As part of genital reconstruction surgery, transgender men may want testicular implants. Testicular implants are filled with silicone gel and placed inside the scrotum. They are soft to the touch to provide a realistic look and feel. An implant is sized to match the normal testicle, to fill the scrotum to get symmetry. Testicular implantation is performed as an outpatient procedure and can be performed with minimal anaesthesia. Or in combination with another procedure which will be performed under general anaesthesia.
What to expect
Pre-operative:
- Bring a list of your questions and concerns to your pre-operative visits. It is essential to understand what the surgery entails and what the risks, benefits, other options and expectations for recovery are is essential.
- You will need surgery referral letters from two qualified mental health professionals.
- You will be given guidelines on eating, drinking and adjusting current medications before the surgery can take place.
- Smoking is a relative contra-indication to subcutaneous mastectomy. Because of the increased risk of infection i.a., you are advised to stop smoking as soon as possible.
- After you have discussed which surgery technique is best for you, Dr Kanhai will draw up a plan for the operation.
- The anaesthesiologist will provide information on the anaesthesia, and doctor Kanhai about the type of the operation, and the follow-up procedures that might be necessary.
- Dr Kanhai will also ask about any risk factors for blood clotting issues (past deep vein thrombosis or pulmonary embolism), bleeding problems (like haemophilia), or family/personal history of issues with anaesthesia.
- You will undergo a physical examination to ensure readiness for the operation.
Peri-operative:
- Implantation of testicles can be done under local anaesthesia or a general anaesthesia.
- Dr Kanhai will make an incision on top of the scrotum.
- In the scrotum, each testicle will be placed in a separate pocket.
- Dr Kanhai will close the incision with dissolvable sutures.
Post-operative:
- You will most likely feel fatigued after the surgery, and the scrotum will be swollen, tender, and sensitive to touch for some time.
- You need to wear tight underwear for at least 2 weeks after the implantation.
- During the first 24 to 48 hours after the procedure, you will experience discomfort. Within 7 to 10 days, you should be able to resume most of your non-strenuous daily activities.
