Scrotoplasty is a type of surgery that is performed to create or reconstruct the scrotum. It is often done as part of gender-affirming surgery for transgender men. Scrotoplasty can also be done to repair a birth defect or injury to the scrotum.

There are two main types of scrotoplasty:

  • Inguinal scrotoplasty is the most common type of scrotoplasty. It involves creating a scrotum from the labia majora.
  • Necrotizing scrotoplasty is a less common type of scrotoplasty. It involves using skin grafts from other parts of the body to create a scrotum.

The specific techniques used in scrotoplasty vary depending on the surgeon’s preference and the individual patient’s anatomy. However, all scrotoplasties involve creating two sacs, one for each testicle. The sacs are then sewn together to form the scrotum.

Inguinal scrotoplasty is typically performed under general anesthesia. The surgeon will make an incision in the groin area and then separate the labia majora. The labia majora are then folded together to form two sacs. The testicles are then placed in the sacs and the incision is closed.

Necrotizing scrotoplasty is also typically performed under general anesthesia. The surgeon will make an incision in the groin area and then remove a skin graft from another part of the body, such as the thigh or abdomen. The skin graft is then sewn to the groin area to form the scrotum.

The recovery time for scrotoplasty is typically about two weeks. You will need to wear a compression garment for a few days after surgery. You may also experience some pain and swelling.

Scrotoplasty is a relatively safe procedure, but it does carry some risks, including infection, bleeding, and scarring. The decision to undergo scrotoplasty is a personal one. There are many factors to consider, such as your gender identity, your medical history, and your personal goals. If you are considering scrotoplasty, it is important to talk to a surgeon who is experienced in performing this type of surgery. They will be able to discuss the risks and benefits of scrotoplasty with you and help you decide if it is the right procedure for you.

Here are some additional resources that may be helpful:

  • The World Professional Association for Transgender Health:
  • The Trevor Project:
  • Trans Lifeline:

Scrotoplasty is a surgical procedure that involves the creation or reconstruction of a scrotum, which is the external sac that holds the testicles. The specific techniques used in scrotoplasty can vary depending on individual anatomy, surgical goals, and the expertise of the surgical team. Here are some common aspects involved in scrotoplasty:

1. Incisions: The surgeon will make incisions in the genital area, typically in the lower part of the groin or the perineum (the area between the anus and the scrotum), to access the underlying tissue for scrotal construction.

2. Tissue Preparation: The surgeon may use different approaches to create the scrotum. This can involve using existing tissue from the surrounding area, such as labial tissue or tissue from the groin or thigh, to construct the scrotum. Alternatively, grafts using donor tissue from a separate area of the body may be used.

3. Scrotal Construction: The surgeon will shape and position the tissue to create the scrotum. Techniques may involve folding or suturing the tissue to achieve the desired appearance and size. The surgeon will ensure proper placement and symmetry of the scrotal sac.

4. Testicular Prostheses: In some cases, silicone testicular implants may be used to provide a more natural appearance and feel to the scrotum. These prostheses can be inserted into the scrotal sac to mimic the presence of testicles.

5. Closure: Once the scrotum is created, the incisions are carefully closed using sutures or surgical adhesive.

Recovery from scrotoplasty varies depending on individual healing abilities and the extent of the procedure. It is important to follow post-operative care instructions provided by the surgical team, including wound care, pain management, and restrictions on physical activities.

It’s crucial to consult with a qualified healthcare provider or surgical team specializing in transgender healthcare to discuss scrotoplasty in detail, including the specific techniques and considerations relevant to your individual circumstances and goals.