Introduction to Scrotoplasty
Scrotoplasty is a surgical procedure designed to reconstruct, reshape, or create the scrotum. It is performed for various medical and aesthetic reasons, including gender-affirming surgery, correction of congenital abnormalities, or repair after trauma or medical conditions. The goal of scrotoplasty is to restore function and improve the appearance of the scrotal area.
Who is a Candidate for Scrotoplasty?
Are undergoing gender-affirming surgery as part of female-to-male (FTM) transition.
Have congenital conditions affecting scrotal development.
Have experienced trauma or injury leading to scrotal damage.
Need reconstruction following cancer treatment or other medical procedures.
Seek cosmetic improvement for aesthetic concerns.
Types of Scrotoplasty Procedures
There are different types of scrotoplasty, depending on the patient’s needs:
- Gender-Affirming Scrotoplasty – Creating a scrotum using tissue from the labia majora during FTM transition, often combined with testicular implants.
- Scrotal Reconstruction – Restoring the scrotum following trauma, infection, or cancer-related surgeries.
- Scrotal Reduction Surgery – Reducing excess scrotal skin for comfort and improved aesthetics.
- Correction of Congenital Abnormalities – Treating conditions such as penoscrotal transposition or bifid scrotum.

Step-by-Step
The Scrotoplasty Procedure
1
Consultation & Assessment
The surgeon evaluates the patient’s needs and medical history.
2
Pre-Surgery Preparation
Instructions on medications, lifestyle changes, and pre-operative care.
3
Anesthesia Administration
General or local anesthesia is used for a pain-free experience.
4
Surgical Technique Used
Tissue grafts, flaps, or implants are utilized depending on the procedure type
5
Post-Surgery Care & Recovery
Guidelines on healing, activity restrictions, and follow-up care.
6
Final Results
The appearance and function of the reconstructed scrotum improve over time.
Benefits of Scrotoplasty
Restores Scrotal Appearance & Function
Gender-Affirming & Congenital Corrections
Improves Aesthetic & Physical Comfort
Enhances Quality of Life
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While scrotoplasty is generally safe, potential risks include:
- Infection or wound healing issues
- Scarring or asymmetry
- Loss of sensation in the scrotal area
- Implant-related complications (if applicable)
- Patients should follow post-operative care instructions, including hygiene and avoiding strenuous activities.
- Swelling and discomfort typically subside within a few weeks.
- Full healing and final results can take several months.
- Regular follow-up visits ensure optimal recovery.
Conclusion
Scrotoplasty is a life-changing procedure for individuals seeking scrotal reconstruction, whether for gender affirmation, trauma repair, or aesthetic reasons. Consulting a qualified surgeon is the first step toward achieving the desired outcome and improving overall well-being.
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