I think most of us are familiar with the term “Shrinkage” made popular by George Costanza from the hit show Seinfeld. However, if you don’t know what I’m talking about, I’m referring to the scenario when the scrotum gets tight and holds the testicles close to the body and or the penis retracts like a turtle’s head into its shell. These phenomena are usually triggered by exposure to cold, feeling anxious or stressed, and after exercise. If you are bothered by any of these issues or your erections aren’t as satisfying or firm as they used to be, there is a simple solution…SCROTOX!

What is Scrotox?

Scrotox is a term that I trademarked for when Botox is used to treat unwanted scrotal tightening, testicular or penile retraction, or erectile dysfunction. Although Botox is FDA approved, using Botox to treat penile and scrotal issues is not FDA approved. However, many studies have demonstrated the safety and effectiveness of Botox for treating scrotal and penile issues. Countless FDA approved medications are used “off label” to safely treat conditions they were not initially approved for. The same is true with Botox.

What are the possible benefits of Scrotox?

  • Erections are firmer and more satisfying
  • Penis is more relaxed and appears bigger
  • Scrotum looks bigger and more filled out
  • Scrotum looks more smooth and less wrinkled
  • Scrotum sweats less
  • Testicles appear larger
  • Testicles hang more loosely/lower

Is Scrotox safe?

The safety for injecting Botox into the penis and scrotum has been demonstrated in several studies. There have been no Botox related complications in those studies.

What are the possible side effects of Scrotox?

Side effects of this procedure are minimal and rare and resolve within a few days if you get any.

  • mild to moderate scrotum pain
  • numbness
  • swelling
  • bruising around the injection site
  • feeling of tightness in your scrotum
  • lower sperm count due to the testicles hanging lower and away from the heat of the body (this 2014 finding has only been demonstrated in lab rats)

How does Botox work when treating the scrotum and penis?

It contains botulinum toxin type A, a neurotoxin that effectively paralyzes muscles for a temporary amount of time. Most people are familiar with Botox for reducing wrinkles on the face. However, Botox is used successfully to treat many other medical issues such as migraines, overactive bladder spasms, vaginal pain syndromes, reduce excessive sweating and for the scrotal and penile issues mentioned above.

Upon injection into a muscle, Botox interrupts the transmission of chemical signals between the muscle and the brain that instruct the muscle to contract, causing temporary paralysis or relaxation of the muscle.

How is Scrotox performed?

When Scrotox is used to enhance erections, it is painlessly injected into the shaft of the penis, called the corpora cavernosa, after a potent numbing cream has taken effect. The Botox partially paralyses the smooth muscles inside the erectile chambers of the penis which cause them to relax and more easily fill with blood. This can result in a more firm and full erection.

When Scrotox is used to relax a tight scrotum or reduce the penile or testicular retraction, small amounts of Botox are injected at strategic spots along the base of the penis and along the ridges in the tightened scrotum after a potent numbing cream has been applied. These injections partially paralyze the small muscle fibers responsible for the retraction and allow for relaxation of the scrotum, testicles and penis. In one of the studies, 70% of participants reported that they experienced penile retraction less frequently and that the degree of the retraction was decreased. Participants also reported that they experienced an increase in flaccid penile length that amounted to an average of half an inch. This increase in length did not affect erect penis length.

How long does the procedure take?

You will put numbing cream on the skin to be treated (Scrotum and or Penis) once you are in the treatment room. It takes about 10-15 minutes for the numbing cream to take effect. That’s longer than the actual procedure will take. Injecting the Botox takes only a few minutes.

Does it hurt?

Injecting the Botox is done with a tiny insulin syringe after a potent numbing cream is used. It is virtually painless and very easy to tolerate.

Is there any down time?

There is no down time, but you may want to refrain from sex that day.

How long do the results last?

The effects of Botox may take 1-4 weeks to achieve and last approximately 3-4 months for most patients. Maintenance procedures are necessary to maintain results.


For more information or to schedule an appointment for Scrotox: Call Amanda at (480) 291 6321

8415 N Pima Rd, #210
Scottsdale, AZ 85258
Phone: 480-425-8700
Fax: 480-425-8701
Office Hours

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