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Primary placement, mostly after orchiectomy."},"contraindications":["Active local or systemic infection","Untreated groin or scrotal skin infection or wounds","Uncontrolled bleeding disorder or unmanageable anticoagulation","Unfit for anesthesia","Poorly controlled diabetes or poor wound healing (relative)","Insufficient scrotal skin or damaged tissue (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically same-day discharge for primary placement of a testicular implant; occasional overnight observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Return to strenuous exercise and heavy lifting after surgeon clearance; light walking earlier."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Swelling resolves and implant settles to its final position and appearance."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"Same-day procedure; check wound and swelling at about 1 week. Delay flying if swelling, drainage or pain."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From the day of surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From the day of surgery; check position, swelling and satisfaction."}}],"indications":["Absent testis after orchiectomy (e.g., for cancer or torsion)","Congenital absence or atrophy of a testis (anorchia, vanishing testis)","Testicular loss after trauma or infection","Absent testis with resulting scrotal asymmetry"],"main_risks":["Infection","Hematoma or bleeding","Pain and swelling","Implant displacement or malposition","Implant extrusion","Capsular contracture or firmness","Asymmetry or unsatisfactory size/position","Need for removal or revision","Anesthesia-related risks"],"pain":"Mild to moderate discomfort and swelling in the groin and scrotum for several days, usually controlled with oral analgesics and supportive underwear.","preparation":["Preoperative consultation and implant size selection","Medical history review and fitness for anesthesia assessment","Fasting before general anesthesia as instructed","Hygiene and groin/scrotal hair clipping as advised","Arrange transport home and assistance for first days","Review of medications and blood-thinner management with the surgeon"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest at home with swelling, bruising and mild pain; scrotal support and ice as advised.","restrictions":["No heavy lifting","No strenuous activity"]},{"phase":"Days 4-14","description":"Gradual return to light daily activity and desk work; swelling decreasing; wound check.","restrictions":["Avoid heavy lifting","Avoid vigorous exercise","Avoid sexual activity as advised"]},{"phase":"Weeks 2-6","description":"Progressive return to normal activity; exercise resumed after surgeon clearance.","restrictions":["Avoid strenuous exercise until cleared, generally by weeks 4-6"]},{"phase":"Months 1-3","description":"Residual swelling resolves and implant settles.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to daily and desk activities; avoid strenuous exercise, heavy lifting and cycling for about 4–6 weeks."},"result_longevity":"Many implants last for years; revision or replacement is occasionally needed.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Explant, replacement or repositioning after primary implantation, mostly within 3–12 months. Staged or gender-affirming cases excluded."},"scars":"Small scar in the groin (inguinal) or scrotal incision, usually well concealed and fading over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure for primary implant placement."},"stages":[{"code":"implant_placement","label":"Testicular implant placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One operation; follow-up checks are routine care and not counted as stages."},"success":{"metric":"Pooled patient-reported satisfaction with testicular prosthesis","value":84,"unit":"percent","horizon":"Variable follow-up; no fixed time point","population":"Cisgender and transgender adults after testicular prosthesis implantation","evidence_status":"limited"},"techniques":[{"name":"Inguinal approach","suits_whom":"Patients after radical orchiectomy with an existing inguinal scar, or when placed at time of orchiectomy.","recovery":"Typically a few days to a week for light activity."},{"name":"Scrotal approach","suits_whom":"Patients with congenital absence or those needing a primary implant without inguinal scar.","recovery":"Typically a few days to a week for light activity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for single primary testicular implant placement; shorter for unilateral cases."},"initial_assessment_documents":["Orchiectomy operative report (if available)","Pathology report (if available)","Oncologist clearance letter (if available)","Scrotal ultrasound report (if available)","Front photos of the groin and scrotum","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery with same-day discharge; stay about 5-10 days to allow the one-week wound check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the provider to explain the outcomes and risks of the implant","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/articles/testicular-prosthesis","host":"my.clevelandclinic.org","quote":"They can also tell you more about the outcomes and risks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask the provider to answer questions and detail the procedure before surgery","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/articles/testicular-prosthesis","host":"my.clevelandclinic.org","quote":"They'll answer all of your questions and detail the procedure beforehand.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the surgeon you consult is the same person who will carry out the 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