Simple removal of the testis ± silicone implant

What is this?

This involves removal of the testis via a groin or scrotal incision

What alternatives are there?

Observation

What to expect before procedure

You will usually be admitted on the same day as your surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy. You will normally be given an injection of antibiotics to prevent infection of the artificial testicle.

What happens during the procedure?

Either a full general anaesthetic (where you will be asleep throughout the procedure) or a spinal anaesthetic (where you are awake but unable to feel anything from the waist down) will be used. All methods minimise pain; your anaesthetist will explain the pros and cons of each type of anaesthetic to you. The testis is removed through a small incision either in the groin or in the scrotum, depending on where the testis lies. If an artificial testicle is needed, this is inserted into the scrotum and the neck of the scrotum is closed off with stitches to prevent the prosthesis from moving up into the groin. The prosthesis itself is fixed to the inside of the scrotum to prevent it from rotating.

After the procedure

You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal. The average hospital stay is 2 days.

Potential side effects

Common;

Occasional;

Rare;