Testicular Implant Revision
A testicular implant may require further assessment when it is painful, sitting in an unsatisfactory position, feels the wrong size, has moved, or develops another implant-related problem. Revision surgery can be considered when there is a clear reason to remove, reposition or replace a previous testicular prosthesis.
When a previous testicular implant is not quite right
Testicular implants, also called testicular prostheses, are used to restore the appearance and contour of the scrotum when a testicle is absent or has been removed.
Most concerns do not automatically mean that another operation is required. However, persistent discomfort, an implant sitting too high or in an unnatural position, significant asymmetry, migration, infection, erosion or dissatisfaction with the size of the implant may justify specialist assessment.
Revision is different from first-time implantation because previous surgery can alter the scrotal tissues and available space. The appropriate approach therefore depends on the original operation, current implant position, condition of the surrounding tissues and the reason for revision.
Common problems with a previous testicular implant
Implant sitting too high
Some patients notice that the prosthesis remains higher in the scrotum than the opposite testicle or does not move naturally.
Size or symmetry concerns
An implant that appears noticeably too large or too small may produce persistent asymmetry or dissatisfaction.
Pain or discomfort
Persistent implant-related pain, tenderness or discomfort should be assessed to determine the likely cause before further surgery is considered.
Migration or malposition
The prosthesis can occasionally move from the intended position or become fixed in an undesirable location.
Infection
Increasing pain, redness, swelling, discharge or systemic symptoms may indicate infection and require prompt medical assessment.
Erosion or extrusion
Thinning or breakdown of the overlying scrotal skin, exposure of an implant or extrusion requires urgent specialist evaluation.
Understanding why the implant is causing a problem
Revision surgery begins with determining exactly what is wrong and what outcome you are hoping to achieve.
If available, bringing the details of your previous surgery, implant information and relevant medical records may assist with planning.
What can testicular implant revision involve?
There is no single revision operation. The surgical approach is individualised according to the problem being treated.
Repositioning
When appropriate, revision may involve adjusting the implant pocket or position to improve where the prosthesis sits within the scrotum.
Implant replacement
An existing implant may be removed and replaced when a different size or a new prosthesis is considered appropriate.
Implant removal
In some situations, particularly where there is infection, erosion or significant implant-related symptoms, removal may be the most appropriate initial treatment.
Delayed replacement
Immediate replacement is not suitable in every situation. When the tissues need time to recover, a new prosthesis can sometimes be considered at a later operation.
What to expect
Can revision make both sides exactly the same?
The aim is generally to improve a specific implant-related problem rather than create perfect symmetry.
Natural testicles vary in their size, height, orientation and movement. Previous surgery, scar tissue and the available scrotal space can also affect the final position of a prosthesis.
Before revision, it is therefore important to identify what can realistically be changed and whether another operation is likely to address the feature that concerns you.
Potential risks of revision surgery
Risks vary according to the type and complexity of revision. They may include:
Your individual risks and the alternatives to surgery should be discussed during consultation before deciding whether revision is appropriate.
When should I seek prompt medical assessment?
Seek medical advice promptly if an existing implant is associated with increasing redness or swelling, significant worsening pain, wound discharge, skin breakdown, fever or if any part of the prosthesis appears to be exposed.
Acute or severe symptoms may require urgent assessment rather than waiting for a routine appointment.
Testicular implant revision FAQs
My testicular implant sits too high. Can it be lowered?
A high-riding implant is a recognised reason patients seek review. Whether its position can be improved depends on the implant, available scrotal space, scar tissue and previous surgery. Examination is usually required before determining what is possible.
Can a testicular implant be replaced with a different size?
Replacement with a different prosthesis may be considered when size is a significant concern. The appropriate size depends on the individual's anatomy and available scrotal space rather than simply matching a particular measurement.
Can an old testicular implant be removed?
Yes. Removal may be considered for infection, erosion, persistent implant-related symptoms or when a patient no longer wishes to have the prosthesis. The option of replacement can be discussed separately.
Can a new implant be inserted at the same operation?
Sometimes. In other circumstances, particularly when infection, erosion or poor tissue quality is present, removal and delayed reassessment may be preferable. This decision is individualised.
My implant feels very firm. Is something wrong?
A prosthesis will not feel exactly like a natural testicle. However, a new change in firmness, discomfort, position or the surrounding tissues should be assessed if it is concerning.
Does the implant make testosterone or sperm?
No. A testicular prosthesis is an implant used to restore scrotal contour and appearance. It does not replace the hormonal or reproductive function of a biological testicle.
What if my original implant surgery was performed elsewhere?
Previous surgery elsewhere does not prevent assessment. If possible, bring your previous operative report and any information identifying the implant that was inserted.
Concerned about a previous testicular implant?
If a testicular prosthesis is painful, poorly positioned, has moved, appears the wrong size or has developed another problem, specialist assessment can help determine whether observation, removal, repositioning or replacement should be considered.