Effects of testicular prosthesis implantation on sexual function

Purpose: Loss of one or both testicles, due to congenital or acquired causes, can lead to sexual dysfunction in men. We aimed to evaluate erectile function, sexual desire, orgasmic function, sexual satisfaction, and overall satisfaction patients with and without testicular prosthesis (TP) implantation using the International Index of Erectile Function (IIEF) scale. Materials and Methods: The results of 53 patients, including 24 with TP implantation (+) and 29 without TP implantation (-), who were treated in our clinic between 2012 and 2020, were evaluated. The IIEF scale was used to assess erectile function, sexual desire, orgasmic function, sexual satisfaction, and overall satisfaction in the patients. Testicular prosthesis implantation (+) and TP implantation (-) patients were evaluated using the IIEF scale at 0 months, 6 months, 1 year, and 2 years. Findings: The average age of patients in the TP implantation (+) group was 31.96 years, while the average age in the TP implantation (-) group was 31.97 years. According to the IIEF scale, erectile function, sexual desire, orgasmic function, sexual satisfaction, and overall satisfaction were significantly higher in the TP implantation (+) group compared to the TP implantation (-) group (p<0.0001). Within the TP implantation (+) group, the comparison of scale scores at 0 months, 6 months, 1 year, and 2 years was statistically significant (p<0.00001). However, in the TP implantation (-) group, the comparison of scale scores at 0 months, 6 months, 1 year, and 2 years was not statistically significant (p>0.05). Conclusion: TP implantation is a safe and effective method for treating testicular loss and meets the requirements for erectile function, sexual desire, orgasmic function, sexual satisfaction and overall satisfaction as measured by the IIEF scale. Keywords: testicular prosthesis, implantation sexual function