Aa
Testicle Implants for primary hypogonadism
Im 22 and have been diagnosed with primary hypogonadism.....from the treatment I have very small grape sized testicles. Is it possible to have implants put in along side the original small ones? who would do this? how would this be done, is there enough room for this? I dont want to go to a urologist just yet for fear they will dismiss me....any help would be appreciated
A follow-up call from my Geneticist yesterday afternoon. He got the report from the Uro and results of the ultrasound.
He told me varicocele in men over 40 is very uncommon. Usually, at my age, this points to a mass lurking somewhere in the lower torso/abdomen. Now a CT scan is being scheduled to determine the presence of any tumor which may have caused the varicocele.
He agreed the most efficient way to relieve the retraction of the testicles (and to avoid future difficulties) would be to have them removed and get implants. Sigh of relief...
If a mass is found, I get a three-for-one surgery: The varicocele repair, testicles removed and replaced with implants, and the tumor removed. If the CT is clear, it'll be a two-for-one.
The saga continues...
He told me varicocele in men over 40 is very uncommon. Usually, at my age, this points to a mass lurking somewhere in the lower torso/abdomen. Now a CT scan is being scheduled to determine the presence of any tumor which may have caused the varicocele.
He agreed the most efficient way to relieve the retraction of the testicles (and to avoid future difficulties) would be to have them removed and get implants. Sigh of relief...
If a mass is found, I get a three-for-one surgery: The varicocele repair, testicles removed and replaced with implants, and the tumor removed. If the CT is clear, it'll be a two-for-one.
The saga continues...
The follow-up this morning went pretty well. The ultrasound revealed a varicocele on my left testicle. However, he said it would not explain the dull ache in the right one. Both testicles are very small, ride high on a regular basis, and the retraction is sporadic. The retraction is due to the cremaster muscles pulling the testicles up into the inguinal cavity. But he's seen no reports of this problem in adults - always in young boys and tennagers. He thinks it could very well be related to my form of Muscular Dystrophy. He suggested surgery to correct the varicocele and indicated he could tie (suture) my testicles to the bottom of my scrotum, but that would simply make the scrotum pull up with the testicles.
I told him sperm count was non-existant and I'm too old to be having children and asked point blank if we could just remove my testicles and be done with it. He's never done that before and suggested we consult with my geneticist. He'll send a report to him and I'll see him as well before another follow-up with the uro in a month (end of July).
Meantime, I just keep dealing with the pain in the left nut from the varicocele and the dull ache in both from the hyper-retractile cremasters.
So. To be continued....
I told him sperm count was non-existant and I'm too old to be having children and asked point blank if we could just remove my testicles and be done with it. He's never done that before and suggested we consult with my geneticist. He'll send a report to him and I'll see him as well before another follow-up with the uro in a month (end of July).
Meantime, I just keep dealing with the pain in the left nut from the varicocele and the dull ache in both from the hyper-retractile cremasters.
So. To be continued....
So, I thought I would post through the entire process so guys who are thinking of this will know (sort of) what to expect.
The sonogram/ultrasound test was early this afternoon. Very nice technician, very professional and discreet. He had me remove my pants and boxer-briefs and I laid on a standard dr's exam table with my legs slightly spread. He tucked a scrub shirt around my penis and then put warm gel over my entire scrotum. The entire test took about 40 minutes, as he moved the sonogram wand lightly over my testicles. At one point he had me take a deep breath, hold it and bear down on my abdomen.He moved the scrub shirt and my penis over and ran the wand over the lower part of my abdmen along side the base of the shaft. When he finished with the right one, with a demur "Sorry about that" in an apology for causing an erection, he moved it over and started on the left. He repeated the process for the left.
When he was finished he told me to clean up using the scrub shirt and a small washcloth while he concentrated on a little bit of paperwork and apologized again when he saw my erection. Once I was dressed he showed me a few of the pictures and explained what I was looking at. Very strange to see images of your own balls on a computer monitor. They're very strange looking things in that light.
So now I wait for the followup with the urologist, who is currently out of the country. That appointment has been booked for June 26.
The sonogram/ultrasound test was early this afternoon. Very nice technician, very professional and discreet. He had me remove my pants and boxer-briefs and I laid on a standard dr's exam table with my legs slightly spread. He tucked a scrub shirt around my penis and then put warm gel over my entire scrotum. The entire test took about 40 minutes, as he moved the sonogram wand lightly over my testicles. At one point he had me take a deep breath, hold it and bear down on my abdomen.He moved the scrub shirt and my penis over and ran the wand over the lower part of my abdmen along side the base of the shaft. When he finished with the right one, with a demur "Sorry about that" in an apology for causing an erection, he moved it over and started on the left. He repeated the process for the left.
