interested in your largest wrap around style implant. I have a lot of room in my sac and believe it would work. I would really like to hear what you think and see what all the costs would be to get the procedure. I live out of state and would like to come home a day or two later if possible. Thank you in advance and CAN’T wait to hear your thoughts.
A: In my custom large testicle implant experience the wrap around style for the properly selected patient can be very successful. However how that implant style might fare in a scarred scrotum where testicle implants already exist as replacements I can not say as that situation has not yet arisen. (until your inquiry) Whether it would be the ultimate solution or turn into another eventual ‘problem’ (back out of the implant) can not really be predicted.
The only sure bet in your situation, in which I imagine the natural testicles are fairly small due to TRT and age is a side by side technique. Using 7.5 cm testicle implants that would overwhelm/camouflage the existing ones removes any risk of the implant complications you have already incurred or may occur with any future enveloping implant techniques.
Dr. Barry Eppley