Scrotoplasty: Men seek a procedure to reduce the scrotum | Health

Reproduction: freepik – 05/18/2022

male genitals

It’s no news that men are becoming more and more vain and aesthetically conscious. Now, this care has reached the private parts. According to urologist Ubirajara Barroso Jr., director of the Graduate School of Urology of the Brazilian Society of Urology (SBU), the demand for treatments in the region has increased by about 20% in the last two years. One of these procedures is scrotoplasty, which reduces the size of the scrotum.

“Before men were looking exclusively for ways to enlarge the penis, they have now discovered that certain procedures can also be performed on the scrotum,” explains the doctor.

Unlike other treatments like stretching with extenders, penis thickening for apparently normal sized genitalia, this procedure is not contraindicated by medical societies.

Scrotoplasty is indicated when there is an abnormal increase in the size of the scrotum. This can occur due to sagging generated by aging and diseases such as hydrocele and varicocele.

In addition to the aesthetic and psychological discomfort, the increase in size can cause pain and physical discomfort in the event of friction on the thighs, for example.

“The discomfort is aesthetic, but also physical because sometimes the scrotum is so low that it is uncomfortable during sexual intercourse, walking, dressing,” says Ubiraja Jr., who works in research groups on genital reconstruction and procedures. to improve the genital esthetics of amputees and patients with micropenis.

The correction procedure is surgical, performed under general or spinal anesthesia. The cut is made behind the testicular pouch, lifting excess skin. Although this is not the goal of the surgery, in addition to suspending the area, there is a reduction in roughness and the appearance of a more elongated penis due to the correction of the position of the scrotum. However, the doctor contraindicates the performance of this type of procedure for those who just want to “smooth” the place.

The risks are the same as with other surgeries and there is no damage to fertility or sexual functionality, according to Ubirajara Jr. Recovery is rapid. In about a week it is possible to return to work, and in a month – sex life.

The surgery can be performed at any age, but is most common in men over 50. Ubirajara Jr. only emphasizes the importance of being attentive to the patient’s profile.

“When we assess a man who has a genital cosmetic complaint, we need to determine whether or not the organ is normal and whether the complaint makes sense. For example, in people with body dysmorphia, that is, who have a damaged self-image, any type of procedure,” explains the specialist.

Regarding the use of other aesthetic techniques that have become popular, such as the application of botulinum toxin to make the scrotum less rough and the injection of substances to increase the diameter of the penis, Ubirajara Jr. warns that the evidence for its effectiveness and safety are lacking.

“I don’t believe in injecting substances such as hyaluronic acid and fat because the level of evidence for this is very low and I have seen very serious complications. Most medical societies do not recommend this type of procedure Scrotox, which would be the injection of botulinum toxin into the scrotum, also lacks scientific studies to prove its effectiveness and safety,” explains the director of the SBU School of Urology.

other complaints

According to the doctor, dissatisfaction with penis size is a recurring complaint in clinics. But he says most of the time it’s baseless.

“Man imagines that the average penis size is larger than it actually is. The average erect penis is about 13.5cm, but men think it is 15cm. , it’s not. It’s the doctor’s job to demystify that,” he says.

For patients whose real or apparent size of the penis is less than normal, it is possible to perform a phalloplasty, surgery to lengthen the penis. Recently, the doctor presented at the XIII International Congress of Uro-Oncology, a study on a new penile reconstructive surgery that can increase the size of the organ up to three times for those who have undergone an amputation or have a micropenis.

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