Scrotoplasty Photographs

Scrotoplasty is performed by making rotational advancement flaps with majora tissue. Please note that intraoperative photos are included and may be uncomfortable to view for some. For patients eventually in need of the inflatable penile implant and testis implants, it is especially important to have a pouch-like anatomically positioned scrotum to hold the pump component of the inflatable implant and the testicle.

RF Penis and Scrotum
RF Penis and Scrotum

Scrotums can sometimes have indentations; this is managed at time of testis implant insertion, which reduces or gets rid of the anterior dimpling.

Glansplasty Testis Implant Insertion
Glansplasty Testis Implant Insertion

Testis implants are placed via an anterior scrotal incision on each side of the scrotum. This approach allows anterior and dependent implant positioning, minimizing the risk of the implant moving or settling at a higher position.

Scrotoplasty
Scrotoplasty

6 months postop. Anatomically positioned anteriorly and superiorly, with good distance away from the anus.

Scrotoplasty with implants
Scrotoplasty with implants

About 4 months after testis implant insertion.

Scrotoplasty with implants
Scrotoplasty with implants

About 4 months after testis implant insertion.

Scrotum
Scrotum

Immediate postop view; tube at bottom of scrotum is a drain that stays for about 5 days. Scrotums are larger after phalloplasty (compared to after metoidioplasty). There is more majora tissue for creation of a scrotum in phalloplasty than in metoidioplasty.

Scrotoplasty after phalloplasty
Scrotoplasty after phalloplasty

Postoperative day 1 photo. Scrotums are larger after phalloplasty (when compared to after metoidioplasty). There is more majora tissue for creation of a scrotum in phalloplasty than in metoidioplasty.

Scrotum
Scrotum

Phallus lifted to better reveal the pouch-like scrotum. Photo taken on postop day # 1. Depending on the amount of swelling and anatomy, midline clefts can be seen as the tissue swells around the suture lines.

Scrotoplasty
Scrotoplasty

2 days postoperative after RF phallo and scrotoplasty; drain remains in the scrotum for 5 days

Penile and testis implant insertion
Penile and testis implant insertion

Testis implants are placed via an anterior scrotal incision on each side of the scrotum. This approach allows anterior and dependent implant positioning, minimizing the risk of the implant moving or settling at a higher position.

Scrotum Testis Implants
Scrotum Testis Implants

Immediate postop photo after insertion of testis implants in the R and L hemiscrotum.

Scrotum with testis implants
Scrotum with testis implants

Patient is about 1 year out from implant insertion

Scrotum with testis implants
Scrotum with testis implants

About 1 year postop

Scrotum with testis implants
Scrotum with testis implants

Patient A: 2 weeks postop after testicular implant insertion

Scrotum testis implants
Scrotum testis implants

Patient A: 4 weeks postop

Testis implant upsizing
Testis implant upsizing

Patient A: after 18 months, the scrotal skin stretched, which accommodated testis implants that were larger than the original testis implants placed about 1 year prior

Scrotoplasty after metoidioplasty
Scrotoplasty after metoidioplasty

Immediate postop photo. Scrotums in metoidioplasty are smaller than in phalloplasty by design.

Scrotoplasty
Scrotoplasty

Immediate postop photo after metoidioplasty with scrotoplasty. Note that the scrotum is smaller in meta than in phallo.

Scrotoplasty after metoidioplasty
Scrotoplasty after metoidioplasty

Immediate postop photo

Scrotum after metoidioplasty
Scrotum after metoidioplasty

6 month postop

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