We used to perform scrotal enhancement by injecting the patient’s own fat into the scrotal wall. We no longer do this for three reasons:
- The fate of tissue injected into the scrotum was variable; unlike fat injected into the penis, which remains there, scrotal fat was unreliable.
- Adding tissue to the scrotal wall probably acts as an insulator and raises the temperature inside the scrotum, decreasing sperm production.
- Cancer of the testicle is usually found by someone feeling a lump on his testicle. Adding fat to the scrotal wall could mask or delay detecting a testicular lump.
For the past several years what we have done to enlarge and fill out the scrotum is to insert a silicone-covered, saline-filled testicular prosthesis into the scrotum in front of the smaller of the two testicles.
- This produces a full, "manly" scrotal sac.
- The prosthesis feels just like a normal testicle.
- Interestingly, partners seldom notice the "extra" testicle. If they do, some patients say, "I’ve had it for years. My doctor told me it’s a cyst and if it doesn’t bother me, to leave it alone, so I’ve left it alone."
- One testicular prosthesis operation alone costs $3950.00; if done along with other surgery it costs $3600.00