Who is this procedure for?
Main indications
Scrotoplasty may be considered in several situations:
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Age-related skin laxity, with progressive loss of skin elasticity.
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Functional discomfort during walking, sports, or wearing tight clothing.
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Scrotal asymmetry or constitutional long scrotum.
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Following testicular surgery, such as orchiectomy or testicular implant placement.
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Psychological discomfort related to intimate appearance.
Each indication requires a personalized assessment during the consultation.
Consultation process
The first consultation involves analyzing the request, the scrotal anatomy, and the skin quality.
A precise clinical examination assesses the degree of laxity and the feasibility of the procedure.
The expected outcomes and the realistic limitations of the procedure are discussed.
A second appointment may be offered to confirm the indication and validate the surgical plan.
Consent is based on clear and complete information.
Preparation steps
Pre-operative examinations and precautions
A pre-operative medical assessment is usually requested.
Depending on the context, biological tests may be prescribed.
Stopping smoking may be recommended to optimize healing.
Certain medications must be reported and sometimes adjusted before the procedure.
Instructions will be provided during consultations.
Technical choices and quote
The surgical technique depends on the observed laxity and morphology.
The pattern of skin resection areas will be explained beforehand.
A detailed quote will be provided after the surgical indication is validated.
The predictable post-operative course will be transparently described.
The legal reflection period will be respected.
The procedure in practice
Anesthesia and duration
Scrotoplasty can be performed under local anesthesia, loco-regional anesthesia, or general anesthesia, depending on the case.
The choice depends on the extent of the procedure and the medical context.
The operating time generally ranges from 45 minutes to 1 hour 30 minutes.
Outpatient hospitalization may be considered in certain situations.
The arrangements will be defined before the procedure.
Technical principles
The procedure involves the excision of excess scrotal skin.
Incisions are positioned to minimize scar visibility.
The remaining skin is redraped and sutured to achieve a natural appearance.
The testicles are not modified.
The technique aims for a balance between skin tension and suppleness.
Post-operative course
Pain and care
The post-operative period involves moderate pain, usually well-controlled with oral medication.
Swelling and bruising are common in the first few days.
Simple local care will be performed according to the provided instructions.
Wearing supportive underwear is generally recommended.
Rigorous local hygiene is required.
Return to activities and follow-up
A return to daily activities can be considered after a few days.
Sports activities will be postponed for several weeks.
Sexual intercourse will be temporarily suspended depending on the progress.
Regular post-operative follow-up will monitor healing.
Each recovery is individual.
Results and scars
Expected result
The goal is a firmer scrotum, less descended, and better proportioned.
Improved functional comfort is a frequent benefit.
The aesthetic outcome will gradually improve as swelling subsides.
The final result will be appreciated after several weeks.
Satisfaction depends on adherence to the initial indications.
Scar quality
Scars will be located in naturally wrinkled areas.
They will gradually fade over time.
Scar quality depends on individual factors.
Appropriate care may be offered if necessary.
Monitoring will be part of the follow-up.
Risks and possible complications
All surgery carries potential risks, even if the procedure is common.
Possible complications include infection, bleeding, delayed healing, or residual asymmetry.
Re-operation may sometimes be discussed.
Anesthetic risks will be assessed before the procedure.
Transparent information allows for an informed decision.
Fees and coverage
Cosmetic scrotoplasty is generally not eligible for reimbursement. Scrotoplasty is one of the male intimate surgery procedures, alongside penoplasty.
Partial coverage may be discussed in rare medical contexts.
The fee depends on the complexity of the procedure and the surgical modalities.
Indicative price range
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Cosmetic scrotoplasty: quote upon request
Pricing details will be provided during pre-operative consultations.
