1Department of Urology, Reproduction Center, Toho University
Omori Hospital, Japan; 2Shanghai First Peoples Hospital Attached to
Shanghai Jiaotong University, China
Objective: Scrotal drooping in adults is so rare that no previous
cases have been reported. We describe our management of two
patients with scrotal drooping.
Methods: Two patients visited our reproduction center for
treatment of scrotal drooping. Case 1, who also had retrograde
ejaculation for 2 years, complained about his scrotal drooping
(length×width =15 cm × 7 cm) which was first noted
approximately 5 years before presentation. Case 2 had a 23-
year history of scrotal drooping (length×width =11 cm × 6 cm)
accompanied by discomfort of which mainly described as a sense
of heaviness. With the two patients squatting, their scrotums
were both able to touch the floor. Blood serum testing, Doppler
ultrasonography, and a detailed examination of the genitalia
revealed no other abnormalities in either patient.
Results: Both patients underwent scrotoplasty and were
satisfied with the cosmetic results and improvement in quality
of life (QOL). Histologic evaluation showed slight thickening
in the smooth muscle cells, with slightly disordered bundles in
the dartos fascia of the scrotum in specimens from Case 1, and
normal in that of Case 2. Case 1 whist received a microsurgical
varicocelectomy and oral medication for the retrograde
ejaculation and had no evidence of recurrence of scrotal
drooping at a 7-year follow-up examination.
Conclusions: Scrotal drooping can cause considerable
inconvenience and adverse emotional changes in patients. Our
results indicate that scrotoplasty is effective, appropriate and
necessary in improving patient QOL.