Scrotoplasty surgery is a type of surgery that is performed to create or reconstruct the scrotum. It can be a part of gender-affirming surgery for transgender men, or it can be performed for other medical reasons.

Whether or not scrotoplasty surgery will affect your sexual function depends on a number of factors, including the type of surgery that is performed, the surgeon’s technique, and your own individual anatomy.

In general, scrotoplasty surgery is not expected to affect your sexual function. However, there are some potential risks that can affect sexual function, such as:

• Infection: Infection can occur at the incision site, which can lead to pain, swelling, and redness. In rare cases, infection can lead to scarring or other complications that can affect sexual function.
• Nerve damage: Nerve damage can occur during surgery, which can lead to numbness or tingling in the scrotum. In rare cases, nerve damage can be permanent.
• Scarring: Scarring can occur at the incision site, which can affect the appearance of the scrotum. In rare cases, scarring can be severe and can affect sexual function.

It is important to talk to your surgeon about the potential risks of scrotoplasty surgery and how they may affect your sexual function. They will be able to help you decide if the surgery is right for you and help you understand what to expect from the results.

Here are some resources that may be helpful:

• The World Professional Association for Transgender Health: https://wpath.org/
• The Trevor Project: https://www.thetrevorproject.org/
• Trans Lifeline: https://www.translifeline.org/

Scrotoplasty surgery is primarily focused on creating or reconstructing a scrotum, which is the external sac that holds the testicles. It is important to note that scrotoplasty itself is not directly intended to affect sexual function or sensation.

However, it is important to understand that any surgical procedure, including scrotoplasty, can potentially have indirect effects on sexual function and sensation. The impact can vary from person to person and may be influenced by various factors, including the individual’s pre-existing anatomy, surgical technique, healing process, and individual responses.

Here are a few considerations regarding sexual function after scrotoplasty:

1. Sensation: Scrotoplasty typically aims to preserve or enhance genital sensation. However, changes in sensation may occur due to the surgical procedure itself, individual healing responses, or other factors. Some individuals may experience temporary or permanent changes in sensation, while others may not notice significant differences.

2. Erectile Function: Scrotoplasty surgery is not expected to directly impact erectile function. However, it is essential to understand that the procedure itself does not address erectile function or affect the underlying structures involved in achieving or maintaining an erection.

3. Orgasm: Scrotoplasty surgery does not directly affect the ability to achieve orgasm. Orgasm is a complex process involving various physiological and psychological factors that are not directly influenced by scrotoplasty.

4. Emotional and Psychological Factors: Sexual function can be influenced by emotional and psychological factors, including body image, self-esteem, and comfort with one’s own body. Scrotoplasty can contribute to improved body image and overall well-being, which may indirectly impact sexual satisfaction.

It’s important to have open and honest discussions with your surgeon during the pre-operative consultations about your expectations and concerns regarding sexual function. They can provide personalized information and guidance based on your specific situation and help you understand the potential effects of scrotoplasty on sexual function.

Additionally, it can be beneficial to seek support from mental health professionals, sexual health specialists, and support groups specializing in transgender healthcare. They can offer guidance, resources, and strategies to help navigate any changes or concerns related to sexual function after scrotoplasty.