Cosmetic Urology - Surgery for Men - Dr. Ethan Grober Mount Sinai Hospital Toronto Canada

Lets face it – some men are concerned about the size and symmetry of their testicles.

Testicular size and function can be compromised by several conditions including - infections involving the testicle, testicular tumors, failure of the testicle to descend properly (undescended testicle), infertility, testicular trauma or torsion (twisting of the spermatic cord) and following use of certain medications that can impact testicular growth (i.e. steroids). In many cases, there is no clear reason why one or both testicles developed smaller than 'average'. Some men are simply born with one testicle or have had a testicle removed previously.

For men who are concerned or embarrassed about size, symmetry or absence of a testicle, a testicular prosthesis may help restore one’s self confidence.

A testicular prosthesis is an artificial testicle that can be implanted within the scrotum to provide the appearance of a natural testicle. The weight, shape and soft texture of the implant are designed to mimic the natural testicle and have high levels of patient satisfaction. By filling the implant with sterile saline, the size and consistency of each testicular implant can be adapted according to patient preference to provide the desired cosmetic result.
testicular implant

The Testicular Implant Procedure

Depending of the complexity of the procedure and the type of anesthetic used, the surgical placement of a testicular implant or prosthesis typically takes about 30 minutes to complete. All procedures are performed as day surgery with patients typically being discharged about an hour after the procedure. There is no need for a prolonged hospital or clinic stay. A testicular prosthesis can be implanted using local anesthetic, sedation (a light sleep) or general anesthesia according to patient preference.

A small incision – just big enough to accommodate the size of the implant – is made in the scrotal skin. The size and consistency of the testicular implant is prepared by filling the implant with sterile saline solution to the desired volume. The implant is carefully positioned and secured within the scrotum offering a natural, cosmetically appealing result. The small incision is closed with dissolvable sutures.
coloplast testicular prosthesis

Risks and Benefits of a Testicular Implant/Prosthesis

Restoration of the natural appearance, size and consistency of the testis with the potential for enhanced self-esteem and confidence.

All surgical interventions are associated with some degree of risk, including the placement of a testicular implant. Generally speaking, testicular implant surgery is considered minor surgery and is a relatively low risk operation. Relevant risks to consider include infection (with possible need to remove the implant), bleeding, implant migration or erosion, scrotal pain and swelling, fibrous capsular formation, tissue compromise and implant leakage or deflation.

Preparing for Testicular Implant Surgery

Preparing for a testicular implant is simple. Shower the morning of the procedure and clean the penis and scrotum well with soap and water. There is no need for shaving or hair removal in advance of the procedure. Wear comfortable closing with athletic supportive underwear to the procedure. Depending on the type of anesthetic used during the procedure you may be asked not to eat or drink prior to the surgery.

Following Testicular Implant Surgery

Following surgery, patients are discharged with a prescription for pain medicine and a short-term antibiotic to prevent infection. During the recovery period, patients should only engage in light activity for the first 7-10 days. Heavier activity and exercise can typically begin about 2-3 weeks following surgery. Patients should remove the bandage 48 hours after surgery in a warm shower and begin to apply Polysporin ointment to the incision each day for about 1 week. The sutures or stitches will dissolve on their own over the next 3 weeks. When not painful, patients are encouraged to gently manipulate the prosthesis and encourage it to rest in a natural, dependant position in the scrotum. A follow up appointment with the doctor is typically scheduled 4 weeks following the surgery.

Dr. Ethan Grober M.D., M.ED., FRCSCDr. Ethan Grober
Male Sexual Medicine
416-586-4800 Ext. 3985

Murray Koffler Urologic Wellness Centre
Mt. Sinai Hospital
Joseph & Wolf Lebovic Building (JWL)
60 Murray Street, 6th Floor
Toronto, Ontario M5T 3L9
Call: 416.586.4800 ext 5374

The New Women’s College Hospital, Main Building
76 Grenville St. Toronto ON M5S 1B2
Phone: 416-323-6400