Reduction Scrotoplasty With Concomitant Ventral Phalloplasty: Rethinking the Approach to a Common Urological...

Scrotal reduction surgery with concomitant ventral phalloplasty is a procedure designed to address increased scrotal laxity and penoscrotal webbing (PSW), conditions that can significantly impact genital aesthetics, patient comfort, and sexual satisfaction. In this case report, we present a 44-year-old man who developed persistent scrotal enlargement and PSW following bilateral hydrocelectomy. The patient experienced discomfort during daily activities and intercourse, along with a perception of decreased penile length. To achieve a more comprehensive correction, we utilized a novel modification of the transverse check mark-shaped incision, designed to address both scrotal laxity and PSW in a single-stage procedure. Unlike previous techniques that primarily focus on webbing excision, our approach incorporated additional modifications to optimize scrotal contouring and prevent residual laxity. This technique effectively resolved redundant scrotal tissue while optimizing both functional and cosmetic outcomes. The patient recovered without complications and reported significant improvement in scrotal contour and perceived penile length. As more cases of scrotal laxity are identified following urological procedures, surgeons and urologists should be aware of refined surgical techniques that can enhance patient satisfaction and quality of life.