Scrotox, Grotox & Vasectomy
Ready to upgrade your enlargement?
From Scrotox for enhanced comfort and appearance, to Grotox for a rejuvenated, youthful look, and expert vasectomy procedures for reliable family planning, our non-surgical men’s health services are designed to prioritize your confidence, health, and satisfaction.
Explore how our cutting-edge treatments can help you feel and look your best.
Scrotox
Scrotox, a specialized Botox® treatment for men, is gaining popularity for its ability to enhance both comfort and aesthetics.
By relaxing the muscles in the scrotum, Scrotox can reduce tightness, minimize sweating, and create a smoother, more relaxed appearance.
At Rejuvall®, we offer this innovative procedure to help you feel more confident and comfortable in your body. Discover how Scrotox can improve your quality of life with safe, effective results.
What is Scrotox?
“Scrotox” is the injection of botulinum toxin (Botox®) into the scrotum. The scrotum is a cutaneous pouch that holds the testicles.
What’s the history behind Scrotox?
Scrotox started as a strictly medical intervention aimed at alleviating scrotal pain resulting from inflammation.
Research indicates that it is particularly beneficial for persistent pain that stays despite treatment, affecting the spermatic cord or engorged scrotal veins (varicocele).
Since around 2016, a growing number of men have started engaging in practices aimed at supposedly augmenting the size of their scrotums and enhancing their sexual experiences.
How does Scrotox work?
This procedure relieves tension in tissue and muscles, yielding a more naturally relaxed appearance with the testicles hanging freely.
This procedure is also favored by men with naturally elevated or contracted scrotums, as Botox®’s active component relaxes muscles, resulting in a more relaxed position.
The placement of Botox® injections in the scrotum may yield a smoother appearance of the scrotum and an enhancement in the perceived size of the testicles.
Furthermore, where warranted, Botox® injections administered directly into the testicles have demonstrated efficacy in reducing perspiration.
Frequently Asked Questions About Scrotox
Scrotox injections are appropriate for males with abnormally enlarged testicles or those who have undergone testicular atrophy due to testosterone therapy or other procedures.
Scrotox is a prevalent remedy for these concerns. It involves the injection of Botox® into specific locations inside the scrotal region.
Despite the FDA’s lack of approval for Botox® injections in the scrotum, numerous successful procedures have demonstrated a robust safety profile.
A recent clinical trial investigated the efficacy of Botox® injections in the scrotum and found positive outcomes.
The Scrotox process requires around 15 minutes for administration, allowing patients to return to work and physical activities on the same day.
What is the protocol for Scrotox at Rejuvall®?
The Scrotox procedure involves a straightforward process:
- Our surgeon will administer a topical anesthetic to the scrotal sac.
- Our surgeon will inquire about any specific goals you have for your Scrotox treatment.
- Our surgeon systematically injects Botox® into targeted areas, repeating the procedure in particular sites.
- Our surgeon will cleanse and disinfect any hemorrhaging.
This entire treatment often takes no more than 30 minutes.
The recovery from a Scrotox procedure is rapid and relatively free of pain.
Scrotox is an outpatient intervention. You may access the physician office, receive the procedure and usually return home within minutes thereafter.
- The process may be extended due to unusual side effects, complications, or the requirement of completing documentation.
- There is no requirement to take a day off from work or other commitments; it can be completed expeditiously.
- For several hours subsequently, it may be necessary to refrain from carrying heavy things or participating in sexual activity.
Nevertheless, in most cases, you can return to your normal activities by the end of the day.
Immediate outcomes may not be evident. Aesthetic alterations typically become apparent within several days to one week.
The effects of Scrotox generally endure for a duration of three to four months.
Research on this topic is limited outside its medical applications; yet, the majority of anecdotes appear to concur on this figure.
Scrotox at Rejuvall® costs $2,500 for 100 units when performed in congruence with a male enhancement procedure. If administered singularly, the cost is $3,500.
Its effectiveness is directly tied to how many units of Botox® are employed, we’ve discovered effects are minimal with less than 100 units.
Insurance plans don’t cover Scrotox for cosmetic purposes.
The negative side effects are typically minimal.
