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Insertion of testicular prosthesis (separate procedure)

CPT4 code

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.

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