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VY Scrotoplasty Technique

The most widely used technique for creating the scrotum is Hoebeke's Technique, which was first described by Professor Piet Hoebeke, a urologist at Ghent University Hospital in Belgium. In the trans community, this is more commonly referred to as "VY Scrotoplasty" because the technique uses a V-Y advancement flap, where a V-shaped incision is made, the broad base of the V is advanced into the defect, and the defect is closed primarily in a Y-shape.

V-Y advancement flap

With Hoebeke's Technique, bilateral labial flaps are dissected, rotated and advanced to create the scrotum "in front of the legs", offering a better cosmetic result compared to earlier techniques. Refinements to achieve better sensation and shaping were also developed.

Incisions are made in each side of the scrotum, pockets are created, and testicular implants are put in. Expanders may be used to stretch the tissues prior to placement of implants. This adds an extra surgery stage but creates a bigger scrotum that can accommodate larger testicular implants.

Common complications include: wound separation, extrusion (the implant erodes through the scrotal tissue) and implant migration (the implant moves from its original placement.)

The 3D graphics below illustrate the VY Scrotoplasty procedure, which has become the ultimate surgical technique to reconstruct the scrotum in female-to-male transsexual patients.

Scrotoplasty

Scrotoplasty

Scrotoplasty

Scrotoplasty

Scrotoplasty

Source: fos4.be

Scrotoplasty journal articles:

Last updated: 01/11/21


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