54660 Insertion of testicular prosthesis (separate procedure)

Name of the Procedure:

Insertion of Testicular Prosthesis
Common name(s): Testicular Implant Surgery, Testicular Prosthesis Placement
Medical terms: Testicular Prosthesis Insertion, Orchiectomy with Prosthesis Insertion

Summary

Insertion of a testicular prosthesis is a surgical procedure where an artificial implant is placed into the scrotum to replace a missing testicle. This can restore the appearance and some of the aesthetic symmetry of the scrotum after the loss or absence of a testicle.

Purpose

The procedure addresses the absence of a testicle due to congenital conditions, injury, disease, or after surgical removal of a testicle (orchiectomy). The primary goals are to improve the cosmetic appearance of the scrotum and to help alleviate any psychological or emotional distress caused by the absence of a testicle.

Indications

• Congenital absence of one or both testicles
• Testicular torsion leading to the loss of the testicle
• Testicular cancer requiring orchiectomy
• Trauma or injury resulting in the loss of a testicle
• Patient dissatisfaction with the appearance of the scrotum after testicle removal

Preparation

• Patients may be instructed to fast for a specified period before the surgery.
• Preoperative assessments may include blood tests, a physical examination, and a detailed medical history.
• Patients may need to stop certain medications, such as blood thinners, before the procedure.
• Showering with an antibacterial soap on the day of surgery may be recommended to reduce the risk of infection.

Procedure Description

1. Anesthesia: The patient will be given either general anesthesia or regional anesthesia with sedation.
2. Incision: A small incision is made in the scrotum or groin area.
3. Pocket Creation: A pocket is created within the scrotal sac to accommodate the prosthesis.
4. Implant Placement: The testicular prosthesis, typically made from silicone or other biocompatible material, is inserted into the pocket.
5. Closure: The incision is closed with sutures that will either dissolve over time or be removed in a follow-up visit.
6. Dressing: A sterile dressing is applied to protect the surgical area.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

This procedure is usually performed in a hospital or outpatient surgical center.

Personnel

• Surgeon (urologist or general surgeon)
• Anesthesiologist or nurse anesthetist
• Operating room nurses and surgical technicians

Risks and Complications

• Infection at the incision site
• Implant displacement or extrusion
• Scarring or poor cosmetic result
• Allergic reaction to the anesthesia
• Pain or discomfort in the scrotum
• Hematoma or bleeding

Benefits

• Improved cosmetic appearance of the scrotum
• Potential psychological benefits, including improved self-esteem and body image
• Restoration of scrotal symmetry

Recovery

• Patients may experience some swelling, bruising, and discomfort that can be managed with pain medication.
• Avoid strenuous activity and heavy lifting for several weeks.
• Follow-up appointments will be necessary to monitor healing and the position of the implant.
• Most patients can return to normal activities within 1 to 2 weeks.

Alternatives

• No intervention: Choosing not to replace the testicle; may not satisfy cosmetic or psychological needs.
• Testicular prosthesis alternatives: Different types of implants with varying shapes and materials. Pros and cons may include variations in feel and appearance.

Patient Experience

• During the procedure: The patient will feel no pain due to anesthesia.
• After the procedure: Some discomfort, swelling, and bruising are expected, with pain that can be managed through prescribed medications. Most patients report a notable improvement in appearance and satisfaction post-recovery.