(001) Percutaneous Adjustment of Testicular Implant in the Office (PATIO Procedure)

Introduction Testicular prostheses provide excellent cosmetic outcomes and psychological benefits following orchiectomy. However, patient dissatisfaction may arise from perceived under- or overfilling of the implant after surgery. Traditional management often requires operative revision. Objective To describe a novel, minimally invasive, office-based technique-Percutaneous Adjustment of a Testicular Implant in the Office (PATIO)-for postoperative volume optimization of testicular prosthesis. Methods A patient reported dissatisfaction due to perceived underfilling after standard testicular prosthesis placement. Under local anesthesia in the office, a 23-gauge needle was introduced percutaneously into the prosthesis port. 1.5 cc of sterile saline was added to achieve the desired firmness and symmetry. The patient was monitored for complications and satisfaction outcomes. Results The procedure was well tolerated, with no pain, infection, or leakage noted. Immediate improvement in cosmetic appearance and patient satisfaction was observed. Conclusions The PATIO procedure represents a safe, effective, and reproducible office-based technique for fine-tuning testicular implant volume. It allows both augmentation and reduction of prosthesis fill volume without repeat surgery, providing a practical strategy to enhance postoperative satisfaction with a testicular implant. Disclosure No