Symptoms recorded after a Scrotox injection encompass:
- mild to severe scrotal discomfort
- numbness
- edema
- hematoma at the injection site
- a feeling of constriction in the scrotum
- reduced sperm count (particularly demonstrated in a 2014 study with laboratory animals)
Botox® injected in other regions of the body may also have recognized potential harmful effects. Many of these relate to conventional facial Botox® injections; however, they warrant consideration before to commencing long-term Scrotox treatment.
These detrimental effects are rare:
- headache
- fever
- elevated body temperature
- speech difficulties
- swallowing difficulties
- shortness of breath
- vision impairment
- loss of bladder control
- exhaustion or weakness
Grotox
Comprehending the particulars of Botox® penile injections enables individuals to make informed choices.
This section answers popular questions concerning dose, procedures, side effects, interactions, patient results, and the duration of efficacy.
What is Grotox?
Grotox is the injection of Botox® into the penis. Botox® penile injections are a non-invasive therapeutic alternative aimed at treating erectile dysfunction (ED).
Botox® injections may provide an alternative for men aiming to improve sexual function or reduce discomfort by relaxing smooth muscles and enhancing blood circulation.
These injections function as a more potent alternative to PDE-5 inhibitors (such as Viagra and Cialis) without the adverse effects associated with those drugs.
Botox® penile injections represent a recent advancement in medical science, aimed at addressing problems such as erectile dysfunction (ED) and penile retraction.
Rarely recognized beyond cosmetic applications, these utilizations of Botox® illustrate its adaptability as a medicinal intervention.
This novel method has garnered interest for its prospective advantages; however, it is crucial to evaluate its dangers and seek advice from a medical practitioner prior to starting therapy.
Comprehending the mechanisms of Botox® in this delicate region might assist patients in making informed choices.
Botox® for Male Enhancement & Cosmetic Urology
Botox® injections are a novel method for male enhancement, specifically targeting erectile dysfunction (ED) and potentially increasing flaccid penile length, provided that insufficient blood flow is the underlying cause of “turtling,” which results in diminished flaccid size.
Botox® for Erectile Dysfunction
Botox®, or Botulinum toxin, is conventionally recognized for its use in aesthetic medicine but has recently been utilized in the treatment of erectile dysfunction, especially in males diagnosed with mild to moderate venous leakage.
The treatment involves administering Botox® injections into the penis to relax smooth muscle tissue, thereby improving blood flow and promoting stronger, more persistent erections.
This technique has arisen as a minimally invasive option for males suffering from erectile dysfunction, with research underscoring its potential efficacy.
How does Botox® work to improve erections?
Penile Botox® injections have shown effectiveness treating men with 2 common conditions:
- Treatment of Erectile Dysfunction: Clinical evaluations suggest that Botox® injections into the corpus cavernosa may assist in treating ED by enhancing blood flow and enabling erection.
- Addressing Penile Retraction: Preliminary findings indicate that Botox® injections into the dartos muscle may relax the tissue and potentially mitigate issues related to penile retraction in its flaccid condition.
Understanding the basic mechanics of erection and why it might not work is critical to understanding how a man might obtain an erection with a Botox® injection into his penis.
The brain is where every man’s erection starts. He has sexual excitement when he sees something, hears something, touches someone, or is touched by someone.
After this “activation,” the brain signals the corpora cavernosa, the two thick sponges that comprise an erection, to get pumped full of blood.
Accordingly, the arteries that supply blood to the penis are likewise communicated by this signal. As a result, the arteries widen and allow more blood to flow when it extends.
When a man is erect, smooth muscle also lines the chambers that retain blood. An erection can come from the penis storing more blood when these muscles relax and stretch.
The veins that drain the blood from the penis are compressed when these chambers are full, keeping the blood there.
A man will have a greater erection if he does anything that promotes smooth muscular relaxation and stretching.
2 primary elements will determine a man’s ability to achieve an erection:
- The first is mechanical; the penis’s capacity to draw blood and retain it. Numerous factors, such as age, high blood pressure, diabetes, and high cholesterol, can influence this.
- The second factor is the balance between the neurological signals that encourage an erection (which cause smooth muscle to relax) and those that inhibit one (which cause smooth muscle to contract). These cues may be psychological as well as physical.
