Abstract

Genital rejuvenation is applicable not only to women (vaginal rejuvenation) but also to men (scrotal rejuvenation). There is an increased awareness, reflected by the number of published medical papers, of vaginal rejuvenation; however, rejuvenation of the scrotum has not received similar attention in the medical literature. Scrotal rejuvenation includes treatment of hair-associated scrotal changes (alopecia and hypertrichosis), morphology-associated scrotal changes (wrinkling and laxity), and vascular-associated scrotal changes (angiokeratomas). Rejuvenation of the scrotum potentially may utilize medical therapy, such as topical minoxidil and oral finasteride, for scrotal alopecia and conservative modalities, such as depilatories and electrolysis, for scrotal hypertrichosis. Lasers and energy-based devices may be efficacious for scrotal hypertrichosis and scrotal angiokeratomas. Surgical intervention is the mainstay of therapy for scrotal laxity; however, absorbable suspension sutures are postulated as a potential intervention to provide an adequate scrotal lift. Hair transplantation for scrotal alopecia and injection of botulinum toxin into the dartos muscle for scrotal wrinkling are hypothesized as possible treatments for these conditions. The interest in scrotal rejuvenation is likely to increase as men and their physicians become aware of both the conditions of the scrotum that may warrant rejuvenation and the potential treatments of the scrotum for these individuals.

Highlights

  • BackgroundReceived 03/05/2018 Review began 03/07/2018 Review ended 03/08/2018 Published 03/13/2018The scrotum covers the testicles, epididymis, vas deferens, and the external spermatic fascia along with the lower spermatic cords, in addition to accompanying arteries, veins, lymphatics, and nerves

  • Angiokeratomas may appear on the skin of the genital region in women and men

  • Rejuvenation of the scrotum includes conditions for which functional restoration would be appropriate and issues that may be of significant aesthetic concern to the affected individuals

Read more

Summary

Introduction

Received 03/05/2018 Review began 03/07/2018 Review ended 03/08/2018 Published 03/13/2018. One group of physicians briefly discussed the scrotal reduction procedure emphasizing hemostasis (to prevent postoperative hematoma) and preservation of the posterior scrotum (to maintain its superior lymphatic drainage) [4] Another group of investigators recently shared their surgical protocol (that was used for two adolescent men who had a self-perceived unfavorable appearance of their scrotum) and the favorable results of the researcher’s experience with this surgical intervention [22]. Angiokeratomas may appear on the skin of the genital region in women (such as the vulva) and men (most commonly on the scrotum, and the shaft and glans of the penis). When they occur in this area, they are referred to as angiokeratomas of Fordyce. Some men were successfully treated after one session, most individuals required several treatments to achieve complete clearance [32,33]

Conclusions
Disclosures
11. Umar S
14. Sadick NS
18. Olsen EA
25. Jankovic J
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call