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In 1992, the FDA halted the use of gel-filled breast implants, and in 1995, the United States discontinued the manufacture of silicone gel-filled testicular prostheses due to emerging concerns about the association of silicone implants and connective tissue disease. 3,10,11 However, expert panels in the United States and United Kingdom failed to find conclusive evidence of this association. In 1995, Robinson et al. 12 analyzed 300 silicone breast implants and found that there was a high rate of device disruption and subsequent "gel bleed". Afterward, researchers developed a new saline-filled testicular prosthesis. In a prospective study of 149 patients from 18 institutions, Turek and colleagues found that none of the patients developed connective tissue diseases at 1 year, and they concluded that saline-filled prostheses were safe and well-tolerated. 3 The current manufacturers of testicular implants worldwide

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