Complications After Testicular Implants: A Guide for Patients - Urology

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Hello, it sounds like you are experiencing some concerning symptoms after having testicular implants, and I understand that this can be a distressing situation. Based on your description, it seems you may be dealing with complications related to the implants, such as possible infection, encapsulation, or other forms of tissue reaction.

When it comes to complications after testicular implants, there are several potential issues that can arise:
1. Infection: This is one of the most common complications following any surgical procedure, including the placement of implants. Symptoms may include redness, swelling, warmth, and discharge from the surgical site. If you notice any signs of infection, it is crucial to seek medical attention promptly.

2. Seroma or Hematoma: The fluid accumulation you mentioned could be a seroma, which is a collection of fluid that can occur after surgery. A hematoma is a similar condition but involves blood accumulation. Both conditions can cause swelling and may require drainage.

3. Capsular Contracture: This occurs when the tissue around the implant thickens and hardens, which can lead to discomfort and changes in the appearance of the implant. It can sometimes feel like the implant is "stuck" or encapsulated.

4. Implant Rupture or Deflation: If an implant ruptures, it can lead to changes in size and shape, and may require surgical intervention to remove or replace the implant.

5. Calcification or Tumor Formation: The presence of a lump or mass, such as the "粉瘤" (lipoma or cyst) you mentioned, could indicate a benign condition, but it’s essential to have it evaluated to rule out any serious issues.

Given your symptoms, including the swelling, fluid discharge, and the presence of a lump, it is advisable to consult with a urologist who specializes in male reproductive health. A urologist will be able to perform a thorough examination, possibly including imaging studies like an ultrasound, to assess the condition of the implants and surrounding tissues.

In terms of finding a specialist, since you mentioned you live in Keelung, you may want to look for urologists affiliated with local hospitals or clinics. It’s also beneficial to seek recommendations from your primary care physician or from friends and family who may have had similar experiences.

If you feel that your current healthcare providers are not addressing your concerns adequately, don’t hesitate to seek a second opinion. It’s important to feel comfortable and confident in the care you are receiving, especially when it comes to potential complications from surgery.

In summary, please consider the following steps:
- Schedule an appointment with a urologist for a comprehensive evaluation.

- Discuss all your symptoms in detail, including the fluid discharge and any changes in the implants.

- Ask about imaging studies to better understand the condition of the implants and surrounding tissues.

- If necessary, inquire about the possibility of surgical intervention to address any complications.

I hope this information helps you navigate your situation, and I wish you the best in your recovery and health.