Men's Clinic of
Dr. Ivan Aguilar

Botulinum toxin injections into the scrotum, colloquially known as “Scrotox,” are primarily used for aesthetic, comfort, and functional improvements. The procedure involves injecting the toxin into the dartos muscle, which is responsible for the contraction and wrinkling of the scrotal skin.

Primary Benefits

• Aesthetic Enhancement: By relaxing the dartos muscle, the injections smooth out wrinkles on the scrotum, making it appear larger, fuller, and more aesthetically pleasing.

• Increased Comfort: Men with a “tight” or highly reactive scrotum may find relief from discomfort caused by frequent contraction. This relaxation can allow the testicles to hang lower and more freely.

• Reduced Sweating (Hyperhidrosis): Similar to its use in the armpits, botulinum toxin can significantly reduce excessive sweating in the groin area by blocking the chemical signals that stimulate sweat glands.

• Relief from Chronic Pain: In some clinical cases, these injections are used off-label to help alleviate chronic scrotal or testicular pain by reducing muscle tension.

• Thermoregulation Support: For some patients, the relaxation of the scrotum helps in better temperature regulation, which can be beneficial for those who feel constant heat or constriction in the area.

Procedure Details

• Downtime: The procedure is minimally invasive with almost zero downtime; patients can usually return to work immediately.

• Onset and Duration: Results typically begin to appear within 3–7 days and generally last between 4 to 6 months, after which maintenance injections are required.

• Safety: When performed by a qualified medical professional, the procedure is considered safe, though temporary swelling or bruising may occur.