By numbing nerves, Botox® works. It paralyzes the baseline impulses to the nerves that keep a man from consistently achieving an erection when it is injected into the penis.
When a man is stimulated, this facilitates the erection process. It involves shifting the balance in favor of the impulses that encourage erection and against those that inhibit it.
Are penile Botox® injections supported by clinical research?
Penile Botox® injections are a relatively new treatment for erectile dysfunction. A recent double-blind randomized controlled trial evaluated Botox® injections as therapeutic intervention for men with moderate to severe erectile dysfunction (ED).
Botox® injections improved penile blood flow and participants reported improved ability to maintain erections during penetrative sex. We employ a high dose Botox® (100 units) therapy which this study showed was most durable with effects observed out to 24 weeks. Longer follow-up periods are required to establish minimum treatment intervals.
Botox® injections helped 40% of participants restart sexual activities but others continued to report being unable to complete intercourse.
The dosage significantly influences the treatment’s efficacy. Higher doses of Botox®, specifically 100 units, have shown more sustained effects, with enhancements noted for durations of up to 24 weeks. Rejuvall® only employs this 100-unit technique.
Even without taking oral drugs, individuals with mild erectile dysfunction can be able to get and sustain erections on their own. A lot of guys dislike the negative effects of the drugs or the fact that they make sex less spontaneous.
Men with moderate erectile dysfunction may be able to respond to oral drugs, avoid the need for penile injections, or even get spontaneous erections.
Men with severe erectile dysfunction could be able to respond to penile injections or avoid using them altogether, which would eliminate the need for a penile prosthesis.
Following are results from clinical studies regarding the use of Botox® for erectile dysfunction:
- Giuliano F, Joussain C, Denys P. Long Term Effectiveness and Safety of Intracavernosal Botulinum Toxin A as an Add-on Therapy to Phosphosdiesterase Type 5 Inhibitors or Prostaglandin E1 Injections for Erectile Dysfunction. J Sex Med. 2022 Jan;19(1):83-89. doi: 10.1016/j.jsxm.2021.10.011. Epub 2021 Dec 20. PMID: 34937674.
- El-Shaer W, Ghanem H, Diab T, Abo-Taleb A, Kandeel W. Intra-cavernous injection of BOTOX® (50 and 100 Units) for treatment of vasculogenic erectile dysfunction: Randomized controlled trial. Andrology. 2021 Jul;9(4):1166-1175. doi: 10.1111/andr.13010. Epub 2021 Apr 20. PMID: 33784020.
- Intra-Cavernosal Injection of Botulinum Toxin in the Treatment of Erectile Dysfunction: a Systematic Review and Meta-Analysis, Abou Zahr, Rawad et al. Urology, Volume 170, 5 – 13
- Osama Shaeer, Kamal Shaeer, Ahmad Shaeer, Botulinum Toxin A (Botox) for Relieving Penile Retraction, The Journal of Sexual Medicine, Volume 6, Issue 10, October 2009, Pages 2788–2794
How is Grotox injected and how safe is it?
Grotox, a specialized Botox® treatment for the groin area, is administered through precise, minimally invasive injections performed by our skilled medical professionals.
The procedure is quick, virtually painless, and designed to ensure maximum comfort and safety. At Rejuvall®, we prioritize your well-being by using advanced techniques and adhering to the highest safety standards.
With proven effectiveness and a low risk of side effects, Grotox is a trusted option for enhancing comfort and confidence.
Injection Methodology
Our team prepares the Botox® solution in accordance with dosage standards and administer the injections with accuracy into designated parts of the penis to reduce side effects and enhance therapeutic success.
Safety & Adverse Effects
- Common Adverse Effects: Analogous to other Botox® uses, penile injections may induce transient localized adverse effects like bruising, discomfort, or edema at the injection site.
- Uncommon Risks: Although infrequent, there exists a possibility of more serious adverse responses including priapism, syncope, vertigo, hypotension, infection, or scarring.
Pre-Treatment Care
Prior to receiving Botox® injections for penile therapy, individuals must consult one of our healthcare providers to assess suitability.
This includes a questionnaire regarding any medications or health issues that may influence the procedure’s results.
