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The scrotum is a thin sac located at the base of the penis that encloses and protects the testis. The scrotum also plays an important role in male fertility by regulating the temperature of the testicle.
Scrotoplasty is a surgical procedure that is performed to improve the appearance of the scrotum. It is also performed to repair a defective or damaged scrotum, or to form a scrotum for females who are undergoing gender reassignment.
This procedure is generally recommended for men with the following conditions:
- Poor cosmetic result following circumcision.
- Redundant scrotal skin following a hydrocelectomy
- Redundant scrotal skin following significant weight loss
- Loose scrotal skin due to aging
- Injury to the scrotum due to trauma or burn
- Following surgery for scrotal cancer
This procedure is usually performed in Dr. Lazare’s certified office operating room. Here you will receive sedation from a board – certified anesthesiologist. Slight variations in techniques are required depending upon the underlying problem.
When performing a scrotoplasty, Dr. Lazare makes an incision along the median raphe between the two halves of the scrotal sac. He then carefully excises excess scrotal tissue. Care is taken not to injure the testicles or the blood supply to the testicles. The incision is then closed with absorbable sutures which dissolve on their own.
For Gender Reassignment
During this procedure, incisions are created above the pubic bone and in the lower part of the labia majora. The lower ends are then turned up and stitched to create a pouch. After a certain length of time, the patient will undergo another procedure to insert testicular implants into the pouch to give it a more masculine appearance.
For Congenital Penoscrotal Webbing
One incision will be created to separate the penis from the scrotum, and another will be made to remove the excess tissues in the area. Sutures are used to close the incision sites.
To Remove Sagging Scrotal Skin
This procedure involves an incision along the median raphe between the two halves of the scrotal sacs. Once extra tissue is removed, the incision site will be closed with sutures.
Following a scrotoplasty, patients may experience swelling and bruising for the first weeks. Ice packs can help with any swelling and inflammation, and pain medication can help with any discomfort. Exercise and sexual activity should be avoided for 3 weeks following surgery to allow the area to heal.
What Are the Risks Of a Scrotoplasty?
Risks include excessive bleeding, scarring, or altered scrotal sensation. These risks are reduced when you choose a skilled and experienced surgeon such as Dr. Lazare.
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If you are interested in learning more about the scrotoplasty procedure in the Brooklyn, New York area, contact our office today! We would be happy to schedule your appointment with Dr. Lazare, our board-certified urologist and skilled surgeon.