CPT® Code 55175

Scrotoplasty is a surgical procedure aimed at modifying the scrotum, which is the pouch of skin that houses the male reproductive organs, including the testes, epididymis, vas deferens, and associated blood vessels. This procedure can be performed for various reasons, including cosmetic enhancements to remove excess skin resulting from aging, trauma, or injury. Additionally, scrotoplasty may address congenital defects, such as penoscrotal webbing, which is a condition where the scrotum is abnormally attached to the penis. Furthermore, scrotoplasty is also a component of gender reassignment surgery for individuals transitioning from female to male, where the procedure helps in creating a scrotal appearance. The scrotum itself is characterized by a thin, dual-chamber structure composed of skin and muscle, with a scrotal septum that divides the two chambers. In the case of simple scrotoplasty, the surgical approach involves making an incision along the perineal raphe, followed by the removal of excess scrotal skin and muscle, and subsequently suturing the incision closed. This contrasts with complicated scrotoplasty, which may involve more extensive surgical techniques to correct congenital issues or to facilitate gender reassignment, including the use of tissue expanders for future prosthetic implantation.