Q: Dr. Eppley, I am 21 years old and have a very low-riding scrotum. I am wondering if you have operated on someone my age before and if you are able to perform a scrotal reduction procedure. Also why do you think that my scrotum hangs so low, could it be a sign of a connective tissue disorder? Thank you.
A: Thank you for your inquiry. Scrotal reductions are typically done in older men who develop sagging due to age and gravity and in some younger patients who can develop a scrotal sag after large amounts of weight loss. While these are the typical patients that have scrotal reduction, the surgery can be performed on any patient regardless of age that has a scrotal sag and desires a scrotal lift. While I can not answer the question why your scrotum hangs so low, it is unlikely it would be a connective tissue disorder as this would affect other bodily areas as well and not be just isolated to the scrotum only. Most likely it is just your natural anatomy and does not represent a deformity other than its aesthetic appearance. But a scrotal lift can be successfully performed on a a very young male.
Dr. Barry Eppley