Sunday, 15 March 2015

What is Scrotoplasty?

Scrotoplasty (or oscheoplasty) surgery is one of the many surgical techniques used during a phalloplasty for penis enlargement purposes. As suggested by its name, the technique involves the male scrotum and is performed for a variety of reasons including:
  • To repair a defective or damaged (from disease or trauma) scrotum 
  • For penis enhancement, by reducing the skin of the scrotum thus making the penis appear larger
  • To tighten and elevate a low hanging scrotum or what is medically described as "scrotal ptosis". This procedure is usually called a scrotal lift
  • For other cosmetic reasons, e.g. to remove excessive skin around the scrotum 

Today, most scrotoplasties are carried out for cosmetic rather than functional purposes. Some are also carried out on young boys born with an incomplete or defective scrotum.

Are there any risks?
As with any surgery, there are some risks involved with any scrotoplasty. There are two types of risks. The first are the ones associated with having a general anaesthesia. The chances of having a serious complication during the anesthesia are close to zero.

There are also the risks related with the scrotoplasty itself. Since each case is unique it's better to consult with your doctor about the risks involved. In general, the risks of most scrotoplasties are relatively small.

What is the cost of a scrotoplasty?
Due to significant individual variation, giving an approximate cost of scrotoplasty surgery is difficult. In Australia, the average scrotoplasty has a cost ranging from 5.000 to 10.000 $ AUD. However, you may need to pay a lot more money depending on your needs!

Extensive diagram of the human male scrotum
Scrotum Diagram


What to expect after surgery?
As aforementioned, it all depends on the underlying reason for which you had a scrotoplasty in the first place. For instance, a simple scrotal lift is a relatively minor procedure with minimal discomfort and little pain.

Most people return to their home 1-2 days post op. Expect a lot of bruising around the operated area and at least some pain, which is usually manageable with prescribed pain relievers. You may also be asked to avoid any sexual activities for a few weeks.

Scrotoplasty for Female to Male Transgenders
The term scrotoplasty is also used to describe one of the several operations performed to create a scrotum as a part of gender reassignment surgery in females to male (FTM) transgenders. In this case, a scrotoplasty usually has two parts. The first is the insertion of a prosthetic testicle implant into each of the labia majora. This creates a more natural appearance in the finished scrotum.

In the second part, the two sides of the labia are joined into a single unit to create a scrotal sack. Depending on the surgeon's preference, the two steps may be performed in one or two separate surgeries.

Male scrotum of a Southern European male, 30 years old
Normal Male Scrotum
Relaxed state (left) and a tense state (right)

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