Dr. Reed, If I have an orchiectomy now, will I have enough scrotal skin for MTF vaginoplasty? I am sort of stuck between the wish to remove the testes and lose some of the sagging scrotal skin but would like to be assured, a few years later I will still have enough skin for a deep vagina. Mirabal
Dear Mirabal, Worry not. When you have an orchiectomy and the scrotal cords are removed, you will definitely have less mass effect or a smaller scrotal silhouette. The scrotum stretches very easily so rest comfortably. There will be enough skin for a very capacious scrotal extension.
Harold M. Reed, M.D.
Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami
Orchiectomy pic of patient who requested simultaneous removal