The Clinical Utility of Testicular Prosthesis Placement in Children With Genital and Testicular Disorders

Stanley Kogan


Transl Androl Urol. 2014;3(4):391-397. 

In This Article


Complications related to prosthesis placement are infrequent and may be divided into those related immediately to surgery and those that are later and delayed. The immediate surgically related complications to a great extent may be minimized by careful planning and attention to detail. Choice of incision, especially avoiding a scrotal incision in the thin pediatric scrotum or in previously operated scrotum will minimize the risk of post-operative extrusion. Careful hemostasis and antibiotic wound irrigation will minimize post-operative infection. Less than ideal dependant scrotal placement is the cause of more common complaint and certainly can be minimized with careful attention to placement location. Upward migration of the prosthesis has been described as well. Post-operative scrotal pain ("phantom orchalgia") occurs in some and it may be difficult to diagnose the cause and to treat.

While immune complications related to silicone shell shedding or silicone leakage were highly suspected and worrisome in the 1990's subsequent investigations have not validated these concerns and are rarely commented on nowadays. Traumatic rupture remains an infrequent occurrence, however cases of spontaneous non-traumatic rupture have been reported as well, in some instances many years after prosthesis implant.[5]