ArticleInternational braz j urol : official journal of the Brazilian Society of Urology
Testicular Implant Complications after Transmasculine Gender Affirming Surgery.
Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Testicular prosthesis complications and satisfaction rates after gender affirming scrotoplasty.The Canadian journal of urology · 2026Article
- The New Visual Erection Hardness Score is the Topic Highligheted in this Issue of International Brazilian Journal of Urology.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeComplications from testicular implantation in transgender men can cause significant distress, repeat visits to the emergency department, and require reoperation for explantation. Outcomes for these implants have not been well described in the literature. This study compares patient and surgery specific factors with complications from testicular implants in transgender men. MATERIALS AND
methodsWe performed a retrospective review of patients who underwent testicular implantation. Surgery was standardized across patients with placement through incisions at the top of the labia majora or medially during metoidioplasty. Complication rates, including infection, erosion, migration, and pain requiring removal was compared with patient factors, including body mass index (BMI), smoking status, and implant size.
resultsOf the 116 testicular implants, 12% had a complication requiring removal. The most common reason for removal was erosion of the prosthesis, which occurred in 6 instances. Migration was a relatively frequent complaint, with 10% of patients noting relocation of an implant. However, only 4 implants ultimately underwent reoperation for migration. Four implants caused enough pain to require reoperation. On logistic regression of BMI, age, smoking status, and immunocompromised state on removal of prosthesis, no factor was found to be a significant predictor of removal. Increasing implant size was not associated with an increased likelihood of removal.
conclusionsComplications after testicular implants in transgender men are not uncommon events. Although there appears to be a growing trend toward smaller prostheses in the literature, our data suggest that implant size is not a significant predictor of complications requiring prosthetic removal.
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