Scrotox® is a nonsurgical cosmetic technique that utilizes Botox® to relax the muscles of the scrotum. The result would smooth out wrinkles, allow for lower hanging testicles, and reduce/eliminate sweating. Some men prefer a lower hanging more relaxed scrotum for cosmetic reasons. They may enjoy a fuller appearing bulge when wearing loose underwear. Scrotox® can also enhance sexual pleasure. At time testicles are retracted and tucked away into the background and ignored during sexual activity. Scrotox® allows the testicles to remain descended and more prominent. They become easier to manipulate and provide oral stimulation. Partners also report enhanced pleasure from the sound and tactile stimulation of the relaxed pendulous scrotum slapping against them during intercourse.

Botox® (Botulinum toxin A) when injected in the scrotal area causes relaxation of both the cremasteric muscle and the Dartos muscle. Botox® temporarily paralyzes these muscles resulting in significant descent of both the scrotum and testicles. The end result mimics the appearance and mobility of the scrotum after soaking in a hot tub.

The procedure takes about 30 minutes. The area is cleansed. A topical local anesthetic is applied and allowed to sit for 15-20 minutes. Tiny needles are used to inject the Botox® into the skin throughout the scrotum. There should be little to no discomfort because of the numbness provided by the topical local anesthetic. For most patients, 50 units is enough to create the desired effect. Not all patients are the same though so touch up treatment may be necessary after 3-4 weeks, the time frame needed for peak results. These results may last up to 3 to 4 months.

Contraindications to Scrotox® would include use of blood thinners (Coumadin, Plavix), allergy to Botox®, skin infection of the scrotum, and recent scrotal trauma. Scrotox® may affect fertility as the scrotum is incapable of regulating temperature by ascending or descending. This treatment should be avoided if you wish to father a child. It is in no way not meant to replace contraception either. If there is any scarring of the scrotum, relaxation may not be achieved in that specific area.