Ideally, they should first undergo comprehensive diagnostics to identify the fundamental cause of their erectile dysfunction, including a duplex Doppler ultrasonography of the penis.
To reduce the risk of infection, adequate genital cleanliness is essential before the procedure.
Anesthesia for Botulinum Toxin Penis injections
Anesthesia for Botox® injections in the penile region is generally administered topically, utilizing gels and injections to desensitize the area. The objective is to ensure the patient’s comfort while preserving minimal sensory changes.
Post-Treatment Care & Monitoring
Patients should adhere to their healthcare provider’s directives for care following a Botox® penile injection.
This may involve refraining from specific activities or medications that could hinder the healing process. Regular follow-up consultations are essential to assess the treatment’s efficacy and possible adverse effects.
Frequently Asked Questions About Grotox
The advised dosage for Botox® injections in the management of erectile dysfunction often varies based on individual circumstances and medical advice; nevertheless, our internal research suggest that optimal outcomes are achieved with the administration of 100 units injected into the penis.
Prior to receiving penile Botox® injections, a patient will consult with a one of our healthcare professionals.
Following the injection, one may anticipate transient soreness or erythema at the injection site. A follow-up may be required to evaluate the treatment’s effectiveness.
Typical adverse effects of Botox® injections in the penile region may encompass mild discomfort, edema, ecchymosis, and erythema at the site of injection.
Like any medical procedure, there may be risks of significant adverse effects that should be addressed with a healthcare professional.
Patients may frequently utilize phosphodiesterase type 5 (PDE-5) inhibitors, such as Viagra or Cialis, following Botox® injections; however, it is essential to get advice from our healthcare provider prior to combining these therapies.
According to studies, a single Botox® injection for treating erectile dysfunction may remain effective for up to 11 months, though the first treatment usually doesn’t last as long as subsequent treatments and this duration can differ among individuals.
Consistent monitoring and subsequent consultations with a healthcare practitioner are recommended to assess the efficacy of the treatment.
Rejuvall® provides America’s widest range of effective ED therapies including shockwave therapy, testosterone replacement therapy (TRT), external counter pulsation therapy, ExoSurge treatments, Prostaglandin E1 (PGE1) / (Trimix) injections and now, more recently, penile Botox® injections.
Theoretically, a penile Botox® injection can help any man’s erectile function.
Men who are afraid to try penile injections or who are not responding to the maximum dosage of intracavernosal penile injections may find it helpful in treating severe erectile dysfunction. Otherwise, these men would require a penile prosthesis.
It may help men with moderate erectile dysfunction who are not responding well to oral drugs respond to them more effectively, preventing the need for further methods such as penile injections.
Other than natural sexual desire, it may help men with mild erectile dysfunction achieve better erections.
Injections of penile Botox® are a relatively recent ED treatment. The clinically meaningful response rate in the largest research to date, which involved 123 men, was based on the severity of the men’s ED before they started treatment.
- At about one month, 90% of men with mild ED showed clinically meaningful improvement.
- After about a month, 50% of men with moderate ED showed clinically meaningful improvement.
- After about a month, 33.3% of men with severe ED showed clinically meaningful improvement.
There is only one therapy session required.
Nevertheless, the smooth muscle of the penis is not irreversibly paralyzed by Botox®. To sustain efficacy, more treatments might be required, especially for men with moderate or severe erectile dysfunction.
Vasectomy
When it comes to permanent male birth control, a vasectomy is the best medical option accessible to men.
The belief that a vasectomy makes intercourse less pleasant is a misconception. Vasectomy generally does not interfere with male enjoyment, and the recovery period is usually brief.
Vasectomy is a cost-effective alternative to long-term female birth control prescription or tubal ligation.
A vasectomy involves surgically severing and closing the “vas deferens”, which transports sperm. Thus, it effectively cuts off the sperm supply.
Rejuvall offers vasectomies as a convenient add-on to an already scheduled cosmetic urology procedure.
Our vasectomy services are performed as an elective procedure and are only available through cash payment. Thus, a vasectomy performed at Rejuvall is not covered by health insurance.
What is a vasectomy?
If you are a man who no longer wants to procreate and are contemplating a vasectomy, following is essential information for your consideration.
A vasectomy is almost 99% effective and is designed to be permanent; yet it may be reversible in some instances.
