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Scrotal Relocation

Posted: Sun Oct 14, 2007 11:59 am
by Beau Geste (imported)
After reading a post in which someone commented about how scrotums often appear wizened, withered, atrophied, and prune-like after the testes are removed from them, I remembered a post I read a year or more ago. I think it was on a forum for transgender individuals. The post was made by somebody who had had an orchiectomy as a first step in transgendering from male to female. He then decided he was comfortable staying the way he was, and decided not to have the transgendering surgery. But he didn't like how his sac was hanging loosely, and wanted surgery to cut along the back half of the scrotum, then stretch the scrotal tissue an inch or two back toward the anal opening and reattach it there, so the sac would be more or less flat along the crotch. Most of the thread was about whether the surgeon who would have done the transgendering would do the scrotal surgery, who else might do it, what it would cost and so on. I accessed a number of sites of this type over a month or so, and don't remember which one it was. I don't think it was this archive.

Anyway, since a procedure of that type seems like an obvious way of dealing with looseness in the scrotum, I wondered if anyone who accesses the Archive had had surgery of that type, and whether it was successful. Scrotal tissue is rather elastic, and perhaps the tissue could be stretched to fit closely along the crotch, but I would suspect that a slit would have to be made on each side of the scrotum to get an optimum fit--which would degrade the sac-like character of the structure. Of course, if it was flush against the crotch, it wouldn't be a sac any more anyway.

I would think that, if the scrotum was loose and withered, it would be aggravating if it started to itch and you had to scratch it. But there wouldn't seem to be any actual health threats associated with having a loose area of skin like that, as long as it was kept clean and dry.

Most likely, the majority of surgeons and other physicians would consider a procedure to tighten up the scrotum by a reattachment operation, to be "silly surgery"--comparable to trepanning the skull, adding tissue to a woman's lips to evert them, or inserting plastic beads under the skin of the phallus. Since the scrotum has no further fuction if the testes are absent, the straightforward thing to do with it, is to get out the surgical shears, snip off the loose tissue, sew up the remaining edges, and get on to something else. But the scrotum is always visible, a person grows up with it always hanging there, and perhaps some individuals have a kind of sentimental attachment to their scrotums, so that they would be reluctant to have the tissue excised unless it became cancerous.

Actually, since the skin of the scrotum can contract substantially in cold conditions, or in certain other situations, it seems possible that the scrotum could be conditioned to remain in a contracted state most of the time, so that it fit more or less closely up to the crotch, without any surgical procedure. I remember reading a post by somebody on this forum who said that, after several years with the sac empty, his scrotum had contracted up to fit along the contour of the crotch.

Re: Scrotal Relocation

Posted: Sun Oct 14, 2007 2:33 pm
by considering (imported)
I shouldn't think that a plastic surgeon would find it "silly". Consider the requests they routinely receive, this should seem normal and appropriate.

Re: Scrotal Relocation

Posted: Sun Oct 14, 2007 5:40 pm
by kristoff
For most folks with an empty baggie, the scrotum tends over time to shrink and pull up against the base of the penis / crotch. Depending on original size it may still have some visible sac hanging, while others do not. For some, removal would be an aesthetic issue, for others, a comfort thing (sac sticking to leg in hot weather or during strenuous activity is distinctly uncomfortable). I would prefer mine gone, but I will not pay to have Kimmel do it, along with travel costs. Some day I may be able to persuade my doc to do it, or refer it for consideration (and attendant insurance coverage). OTOH, I can live with it as is - I am accustomed to it now after 7-1/2 years. I'ver not heard of anyone having a problem with the skin being too tight after a "scrotumectomy," such as during an erection. The skin is rather stretchy when needed - just observe obese people...