Scrotoplasty

Symptoms of loose scrotum can include

• Discomfort at the genital area , especially when the weather is hot.
• Chronic irritation of scrotal and inner thigh skin.
• Chronic testicular pain.
• Difficulties during intercourse, exercise or physical activities.
• Low self-esteem due to the appearance of the scrotum.
• Depression and performance anxiety

Scrotoplasty is surgery to treat conditions that affect your scrotum or create a new scrotum. 

A scrotoplasty has some degree of risk, including:

• Bleeding, bruising and swelling.
• Damage to your urinary tract.
• Infections.
• Nerve injuries.
• Painful intercourse.
• Scarring or cosmetic issues.

Overall the vast majority of  problems are minor and do not require any intervention.Like any other surgery,as the complexity of the operation increases the risks increase as well.

There can be many reasons for a scrotoplasty. Some people are born with medical conditions that affect their scrotums, and others develop conditions in adulthood. Others may choose to alter the appearance of the scrotum for other reasons.

• Buried penis

This is the most common reason children need scrotoplasty.It is a congenital condition that causes your penis to appear hidden under the skin of your scrotum, thigh or abdomen.In adults circumcision that removes too much (or not enough) foreskin, previous surgery for hydrocele or epididymal cysts,obesity or lymphedema can also cause buried penis.

• Sagging or enlarged scrotum

Some people want a scrotal procedure for cosmetic reasons. Cosmetic scrotoplasty can lift a sagging or loose scrotum (scrotal lift). This type of scrotoplasty is performed in adults when their scrotum naturally begins to sag as they lose muscle tone.

It can also help people with a large scrotum by making it smaller. People with an enlarged scrotum may find sexual activity, exercise or other physical activities uncomfortable due to their scrotum getting in the way.

• Webbed penis

Some people have a sail of skin connecting their scrotum to the shaft of their penis. It creates a web-like appearance (penoscrotal webbing). The webbing sometimes can impact sexual function and penetrative intercourse.

• Trauma or injury

            Scrotoplasty can help repair a scrotum that’s damaged from trauma or injury.

Benefits of a scrotoplasty mainly affect people’s quality of life and emotional well-being. 

• Increased self-esteem: People feel more comfortable and desirable when they’re happy with the look of their body. It can lead to more satisfaction and happiness in your sexual relationships.
• Urinary function: Buried penis can lead to difficulty urinating (peeing) and leaking urine. Scrotoplasty may significantly improve your quality of  life and urinary function.

Your doctors will make sure you’re comfortable and don’t feel pain after the procedure is finished.You can expect to have some pain for a few days after surgery,scrotal swelling for a few weeks and mild testicular pain. Cold compresses and simple painkillers can usually help.

Depending on the extent of the procedure, you may need to stay in the hospital for a few days if complex reconstruction is necessary but more than 90% of cases are discharged on the same day.

Following your operation you will need a support garment like a jockstrap to stop your scrotum from shifting.

You will need to avoid strenuous physical activities for 2 weeks and sexual activity for 3-4 weeks.

Most men who undergo scrotoplasty only have the procedure done once. Like all cosmetic surgery though, you cannot stop the ageing process. The skin of your scrotum may increase in laxity with age.Overall far more than 80% of patients need the procedure done only once.