When he was finished he told me to clean up using the scrub shirt and a small washcloth while he concentrated on a little bit of paperwork and apologized again when he saw my erection. Once I was dressed he showed me a few of the pictures and explained what I was looking at. Very strange to see images of your own balls on a computer monitor. They're very strange looking things in that light.
So now I wait for the followup with the urologist, who is currently out of the country. That appointment has been booked for June 26.
Well, as promised, here I am. I just got back from my first appt with the urologist. I will now go for a scrotal sonogram. He said they are very small and could not feel any abnormalities - - thus the sonogram. We'll discuss option at the next appt.
I'll let you know how it all goes... I've been referred by my geneticist, who actually suggested the removal and getting the implants.
FOR rmprdl1964: It's not unusual to feel phantom pain with something that has been removed. It's quite a common phenomenon with amputees. Guess it's a matter of the mind playing tricks and overcoming that.
FOR rmprdl1964: It's not unusual to feel phantom pain with something that has been removed. It's quite a common phenomenon with amputees. Guess it's a matter of the mind playing tricks and overcoming that.
I've actually been considering the removal all tgether with implants. Patlark, can to give me insight? Have u seen a uro? How did that visit go? Thanks!
Hi, having your testicles removed does not always mean that you get rid of the pain. As I have stated my left was removed several years ago (2000). I still have times where it seems that my left testicle hurts. You would believe that it should not be able to hurt when it is no longer there.
Good luck,
Ron
Good luck,
Ron
I have had the same problem - and the hormone replacement has made them shrink even more. I've also had problems with hyper-retraction (for some reason they keep trying to pull up into my abdominal-inguinal cavity) which causes a continual dull ache in both that at times spreads up into my abdomen. Rather than getting implants to enhance what is there, since mine have never produced sperm or testosterone, I am finally opting to simply have them removed and replaced with normal sized implants.
I'm looking forward to pain-free days, and a normal look - no more stares and questions in the gym locker room like "Dude, where are your balls, what happened?" and constantly having to say "They're there, you just can't see them."
The procedure can be done by either a cosmetic surgeon, or by a urologist. I'm opting for the urologist route. Too many times cosmetic surgery will not be covered by medical insurance.
There are clinics throughout the country where the enhancement procedure is done; avergae cost: $6,000.00 to $10,000.00.
All the best to you!
I'm looking forward to pain-free days, and a normal look - no more stares and questions in the gym locker room like "Dude, where are your balls, what happened?" and constantly having to say "They're there, you just can't see them."
The procedure can be done by either a cosmetic surgeon, or by a urologist. I'm opting for the urologist route. Too many times cosmetic surgery will not be covered by medical insurance.
There are clinics throughout the country where the enhancement procedure is done; avergae cost: $6,000.00 to $10,000.00.
All the best to you!
Hi,
In that case I believe that implants are possible. I'm not usre as to where you have to go to get this done. Your best plan would be to consult with a urologist.
All the best.
Ron
In that case I believe that implants are possible. I'm not usre as to where you have to go to get this done. Your best plan would be to consult with a urologist.
All the best.
Ron
Ok, sorry i didnt make myself clear.....Primary hypogonadism means my testicles stopped working. As in no kids and prepubertal testosterone levels....so they are kinda useless...im already being treated medically with hormones
Hi,
You could be aksing foir unwanted problems by wanting to do this.
If they are willing to do so there are several risks. You could develop a blood clot (hematoma), possible damage to your testes.
I ended up with a hematoma just after a vasectomy. After the clot was removed my left testicle was no longer mobile in the scrotum, but fixed in one place. This caused discomfort. A year later I developed a bad infection in the same testicle and ended up with an emergency orchiectomy. At times it still seems to bother me eventhough the testicle is no longer there. The urologist did not ven consider puting in a prostesis for the lost testicle. As long as your testicles produce testosterone, I would leave things alone. If your testosterone is low than you could benefit from testosterone shots. They have helped me to maintain muscle tone and bone density.
All the best.
Ron
You could be aksing foir unwanted problems by wanting to do this.
If they are willing to do so there are several risks. You could develop a blood clot (hematoma), possible damage to your testes.
I ended up with a hematoma just after a vasectomy. After the clot was removed my left testicle was no longer mobile in the scrotum, but fixed in one place. This caused discomfort. A year later I developed a bad infection in the same testicle and ended up with an emergency orchiectomy. At times it still seems to bother me eventhough the testicle is no longer there. The urologist did not ven consider puting in a prostesis for the lost testicle. As long as your testicles produce testosterone, I would leave things alone. If your testosterone is low than you could benefit from testosterone shots. They have helped me to maintain muscle tone and bone density.
All the best.
Ron
Have an Answer?
You are reading content posted in the Urology Community
Discharge often isn't normal, and could mean an infection or an STD.
Dr. Jose Gonzalez-Garcia provides insight to the most commonly asked question about the transfer of HIV between partners.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
