In this procedure, the labia majora (see vulva) are dissected to form hollow cavities, and united into an approximation of a scrotum. The surgeon may or may not deploy some sort of tissue expansion prior to the operation if there is insufficient skin tissue. Afterwards, silicone prosthetic testicles can be inserted to fill the new scrotum to enhance the look and feel.
- Use of the Scrotal Remnant as a Tissue-Expanding Musculocutaneous Flap for Scrotal Reconstruction in Paget's Disease by Por, Yong-Chen; Tan, Bien-Keem; Hong, Soo-Wan; Chia, Sing-Joo; al etc. (Annals of Plastic Surgery, Volume 51 Issue 2, August 2003)
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