Monorchidism, Anorchidism, and Testicular Prosthesis in Children and Adolescents

  • Elena Vittoria Longhi
  • Alessandro Franceschelli


Parents of children with monorchidism are invited by clinicians to let their child decide if they want testicular prostheses after reaching puberty. Unfortunately, however, teenagers make this decision after experiencing shame, frustration, and embarrassment due to the appearance of the genitals. Understanding these emotional aspects can be a way to increase surgical compliance, the aesthetic effect of the implant, and the emotional, sexual, and bodily satisfaction of the child.


Testicular prosthesis The body of the teenager The parent-child relationship Dimorphism and prosthesis implantation 


  1. 1.
    Kogan S (2014) The clinical utility of testicular prosthesis placement in children with genital and testicular disorders. Transl Androl Urol 3(4):391–397PubMedPubMedCentralGoogle Scholar
  2. 2.
    Turek PJ, Master VA (2004) Testicular Prosthesis Study Group: safety and effectiveness of a new saline filled testicular prosthesis. J Urol 172:1427–1430CrossRefGoogle Scholar
  3. 3.
    Adshead J, Khoubehi B, Wood J, Rustin G (2003) Testicular implants and patient satisfaction: a questionnaire-based study of men after orchidectomy for testicular cancer. BJU Int 88:559–562CrossRefGoogle Scholar
  4. 4.
    Bodiwala D, Summerton DJ, Terry TR (2007) Testicular prostheses: development and modern usage. Ann R Coll Surg Engl 89:349–353CrossRefGoogle Scholar
  5. 5.
    Ferro F, Caterino S, Lais A (1991) Testicular prosthesis in children: a simplified insertion technique. Eur Urol 19(3):230–232CrossRefGoogle Scholar
  6. 6.
    Libman JL, Pippi-Salle JL, Chan PTK (2006) The use of a suprascrotal or “wink” incision for placing a testicular prosthesis. BJU Int 98:1051–1053CrossRefGoogle Scholar
  7. 7.
    Ferro F, Borrelli P, Lucchetti MC (2004) A surgical method to preserve testicular function and to restore cosmetic appearance in hypogonadal men. J Urol 171:2368–2370CrossRefGoogle Scholar
  8. 8.
    Adshead J et al (2001) Testicular implants and patient satisfaction: a study based on a questionnaire of men after orchiectomy for testicular cancer. BJU Int 88:559–562CrossRefGoogle Scholar
  9. 9.
    Peycelon M et al (2016) Testicular prosthesis in children: you better before? J Pediatr Urol 12(4):237–239CrossRefGoogle Scholar
  10. 10.
    Elder JS et al (1989) Testicular prosthesis childish. J Urol 141(6):1413–1415CrossRefGoogle Scholar
  11. 11.
    Weissbach L et al (1979) Testicular prosthesis implantation: psychological aspects. J Urol 18(3):151–156Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elena Vittoria Longhi
    • 1
  • Alessandro Franceschelli
    • 2
  1. 1.Department of Urology, Sexual Medical CenterIRCCS San Raphael Hospital, Vita and Salute UniversityMilanItaly
  2. 2.Az. Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-MalpighiBolognaItaly

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