Scrotoplasty is the surgery that constructs a scrotum (the sack containing the testicles) from the native labial majora tissue (vaginal lips). It also uses silicone testicular implants. This procedure is usually performed with either phalloplasty or metoidioplasty.
Also known as oscheoplasty, this surgery constitutes one of the several bottom surgeries performed on transsexual men that transform the female genitalia into a scrotum. This surgery is also undertaken for surgical repair of the damaged scrotum.
Scrotoplasty surgery is indicated for:
- Trans-men who are undergoing the procedure for gender reassignment
- Aging men whose testicular sacs are sagging go for this surgery to remove the loose scrotal skin.
- Infant males who are born with a condition – congenital penoscrotal webbing.
- Men who have injured their scrotum in an accident can fix their sacs through Scrotoplasty.
The scrotoplasty procedure
Scrotoplasty involves joining both the labia majora along the midline and inserting the implants. Incisions are made above the pubic area and in the lower labia majora. The labia majora gets dissected to form hollow cavities which are joined to create a similar proximity of a scrotum.
Depending on the sufficiency of skin tissue, your surgeon may or may not perform a tissue expansion before the surgery. This will be followed by inserting silicone testicular implants of appropriate volume to fill the sac of the new scrotum and give it a natural appearance and feel. The normal testicle implants contain volume up to 21 ml.
Scrotoplasty surgery uses a large part of the clitoris leaving a good amount of labia minora, which is used as a covering for the lengthened neophallus.
Creation of a scrotum is also done by harvesting tissue from the thighs and abdomen. Sometimes fat harvesting is done from the pubic area to fill in the sac instead of using testicle implants. However, this approach does not usually result in adequate size and symmetry of the scrotum.
Scrotoplasty is usually performed on outpatients using local anesthesia. This procedure is similar to a metoidioplasty surgery.
Risks and Complications
- Excessive bleeding during and after surgery
- Possibilities of having an adverse effect from the local anesthesia
- Just like other surgeries, infection of the site is a common risk
- There will be bruising in and around the surgery site
- The sensation of the scrotum will either be reduced or altered
- Your body might reject the testicular implants
- Pain after the surgery may become chronic
- The results of Scrotoplasty are permanent. If not satisfied with the aesthetics and functions, the results will have an impact on the patient’s life.
- Scrotoplasty operation may sometimes lead to the morbidity of diabetes.
Surgery and recovery duration
The duration of Scrotoplasty surgery usually lasts for up to two hours. The same time is taken with other surgeries like vaginectomy and urethral lengthening.
After the surgery, you will be required to stay in the hospital for up to three days, though this surgery is mostly done in an outpatient setting.
Scrotoplasty is becoming a growing procedure for female-to-male sex affirmation surgery. While this surgery may not increase your penile length, the result is usually a satisfactory aesthetic of the scrotum.