Yes, it is possible to get the appearance and feel of testicles following phalloplasty through a surgical procedure known as testicular prosthesis implantation. These are artificial implants designed to replicate the look and feel of natural testicles.
Understanding Testicular Implants in Gender-Affirming Surgery
For trans men undergoing phalloplasty (the surgical creation of a penis) or metoidioplasty (a procedure to release and enlarge the clitoris, which has been masculinized by testosterone), the option to have testicular implants is a common part of the gender-affirming surgical process. These implants are typically made of silicone and are designed to provide a natural aesthetic and tactile sensation in a newly created scrotum.
When Can Testicular Implants Be Placed?
The timing of testicular implant surgery can vary depending on individual circumstances and the surgeon's recommendations. There are generally two primary approaches:
- Concurrent with Phalloplasty or Metoidioplasty: In many cases, testicular prosthesis surgery can be performed at the same time as the primary phalloplasty or metoidioplasty procedure. This allows for a more integrated surgical experience, potentially reducing the total number of operations.
- Staged (Second Operation): Alternatively, the placement of testicular implants can be performed as a separate, subsequent operation. This might be recommended if there are healing considerations from the initial surgery, or if the patient prefers to stage their procedures over time. This approach allows the newly formed scrotal area to heal and expand before the implants are placed.
The Role of Scrotoplasty
It's important to note that before testicular implants can be placed, a scrotoplasty is typically performed. Scrotoplasty is the surgical creation of a scrotum using tissue from the labia majora. This procedure forms the pouch where the testicular implants will eventually reside, creating a more complete male genital appearance.
For individuals considering these procedures, consulting with a specialized surgeon in gender-affirming care is crucial to discuss all available options, timing, and what to expect from each stage of surgery. More information about phalloplasty and associated procedures can often be found through reputable medical centers specializing in transgender health, such as those detailed by UCSF Transgender Care.
