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.
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.