Penoscrotal Surgery Sydney

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There are a variety of reasons why penile surgery may be advised for men that are having difficulty with the function of the penis or embarrassment over their appearance. Penoscrotal webbing is one of the conditions that can plague men, affecting their ability to engage in sex and their self-esteem overall. If you are suffering the consequences of penoscrotal webbing, Professor Moore and the staff at the Australian Centre for Cosmetic and Genital Surgery may be able to help.

What is Penoscrotal Webbing?

Penoscrotal webbing is a condition where the skin of the scrotum is attached to the underside of the penis, causing a flap of skin that creates a webbed appearance. Often referred to as a “turkey neck,” the condition can be the result of a variety of factors. No matter what the cause of the problem might be, the results are typically the same. Men may have difficulty wearing a condom or achieving sufficient penetration for a satisfying sexual appearance. Painful intercourse can be another issue that interferes with their intimate relationships. Because the problem also makes the penis look shorter than it is, penoscrotal webbing can also cause significant damage to a man’s self-esteem and confidence.

Causes of Penoscrotal Webbing

The most common reason behind penoscrotal webbing is circumcision that leads to the tension of the skin underneath the penis that causes the scrotum and joining skin to be stretched and lifted. Over time, the tissue of the scrotum becomes attached to the underside of the penis, creating the webbed effect. This problem is particularly prevalent in men that have a high insertion of scrotal skin before the circumcision, which is exacerbated by the circumcision process.

A circumcision where too much foreskin is removed can also lead to the formation of penoscrotal webbing. In rarer instances, scarring after previous penile or scrotal surgery can lead to the development of penoscrotal webbing. A small number of men are also born with this problem.

Complications Associated with Penoscrotal Webbing

Penoscrotal webbing isn’t necessarily considered a significant danger from a medical standpoint. However, the issue can have a profound effect on both the appearance and function of the penis. Some of the potential complications might include:

  • Difficulty putting on condoms or keeping them on during intercourse
  • Restriction on the depth of penetration during intercourse
  • Chordee – a condition where the head of the penis points downward
  • Irritation of the skin between the scrotum and penis during and after sex
  • Penis appears shorter than it is, including when it is in an erect state

While the physical issues associated with penoscrotal webbing can seem quite debilitating, they often pale in comparison to the psychological impact of this condition.

Psychological Effects of Penoscrotal Webbing

Men struggling with penoscrotal webbing may face a significant loss of self-esteem and damage to their personal relationships. In some cases, loss of confidence and interpersonal connections can pave the way to mental illness like depression and anxiety. If the condition develops over time, it can put a wedge between a man and his partner when intimacy is affected by the problem. The psychological tension of a malformed penis can prevent a man from creating meaningful relationships as well.

How Penoscrotal Surgery is Performed

The method used to perform penoscrotal surgery can vary, depending on a variety of factors:

  • Severity of Webbing – Symptoms tend to be more pronounced when the scrotal tissue is attached closer to the penile tip. The severity also changes the way in which surgery will be performed to produce the desired corrections.
  • Scrotal Skin Thickness – The thicker the scrotal skin is, the more severe the webbing is likely to be as well. In addition to exacerbating the appearance of the webbing, thicker skin can have a more significant impact on the function of the penis.

No matter what factors might be present, the goal of the procedure is to release the penile shaft and create a regular relationship between the penis and the scrotum. This effect can often be corrected by removing the tissues at the penoscrotal junction using a Z-plasty that will produce the desired result with minimal post-operative scarring. In more severe cases of webbing, the z-shaped incision can be combined with a vertical one underneath the penis to provide ample correction. The scars from both these incisions will fade over time and will be safely concealed by the pubic hair in most cases.

Professor Moore performs most of his penoscrotal surgery as day surgery under general anaesthesia, which means you will be comfortably asleep during your procedure. Incisions are made carefully to minimise visible scarring and used to release the penis from the scrotal tissue. The Z-plasty technique creates skin flaps that can be used to elongate the skin and tissue to produce a longer penile length.

Recovery and Results

The procedure does not typically take a significant amount of time to complete, and men may go home within a few hours to recover comfortably at home. Pain medication is prescribed for the first few days if needed and rest is recommended. Patients are usually back to most of their schedule within a week or so, although strenuous exercise and intercourse should be avoided for a few weeks to allow the penis and scrotum sufficient time to heal. Once the recovery process is finished, the results of your surgery should be long-lasting.

Penoscrotal webbing is a structural issue that can affect a man’s self-esteem as well as his sexual function. Professor Moore understands the implications of this condition and offers customisable treatment to restore the penis and scrotum to its proper form. To learn more about this procedure, contact Professor Moore today by calling the Australian Centre for Cosmetic and Penile Surgery on 0414 251 234.

Prof Colin Moore