There are several different surgical procedures that can be used for scrotal reconstruction or scrotoplasty, determined by the unique needs of the patient. Some men require only a small incision at the base of the penis and the simple excision of excess skin that restores the natural position of the scrotum. In cases like this, a local anaesthesia agent normally suffices to keep the patient pain free during the surgery.
Other patients may require a more aggressive surgical approach that includes tightening of the cremaster muscles, which are attached to the spermatic cord and raises the corresponding testicle when contracted. This type of surgery may require twilight anaesthesia, which is a smaller dose of general anaesthesia that would be used to achieve complete unconsciousness.
Some men also require skin grafting to reinforce and strengthen scrotal skin or muscle that has been stretched extensively. The surgery procedure is usually performed under twilight anaesthesia and IV sedation drugs. It takes between 30 and 60 minutes for a board certified plastic surgeon to perform, depending on the level of complexity and various patient-specific factors.
When the doctor has finished the surgery, the patient is moved into the recovery suite in the surgery centre and monitored for any developing complications while coming out of the effects of the anaesthesia and sedatives.
Aftercare and Recovery
Be sure to arrange to have someone drive you to and from the hospital or surgery centre. You may need someone to stay with you the first night or two. Swelling, bruising, and mild pain is common after scrotoplasty, especially during the first week. Many surgeons recommend using an ice pack to help keep swelling and pain down.
The doctor will prescribe pain medications, antibiotics, and anti-inflammatory drugs as needed to help manage your recovery symptoms. Most patients receive dissolvable sutures that require no removal, but you will still need to return to see the surgeon in follow up visits to ensure proper healing. Final results of this surgery take 2-3 months to manifest.
You will be advised to refrain from strenuous exercise, work, or sexual activity for 5-8 weeks, depending on how well your body heals. However, light activities like walking are encouraged after a day or two. The total time it takes to recover depends on your state of immunity, nutritional levels, medical history. And other personal variables.
To book a consultation with one of our Urologists to see whether Scrotoplasty is right for you, give us a call on 0330 808 1968.