Scrotoplasty is a surgical procedure that constructs or modifies the scrotum. It is often performed as a part of gender-affirming surgeries for transgender and non-binary individuals who desire a more masculine genital appearance, typically after undergoing a metoidioplasty or phalloplasty. Here’s a brief overview of scrotoplasty in the context of female-to-male (FTM) gender-affirming surgeries:

Procedure:

  1. Labial Tissue: The procedure typically utilizes the labia majora (the outer lips of the vulva) to create a scrotal sac. The appearance is designed to resemble a cisgender male scrotum.
  2. Positioning: The two labial tissues are joined together and positioned in the anatomically correct location for a scrotum.
  3. Testicular Implants: At a later date, usually several months after the scrotoplasty, testicular implants can be inserted into the newly created scrotum to give it a filled-out appearance, mimicking testes.

Considerations:

  1. Staging: Scrotoplasty might be done in stages, especially if it is being combined with other surgeries, such as phalloplasty.
  2. Healing: Proper post-operative care is crucial to ensure that the surgical site heals well and to minimize the risk of complications.
  3. Testicular Implants: Not everyone who undergoes scrotoplasty chooses to have testicular implants, but they are an option for those who wish to have a scrotum that looks and feels fuller.
  4. Complications: As with any surgery, there’s the potential for complications, including infection, poor wound healing, or dissatisfaction with the aesthetic outcome.

Recovery:

  • Following the surgery, patients typically have to wear a supportive garment to protect the surgical site and help reduce swelling.
  • There might be swelling, bruising, and discomfort initially, which can be managed with medications.
  • It’s important to follow the surgeon’s post-operative care instructions, including guidelines about activity levels, hygiene, and follow-up appointments.

For anyone considering scrotoplasty or any gender-affirming surgical procedure, it’s essential to consult with experienced surgeons to understand the procedure, risks, benefits, and expected outcomes thoroughly.