Should I Have My Varicoele Removed Before Getting Testicle Implants?

Q: Dr. Eppley, I am interested in testicular enhancement. Current size approx 15mm x25mm. I had extreme atrophy over the course of 4 years starting around 10 years ago after an issue with varicocele.Size before that was approx 36ml of volume. I have some old ultrasound paperwork from before all of that happened. 

I’d like to have similar to my original size (5.8cmx3.5cm approx) but understand this would be a custom made silicone implant. If the cost of that is too prohibitive for me, I could possible go with the largest standard size depending on what Dr Eppley recommends.

I still have the varicocele. Although not usually painful anymore, I may have it removed before having implants, depending on what Dr Eppley advises.

A: Thanks for the info. The largest standard testicle implant size is 5.0cms. Any size larger requires a custom testicle implant made. (which would be needed for a 5.8 x 3.5cm size)

I would recommend having  the varicoele removed first. My experience with combining varicoele removal with implants is that the risk of complications increases. You may even consider having the one or both testicles removed with such severe atrophy (or at least the one with the varicoele) and because at such small sizes the wrap around concept does not work well and it would be more ideal to go with the displacement implant approach.

Dr. Barry Eppley

World-Renowned Plastic Surgeon