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