Scrotoplasty & Testicular
Implants
What is Scrotoplasty & Testicular Implant Surgery?
Scrotoplasty is a gender-affirming surgical procedure that creates a scrotum using existing genital tissue, typically as part of bottom surgery for transgender men and non-binary individuals. It may be performed alone or alongside phalloplasty or metoidioplasty.
Testicular implants are prosthetic devices placed within the newly created scrotum to provide a natural look and feel. These implants are made of medical-grade silicone and can be inserted during the initial scrotoplasty or in a later procedure.
Why Choose Scrotoplasty & Testicular Implant Surgery?
- Creates a natural-looking scrotum
- Enhances body confidence and gender affirmation
- Provides a fuller, masculine genital appearance
- Allows for the placement of testicular implants for a natural feel
- Reduces gender dysphoria related to genital anatomy
Am I Ready for Scrotoplasty & Testicular Implant Surgery?
- You are in good overall health with no medical conditions that could impact healing
- You have undergone or are planning to undergo bottom surgery (phalloplasty or metoidioplasty)
- You have a stable BMI and are a non-smoker or willing to quit before surgery
- You have given your body time to heal from any previous gender-affirming surgeries (if applicable)
- You have realistic expectations about the final appearance and sensation
- You understand the potential risks, including implant rejection or infection
- You have a support system in place to help with post-surgical care
- You have consulted with a surgeon and are confident in your decision
What Happens During Scrotoplasty & Testicular Implant Surgery?
During your consultation, the surgeon will:
- Assess your medical history and surgical goals
- Discuss whether to insert testicular implants immediately or in a later stage
- Explain the risks and recovery process
The procedure is performed under general anaesthesia to ensure comfort during surgery.
- Scrotal Creation – The labial tissue is reshaped and sutured together to form a scrotum.
- Implant Placement (Optional) – If testicular implants are inserted immediately, they are placed within the newly formed scrotum.
- Closure & Dressing – The incisions are closed with dissolvable stitches, and dressings are applied.
- Scrotoplasty alone takes approximately 1-2 hours.
- If performed with phalloplasty or metoidioplasty, surgery time may be longer.
Recovery Timeline
- Swelling, bruising, and mild discomfort are normal.
- You may need to wear a supportive garment to aid healing.
- Pain relief medication and antibiotics may be prescribed.
- Avoid sitting for prolonged periods to reduce pressure on the surgical site.
- Swelling will gradually decrease.
- Light activities can be resumed, but strenuous exercise and sexual activity should be avoided.
- If implants were placed, your surgeon will check for any signs of complications.
- Scars will fade over time.
- The scrotum will soften and settle into a more natural shape.
- If implants were inserted later, they will take time to feel natural within the scrotum.
Benefits of Scrotoplasty & Testicular Implants
- Achieves a more natural, masculine genital appearance
- Provides a full, realistic feel with implants
- Boosts confidence and gender euphoria
- Can be tailored to individual surgical goals
Schedule Your One-on-One Session
Frequently Asked Questions
Will my scrotum have sensation?
Some sensation may return over time, but full sensitivity varies based on nerve connections.
Can I get testicular implants later if I choose not to have them immediately?
Yes, implants can be placed in a separate surgery once healing is complete.
Are testicular implants safe?
Yes, medical-grade silicone implants are designed for long-term use, but there is a small risk of infection or implant rejection.
How soon can I have sexual activity after scrotoplasty?
It is advised to wait at least 6-8 weeks before resuming sexual activity to allow proper healing.
Will my scrotum be able to contract like a cisgender male’s?
No, as the scrotum is reconstructed from different tissue, it will not contract with temperature changes.