SCROTAL REDUCTION
Men may have stretching and laxity of the scrotum as aging occurs. A large, low-hanging scrotum can cause discomfort or a cosmetic loss of self-esteem.
The Best Candidates for Scrotal Reduction
In general, the best candidates for correction of scrotal reduction are:
• Men with laxity and descent of scrotum
• In good physical health
• Psychologically stable
• Informed about limitations
• Realistic in their expectations for the outcome
The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she considers you an ideal candidate for correction of penoscrotal web
Type of Anesthesia
If the scrotum becomes enlarged due to age or is perceived to be too large it may be reduced under local anesthesia.
The Surgery
Reduction of scrotum can be performed in many ways, but the preferred technique maintains its normal sack-like appearance. A superior transverse incision angling up to each pubic region is marked. The inferior incision is transverse,with an inverted V on the right and left sides of scrotum.Midscrotal skin is excised and closed in M-shape. The skin and underlying dartos are approximated with suture.
After your Surgery
Your scrotum may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your surgeon.
You are not allowed to shower for at least 2-3 days and must keep the incision(s) dry to prevent infection and to aid in healing. Usually, you can get the incision(s) wet about 10-14 days. Do not rub the suture area(s), but rather pat dry.
Usually there are no sutures that need to be removed. If your sutures are removed , you do not use a hot tub or whirlpool bath until one week.
Use boxer shorts and sweat pants as long as you have discomfort or penile swelling. When dressing, do not bend or fold your penis. You may wish to place your penis up on the abdomen for the 1st 4 days after which we want you to allow the penis to hang down in boxer shorts for 4 to 6 weeks.
You may expect some swelling and discoloration of the penile shaft, scrotum, for approximately 1 to 2 weeks. You may elevate the scrotum and penis on a towel placed between your legs to minimize swelling.
While complications (i.e. infection, bleeding, any part of an) is unlikely, I wish you to watch for signs of infection, i.e., redness, swelling, green drainage. If any of these occur, please let me know within 24 hours. If bleeding occurs, apply direct pressure with a gauze for 15 minutes. Call me if bleeding occurs after this. If incision opens, please let me know within 24 hours, and if you are using a stretching device stop using it immediately.
An doctor visit is required 24 to 72 hours after surgery to observe the incision(s) and surgical sites and to change the dressing, if necessary. A second doctor visit is recommended one week later. Out of town patients must be seen at least one time prior to leaving town.
Routine follow-up visits at 1and 3 months after surgery are recommended.
Getting Back to Normal
Light activities may be resumed in about 3 to 7 days and strenuous activities in 4 to 6 weeks.
Athletic and other strenuous activities such as running or extensive walking must be avoided for at least 5 weeks. No aerobics or contact sports are allowed for at least 6 weeks. You may engage in upper body exercise after 3-4 days.
You should sleep on your back as much as possible for 1 to 2 weeks
You should not have penetrating sex (i.e., sexual intercourse) or sustain any genital trauma or significant pressure for 6 weeks.