Testicular Implants (Testicular Enlargement with Testicular Prosthesis) for Treatment of a Missing Testicle in Men

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call  1 212-204-6300

Who is a Candidate for Testicular Implant?

Some men are born without a testicle or they lose a testicle for one reason or another during their life.  Some men lose a testicle in childhood or adulthood as a result of testicular torsion.  The testicle may also shrink and become essentially a small scar.  Not as commonly, men may lose a testicle as a result of trauma or surgical complication such as during inguinal hernia repair.  Other men may lose a testicle to testicular cancer, or as a result of treatment with orchiectomy for prostate cancer.

Testis produces testosterone which is important to men’s general health.  In general, one testicle can produce a sufficient amount of testosterone.  When both testes are non-functioning or missing testosterone replacement therapy is usually of benefit.

Testicular Prosthesis for Men with a Missing Testicle

For men who are missing one or both testes, an option to have testicular implants surgically implanted is available. A testicular prosthesis is similar to breast implants that women get.  

Testicular implants are not required but they may improve the cosmetic appearance of the scrotum.  Testicular implants come are saline-filled and offer good cosmetic results.  Silicone testicular implants are also available.  They also come in different sizes, custom fitted to the patient’s needs.  At New York Urology Specialists, we use the Coloplast Toroso testicular prosthesis.  The prosthesis helps with restoring a more natural appearance of the scrotum in males missing one or both testicles. The weight, shape and soft texture of the testicular prosthesis are designed to resemble the natural anatomical testicle as much as possible.

coloplast-testicular-prosthesisChoosing to have a prosthetic testicular implant is a personal choice. The testicular implant does not replace a functioning testicle; you may still need testosterone replacement if both testes are missing and it will not help with restoring fertility in men who experience infertility.

A testicular prosthesis may help with self-esteem, self-confidence and overall psychological well being of the man.  Studies show that most men are highly satisfied with testicular implants.

As with any surgical implant, certain risks such as infection, bleeding and the need for surgical revision or removal/replacement exist. During your consultation, these will be discussed in greater detail.

At New York Urology Specialists we offer testicular implants for men who need them.   If you have any questions, schedule a consultation or if you need a second opinion, please contact us for an appointment.

Testicular Implant Surgery at New York Urology Specialists – What to Expect

The testicular implant procedure is performed in a surgical center.  The procedure takes less than 1 hour to perform and men go home shortly after the procedure.  More than 80% of men do not require any pain medications or take Motrin after the procedure.  Most men are able to return to work the next day.  Men may return to the GYM a few days after the procedure.  Most men may resume sexual activity 2 weeks after the procedure. Men can take a shower the same day after the procedure. 

The testicular prosthesis does not affect the ability to obtain erections, does not affect the ability to ejaculate.  

Cost of Testicular Implants and Insurance Coverage

Most insurances including Cigna, Aetna, United Healthcare and Blue Cross plans cover the cost of testicular implants for men who had lost a testicle due to a medical condition such as testicular cancer, testicular torsion, and testicular trauma.  The cost of testicular implants and surgery are covered for men who have a medical need, in other words, who experience complications of missing testicle such as poor self-esteem, depression, sadness and difficulty with intimate relationships as a result of a missing testicle.

Testicular Prosthesis in Pictures

Testicular prosthesis comes in 4 sizes.  The doctor will usually choose a size that is most similar to your other testicle.

400_300_UC_HCP_MALE_TesticularTorosa Extra Small (Pediatric)

Torosa Small (Pediatric)

Torosa Medium (Adult/Adolescent)

Torosa Large (Adult)



Testicular Implant Images: Photogallery

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Preparation for Testicular Implant Surgery at New York Urology Specialists

At New York Urology Specialists, we make it as safe as possible for patients to undergo testicular implant surgery.

It is important that there is no existing infection in the scrotal or inguinal area prior to the procedure. If an infection is present, it needs to be treated prior to scheduling the procedure. This is especially applicable to patients with diabetes who have a high risk for fungal infection or jock itch in the scrotum or groin.

For patients without pre-existing infection, no antibiotic treatment is necessary prior to arrival at the surgical center or our office. Patients are given a dose of antibiotics immediately prior to the procedure to minimize the risk of infection.

Diet Before Testicular Implant Surgery

If your procedure is performed in our office under local anesthesia, you may eat and drink normally before and after the procedure.

If your procedure is performed under anesthesia in a surgical center or hospital, you may not eat or drink for at least 8 hours before the procedure.

Shaving and Showering

We do not advise shaving prior to the procedure. If there is a need to shave the scrotum, it will be performed during the procedure as this minimizes the risk of infection. Patients can take a shower normally before and after the procedure without restrictions.

If you have any questions about testicular prosthesis treatment, schedule a consultation, contact us or call 1-(212) 204-6300.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.

Testicular Loss is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of testicular atrophy, and absent testis.  We understand the challenges that absence of a testicle and ED create for our patients, their relationships and their self-esteem.  We help you find a treatment for testicular replacement with a testicular implant that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction and other sexual problems. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex Health Problems in Men Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: (646) 663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.