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Scrotoplasty and Testicular Implants

Scrotoplasty is the formation of a scrotum using native labial majora tissue.

Scrotoplasty can be performed in one or two stages. The resulting scrotum is fused in the midline, anteriorly positioned, and pouch-like. Most patients have no difficulty riding bikes with this complex scrotoplasty. 

For patients that prefer a larger scrotum than their native tissue will allow, tissue expansion with delayed scrotoplasty can be performed.

Post-op metoidioplasty with scrotoplasty. Implants will be placed after optimum healing.

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Monsplasty

After Metoidioplasty or Phalloplasty with Scrotoplasty, the scrotum can sometimes lay between the legs. This is more common in patients with excess skin and a prominent mons (area in front of pubic bone). In this situation, a monsplasty can be helpful for lifting the genitals out from between the legs. It is about a one hour procedure with minimal risk. It is performed about 6 months after the original surgery and can be done at the same time as testicular implants and/or penile implants.

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