Service
Testicular implant
A testicular implant replaces the appearance of a missing testicle — after removal or in congenital absence. If a testicle has been removed earlier for any reason, an implant can be placed where it was; it is placed in the same procedure as the removal of the testicle or in a separate procedure.
What concerns does it address?
When is it implanted?
How is it done?
The implant — a silicone insert in the shape and size of a testicle — is placed through a short incision at the top of the scrotum and is fixed with a stitch to the bottom of the scrotum so that it does not move. The size is chosen to match the other testicle. It takes about half an hour. In the first weeks supportive underwear is worn.
When is the procedure not suitable?
The implant is not placed while there is active inflammation or an unhealed wound on the scrotum, because infection around the implant is the most common reason an implant has to be removed. After removal of a testicle for inflammation or a tumour, we wait on average three to six months for the tissue to heal and for treatment to be completed. If the scrotum has become tight with scarring after earlier operations, there is sometimes no room for a full-size implant, so we discuss a smaller one. With uncontrolled diabetes or smoking, the risk of infection is higher.
General reasons for postponing a procedure (inflammation, a clotting disorder, smoking): When is a procedure postponed?
Anaesthesia
Before a procedure under general or regional anaesthesia, you are seen by the anaesthetist, who works full time at the clinic; the same doctor is also present during the procedure. The anaesthetic assessment and the anaesthesia for larger operations are included in the price of the procedure. What happens before, during and after anaesthesia is described on the Anaesthesia page.
Risks
Expected, and rare but serious → Risks and complications: what is the course of healing, and what is a complication?
Price
| Service | Price |
|---|---|
| Testicular implant | €3,500–4,000 |
| Scrotal fat transfer | €600 |
Specialist and team
Specialty: urology — examinations, diagnostics and procedures.
When the procedure is done under sedation or general anaesthesia, the anaesthesia is led by a specialist in anaesthesiology, resuscitation and intensive care who works full time at the clinic.
In the operating theatre, the surgeon is assisted by head nurse Martina Šereg, with the help of nurses Kristina Jurešić and Mateja Tomorad, and in recovery the care assistant Mirjana Kovačić is with you. Martina also looks after preparation, scheduling and contact after the procedure.
Who will operate is decided at the examination, based on the findings and the type of procedure. You know the name of the surgeon before the procedure and meet them at the examination.
What happens at the examination?
A urological examination has two parts: a conversation about your symptoms, past illnesses and medicines, and a clinical examination. Depending on the findings, an ultrasound is done straight away, in the same visit, if needed. You receive the findings at the examination.
What if the result is not as agreed?
The result of a procedure is assessed at a follow-up visit, once the swelling has gone down and the scar has matured, not in the first weeks. If it differs from what was agreed at the examination, the same surgeon carries out the correction.
→ Poliklinika Barbel's correction policy
In the same visit
- Orchidectomy — the implant is placed in the same procedure as the removal of the testicle or later, once the scrotum has healed.
Frequently asked questions
Can the implant be felt? To the touch it is soft and similar in weight to a testicle, so it is barely different from the other testicle. In the first months it can feel firmer until the tissue around it settles.
What is the implant made of? Soft silicone, or a silicone shell filled with saline, similar in shape and weight to a testicle. It comes in several sizes; we choose the one that matches the other side.
Can it be placed in a young man? The implant is placed in adults, when the other side has reached its final size. Urological examinations and procedures at Poliklinika Barbel are done only for adults.
Can the implant move or burst? Upward displacement is possible if the stitch that fixes it gives way, which is rare. Rupture of a silicone implant is very rare and does not harm health, but the implant is then replaced.
Does the implant need to be replaced? No. It is placed with the intention that it lasts a lifetime. Replacement is needed only in the case of infection or rupture, or if you want a different size.
How much does the result depend on care after the procedure? The larger the procedure, the more it depends on it, but it always does. Healing takes weeks and months and happens almost entirely at home, so the instructions you receive when you go home, about the wound, physical activity and the scar, are part of the procedure, not a recommendation.
Medical review: doctors of Poliklinika Barbel · October 2026.