The treatment can be performed in congruence with one of our cosmetic urology procedures and typically adds between 15 to 30 minutes to that procedure. The majority of men encounter minimal pain or discomfort and can resume practically all activities after around one week.
A vasectomy does not influence male hormone or testosterone levels; hence, sexual drive and erectile function will stay unchanged.
Subsequent to the treatment, our urologist will provide explicit instructions for the resumption of work and sexual activities. The majority of men achieve full recovery in under a week, with many able to resume work within 24 to 48 hours post-procedure. Sexual activity (with protection) can typically be recommenced within one week.
A series of semen samples must be collected, and it may take many months to confirm the procedure’s total efficacy.
The Essential Facts About Vasectomy
One of the great things about vasectomy is that it carries a very low risk of complications, and it is most often available to be performed as an outpatient procedure with localized anesthesia being administered.
Today’s vasectomy has become faster and more sophisticated than the image most people have of the classic vasectomy.
While a vasectomy reversal is medically possible, vasectomy should only be chosen as a permanent birth control solution. The reversal process is also more difficult than vasectomy itself.
Also, understand — a vasectomy does not in any way protect against STIs (sexually transmitted infections) such as syphilis, gonorrhea, genital herpes, HPV, chlamydia, or HIV. The only way to prevent the spread of STIs is to practice safe sex with a condom.
To perform a manual vasectomy, the surgeon must make a small incision in the scrotum to access the tube called the vas deferens.
Next, the surgeon cuts through the vas deferens (this is the tube where sperm is joined into semen), and seals the ends of the tube. The incision is then closed with a traditional buried stitch.
How does a vasectomy stop a man from being able to impregnate their partner?
The testicles are 2 glands found in the scrotum that are part of the male reproductive system. Sperm and testosterone production are their primary activities.
The testicles link to the urethra, a tube that transfers urine from the bladder to the exterior of the body. The “vas deferens” are the 2 tubes that make this connection.
During sexual activity, the vas deferens expels sperm from the body, transporting it from the testicles to the urethra.
There is another gland in the male reproductive system called the prostate gland which produces seminal fluid.
Ejaculation is the process of producing and expelling seminal fluid. The fundamental function of seminal fluid is to nourish and transport the sperm.
Despite the removal or separation of the vas deferens, the prostate will still produce seminal fluid. The fluid, however, will not contain a single sperm.
When it comes to male infertility, a vasectomy is considered an irreversible medical procedure. The vas deferens, or sperm-delivering tubes, are first severed and then sealed (typically with cautery, suturing, stapling, or clipping).
This inhibits sperm from leaving a man’s body during sexual activity, hence preventing pregnancy from occurring.
To cut and close the vas deferens, a small incision or puncture wound in the scrotum is made. This is typically closed using cautery, suturing, stapling, or the use of clips. Stitches are unnecessary when the treatment is performed through a puncture wound.
Any male who has had a vasectomy will continue to generate semen. In most circumstances, pregnancy will not occur since there is no longer any sperm in the ejaculated semen.
It is important to remember that a vasectomy is considered a permanent method of avoiding conception. Consider obtaining a vasectomy only if you are convinced that you do not want to have children in the future.
You may also decide to privately bank your sperm prior to a vasectomy in case you change your mind and want to have children in the future.
In some cases, a procedure can be performed to reverse a vasectomy, but it is far more difficult and may be ineffective. It’s important to discuss this with your partner if you are in a committed relationship.
Benefits of Vasectomy
One of the key benefits of a vasectomy is its extraordinary efficacy, since it is nearly 99% effective in preventing pregnancy. A failed vasectomy has only been reported in one or two cases out of every 1000.
This also provides a benefit for people looking for alternatives to female contraceptives, such as hormonal medicines, or male contraceptive techniques, such as condoms.
Vasectomy is mostly an outpatient procedure, available at our urology clinic in Atlanta.
A vasectomy, as a permanent male contraceptive, is far less expensive than permanent female contraceptives such as tubal ligation or the cumulative costs of long-term birth control medications.
Vasectomy rarely causes sexual side effects. Although some men may experience a decrease in ejaculate volume, the surgery usually has little effect on sexual performance or satisfaction.
