Side effects and risks
Although the implantation of a testicular prosthesis is usually a complication-free procedure, the operation can still cause side effects. Since it is an operation that is usually performed under general anesthesia, there are general risks associated with such an operation. However, the procedure can be performed through minimal incisions and is performed away from vital organs, so the risks of this particular operation are limited.
It should be noted that the insertion of such an implant always involves the implantation of a foreign body into the body. Such a foreign body can always lead to rejection and inflammation, so the procedure should be carefully considered. Whether hormonal disorders occur depends on the presence of a second functional testicle or on the absence of both testicles.
Since the testicles are responsible for the production of sperm and testosterone, an impairment can occur especially if both testicles are missing. If both testicles are missing, the production of sperm and testosterone is no longer possible. The testosterone level should be checked and, if necessary, a substitution therapy (external supply of testosterone e.g. by tablets) should be carried out to prevent the side effects of a testosterone deficiency. Since the implanted testicular prosthesis cannot take over any function, the operation is cosmetic in nature and the advantages and disadvantages of the procedure should be discussed with the treating physician.
Contraindications
If the testicle is not formed or removed, there is often the desire to have a testicular prosthesis implantation. However, this option is not always available. Thus, certain contraindications, which would stand in the way of the procedure, must be excluded before the operation.
These include inflammation of the tissue in which the testicular implant is to be inserted.Damage caused by radiation therapy can also be a contraindication. Acutely existing or already treated accumulations of pus in the area of the testicles can also be an obstacle. It is recommended to perform the testicular prosthesis only after the sexual organs have grown out, because the testicles grow with puberty and only with an adult testicle the size of the required testicular prosthesis can be estimated. There may also be contraindications for performing surgery under general anesthesia. The attending physician will discuss possible contraindications in a detailed doctor-patient consultation and can thus decide whether the operation can be performed.
