Scrotum Reduction: An Essential Guide

Men who have an enlarged scrotum tend to suffer from pain and discomfort. The scrotum and upper inner thigh may become irritated if the scrotum is low hanging and big. Some men feel uneasy wearing restrictive clothing and underwear. Others object to the hanging scrotum’s aesthetic aspect.

But the good news is that you can have that enlarged scrotum reduced through surgery. Scrotum reduction surgery has become very common over the last decade.

Well, how much does scrotum reduction surgery cost? Is it worth it? What are the risks involved? Here are all the answers.

What Causes Scrotum Enlargement?

Older men are more likely to experience scrotum enlargement. This can also happen to younger men. Some men may have extra scrotal skin from birth, which can sag with time. Other causes include enlargement by a varicocele or a hydrocoele. 

Hydrocoele is where water surrounds the testicles. Varicocele is the dilation of spermatic cord veins. About 15 percent of men suffer from it.

What Is Scrotum Reduction?

Scrotum reduction surgery is a procedure performed to reduce the size of the scrotum. This operation aims to improve the appearance of the genitals. This procedure is usually recommended for men who suffer from severe pain or discomfort caused by their enlarged testicles.

Scrotum Reduction Procedure

Scrotum reduction is usually performed under general anesthesia. The surgeon cuts along the groin’s crease and removes the skin from the lower part of the scrotum. It allows the surgeon to remove excess tissue and tighten the skin.

Scrotum reduction techniques allow patients to have smaller scrotums while retaining their natural contours. Given that the scrotum can have a variety of shapes, the incisions are customized for each patient.

While removing the extra skin, the incisions are hidden as much as possible. Patients with enlarged scrotums frequently have penoscrotal webs that the doctor must remove concurrently.

This 2-hour outpatient surgery is highly safe, and there is minimal discomfort following it. To customize the excision and ease the process, the patient is given an erection during surgery using an injection.

Any discomfort is relieved quickly after surgery. Most men start working again within a week.

Why Scrotal Reduction?

The surgery is performed to treat conditions such as undescended testicles (when the testicle has not descended into the scrotum), retractile testicles (when the spermatic cord becomes tight around the testicle, causing pain), and micro-penises (a condition where the penis appears more petite than usual).

Risks Involved in Scrotum Reduction

A small percentage of men experience complications after the surgery. Such complications include infection, bleeding, and nerve damage. If these problems occur, they may need more treatment.


Infections can develop at the incisions. These infections may lead to swelling, fever, redness, and pus formation.

Blood Clots

Blood clots can form in the veins near the penis. These blood clots can travel to the lungs and block arteries, causing chest pains and shortness of breath.

Nerve Damage

Nerves that run along the sides of the penis can be damaged during the surgery. This can result in numbness, tingling, or weakness in the area.

What Are Other Risks?

  • Scarring
  • Harm to your urinary tract
  • Painful or difficult intercourse


How Much Is Scrotum Reduction?

Scrotum reduction procedures start at about $500; however, this is a rough estimate. Your provider’s fee will vary, particularly if they have a prestigious practice or are an exceptionally skilled physician or surgeon. Insurance companies typically only cover scrotum reduction surgery for persistent diseases that result in discomfort or other symptoms rather than for cosmetic objectives.

Can You Tighten Your Scrotum?

With aging, the scrotal skin can occasionally become floppy and loose. The doctor can remove some extra skin during a scrotoplasty to tighten the scrotum. This procedure is regarded as aesthetic.

How Can I Control My Sagging Scrotum Skin Before Surgery?

  • Wear tight undergarments. Your testicles may feel slightly less saggy, but as soon as you remove your underpants, they will resume their normal posture.
  • Applying oils, creams, or lotions.
  • Taking hormones or supplements.
  • Avoid masturbation.

How Do I Find a Good Doctor for Scrotum Reduction?

Check to discover if providers are in your network and if your insurance covers the surgery.

The surgeons on your list of covered doctors shouldn’t cause you to feel constrained. However, if the price is a concern, you should probably consider insurance coverage while making your choice.

Even though this is a straightforward procedure, it is important to choose your surgeon wisely. Make sure that the surgeon you choose has the skills and experience needed for this treatment. Specialists in this area of medicine are usually safe bets, but be sure that they are certified and have all of the required training.

Who Are the Recommended Specialists for Scrotum Reduction?

  • Plastic and reconstructive surgeon
  • Reconstructive urology surgeon
  • Transgender surgeon


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