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Scrotoplasty and Testicular Implants

Scrotoplasty is the formation of a scrotum using native labial majora tissue.

Scrotoplasty can be performed in one or two stages. The resulting scrotum is fused in the midline, anteriorly positioned, and pouch-like. Most patients have no difficulty riding bikes with this complex scrotoplasty. Other surgeons insert implants or tissue expanders into the labia majora without tissue rearrangement, oftentimes causing discomfort with sitting or straddling activities. We see 1-2 consults per month for formal scrotoplasty.

For patients that prefer a larger scrotum than their native tissue will allow, tissue expansion with delayed scrotoplasty can be performed.

For more information about scrotoplasty and testicular implants, please contact us.

The below figures show Patient R. He had a scrotoplasty from another surgeon that created a bifid scrotum (not fused in the midline). The implants were not anteriorly positioned and he sat on them frequently. Dr. Crane performed a scrotoplasty revision to create an hanging scrotum in the anatomically correct, anterior position so that he no longer sat on his testicles.

patientR_scrotoplasty patientR_300x225scrotoplasty
Patient Z had a metoidioplasty by another surgeon who placed his implants directly under the labia majora. This made sitting uncomfortable and the patient could not ride a bike. He requested a formal scrotoplasty. Dr. Crane demonstrates the patient’s new hanging scrotum after scrotoplasty that is in the male anatomic position. After 6 months of healing, he will place testicular implants

Patient Z preop scrotum Patient Z postop scrotum

 

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