Primary benefits of a vasectomy include:
- 99% Efficacy
- Outpatient procedure
- Local or general anesthesia
- Permanent result
- Rapid recovery
- Does not impact sexual performance or pleasure
Vasectomy Effectiveness
A vasectomy, often known as male sterilization, is a surgical procedure that is performed on males to cut off the supply of sperm in their semen.
This simple surgical technique attempts to give a permanent method of contraception and is usually performed in a hospital or clinic.
The name vasectomy comes from the vas deferens, which are the tubes in the scrotum that are severed or blocked during this procedure to prevent sperm from mixing with semen and departing the body.
Success Rates of Vasectomy
A vasectomy is regarded as one of the most effective methods of contraception.
- Merely 15 to 20 out of every 10,000 women conceive within the first year following their partner’s vasectomy.
- Annually, 1,400 out of every 10,000 women conceive when their spouses utilize condoms as a contraceptive strategy. Additionally, 500 out of every 10,000 women conceive each year while utilizing contraceptive tablets. This study demonstrates that vasectomy is significantly more successful than other contraceptive techniques.
- Although the success rates for this technique are elevated, it is crucial to highlight that its efficacy is not immediate post-operation.
- It requires approximately three months or 15 to 20 ejaculations on average for semen to be completely eliminated from sperm. Only 1 in 5 guys necessitates an extended duration for their semen to be entirely free of sperm.
Before Your Vasectomy
You should avoid consuming naproxen (Aleve), aspirin, and ibuprofen (Advil) in the days leading up to your vasectomy in Atlanta since these medications thin the blood. Any medications provided by another physician should be continued.
Knowing as much as you can about getting ready for surgery, the process, and your recuperation is great since peace of mind is crucial.
A few considerations should be made before undergoing a vasectomy if you have determined that it is the best course of action for you:
- It is a permanent method of birth control; although reversing a vasectomy is medically possible, it is rarely recommended. Don’t make the decision hastily.
- Put your signature on the consent documents.
- 2 weeks before your procedure, stop consuming NSAIDs such as aspirin, ibuprofen, or naproxen sodium.
- Please inform us if you have had scrotal surgery in the past.
- We typically use lidocaine for local anesthetic and valium for oral sedation during the surgery. We can perform your vasectomy in our cutting-edge surgical center, which is situated on site at our clinic location, if you are apprehensive or scared. To get you home, a driver will be required.
- It typically takes less than 30 minutes to complete the operation.
- Before operation, take a shower and disinfect your genital area. At least 2 days before your vasectomy, you should shave your scrotum.
- We usually advise you to avoid eating or drinking for 6 hours before your treatment; arrange for an adult family member or friend to drive you home from the surgical center or clinic.
Our vasectomies are conducted in-office, either alongside a non-surgical augmentation or in conjunction with a cosmetic urological operation under anesthesia.
It is conducted in a healthcare provider’s office, and at certain instances, it may be performed at an outpatient surgery center. The area will be sanitized, shaved, and anesthetized prior to the treatment.
Before the procedure, inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs and vitamins. Inquire about the precise guidelines to adhere to prior to the surgical procedure.
After the surgery, you should wear a tight pair of cotton underwear.
Post-Vasectomy Recovery & Care
Following the procedure, our urologist must examine the patient’s sperm count at least once.
Only when the sperm count has dropped to zero is vasectomy considered effective; until then, it is strongly advised to use other birth control techniques.
Side Effects & Recovery
After the procedure, use tight-fitting underwear or an athletic supporter to support the scrotum, prevent swelling, and minimize side effects.
Furthermore, it is recommended that you arrange for a ride home following surgery to avoid any excessive pressure or movement caused by driving.
While vasectomy is a common treatment, there are some concerns to consider. Infection and discomfort are the most prominent of these. The key to minimizing side effects and avoiding complications is to closely follow your doctor’s advice after your treatment.
Bruising, minor bleeding, and pain are normal after a vasectomy. To avoid pregnancy, follow all post-operative instructions for care and monitor your sperm count after a vasectomy.
Looking to upgrade your enlargement with Botox or vasectomy?
Fill out and submit the form below to send us your information and schedule your free, 30-minute phone consultation:
