Scrotoplasty - 1 vs 2 incisions

[pjt1958]

Hello all, I am thinking of getting scrotoplasty and fixing webbing at the same time of my IPP and would be considered by both surgeons I've narrowed down. Dr. Loh Doyle wants to do infrapubic install of the implant and then make a separate incision for the scrotoplasty. Dr. Patel prefers to do penoscrotal if he is going to scrotoplasty, and doesn't feel strong reason to go either penoscrotal or infrapubic install otherwise. Dr. Patel also told me routinely doesn't leave a drainage tube after surgery.

In my mind, it seems having two incisions in the same area would increase the recovery and risk of skin healing problems vs just 1 alone? Any help appreciated as I am now with Medicare and ready to get this thing scheduled!!

[Tmansdorfer]

Is Dr Doyle going to do the fat pad removal or just fix the webbing from the scrotum? I had him remove the fat pad above the penis which he did in one incision above the penis. I have not had the webbing removed but the fat pad removal made a huge difference. I do not know the other surgeon but Dr Doyle has Dr Boyd are one of the best. I would be sceptacle of not having a drain if it is installed penoscrotal. I have had many revisions both ways and for me I had way more scrotal swelling with the penoscrotal approach.

[easymoney]

Had a mallabble done last year 30 days later they thought I had an infection and cut my dick open from asshole to elbow. When I woke up they had removed that webbing, now my balls don't fall in the toilet and I don't sit on them. I was cut from the opening in the ureatha all the way down to the middle of the ball sack. Never bandaged it they just had me put Neosporin on it 2 times a day healed right up.

[newbie443]

Hello all, I am thinking of getting scrotoplasty and fixing webbing at the same time of my IPP and would be considered by both surgeons I've narrowed down. Dr. Loh Doyle wants to do infrapubic install of the implant and then make a separate incision for the scrotoplasty. Dr. Patel prefers to do penoscrotal if he is going to scrotoplasty, and doesn't feel strong reason to go either penoscrotal or infrapubic install otherwise. Dr. Patel also told me routinely doesn't leave a drainage tube after surgery.

In my mind, it seems having two incisions in the same area would increase the recovery and risk of skin healing problems vs just 1 alone? Any help appreciated as I am now with Medicare and ready to get this thing scheduled!!

I have always looked at this first and foremost as infection avoidance. I did over step that with my scrotal webbing removal. Thus a longer incision and increased chance at infection. My first surgery I did not have a drain nor did I have a lot of swelling. Some doctors are better at this surgery than others and can forgo the need for a drain and again another risk for infection. Some doctors are on the fence skill wise for the drain and have mixed luck with not putting one in. I looked at it as an indication of doctor skill. If you are going to have scrotal webbing removed it makes sense to have it done with implant. Not only for infection but for just one surgery and hospital visit and bill.

[Mijudac79]

Where are you, please?

[October26]

Hello all, I am thinking of getting scrotoplasty and fixing webbing at the same time of my IPP and would be considered by both surgeons I've narrowed down. Dr. Loh Doyle wants to do infrapubic install of the implant and then make a separate incision for the scrotoplasty. Dr. Patel prefers to do penoscrotal if he is going to scrotoplasty, and doesn't feel strong reason to go either penoscrotal or infrapubic install otherwise. Dr. Patel also told me routinely doesn't leave a drainage tube after surgery.

In my mind, it seems having two incisions in the same area would increase the recovery and risk of skin healing problems vs just 1 alone? Any help appreciated as I am now with Medicare and ready to get this thing scheduled!!

I had scrotoplasty at the same time as the implant procedure and it was not that big of deal. The incision was a little longer, but I had very little swelling or bruising in the scrotum. The incision being longer looked more noticeable, but it healed so nicely that there is no scar. I don't know why anyone would want to do the procedure with an infrapubic incision because there would be a scar that would be noticeable. The scrotoplasty looks great and I am please the doctor suggested it.