The male reproductive organ isn't exactly renowned for its aesthetic appeal, let's be honest.

And while most men accept this reality with a shrug, it has emerged a minority of men harbour such deep insecurities about their wrinkly scrotums they're willing to invest substantially in their beautification.

We're not talking about a manscaping wax or a penis enlargement, although both are tried and true options for genital embellishment, reports

Rather, allow us to enlighten you on the medical phenomenon that is "Scrotox".


"Scrotox is the use of Botox, or one of the three neurotoxins for muscle relaxation, injected into the scrotum," says Dr Jayson Oates, principal surgeon and medical director of CALIBRE Clinic, a specialty practice dedicated to medical male enhancement procedures in Sydney, Melbourne and Perth.

A Scrotox procedure costs approximately $1000, and Dr Oates explains while some men choose Scrotox for cosmetic reasons, for the majority the procedure is medicinal.

"The most common reason we have guys asking for Scrotox is because their scrotum is tightly contracted, squeezing up on their testicles and it's painful," he says.

"The relaxation of the scrotum helps the testes to hang a bit lower and offers some relief."

Despite it's success it is still a very uncommon treatment, partly because so few people know it exists.

"But patients who have the procedure for cosmetic reasons, they generally tend to be sexually confident men … and the higher proportion would be gay."

A sight sure to freeze most men to their very core. Photo / Supplied
A sight sure to freeze most men to their very core. Photo / Supplied
'Sean' and Dr Oates after the procedure. Photo / Supplied
'Sean' and Dr Oates after the procedure. Photo / Supplied

It took Sean around seven days to feel the effects of the treatment.

"A week later, when I inspected the area, I saw a change.


It was less wrinkly and red … fuller and smoother," he says.

"I don't know if it's all aesthetics, but it definitely looks better, less like a medical car crash."

Sean took his new and improved scrotum out on the town the following weekend and, consequently, says he received some "very positive feedback" from a female acquaintance.

"Going forward, I'm hoping the word will spread far and wide throughout the land and my phone will start buzzing from adventurous females who want to see," he says. "But already within my social circle, everyone's like, 'Oh, show us your balls, Sean!'"

But, like all good fairytales, when the clock strikes 12 — or, in this case the Scrotox wears off at around the nine-month mark — our hero will inevitably turn back into a pumpkin and his scrotum will revert to its former wrinkly glory.

So, what's Sean's verdict on Scrotox?

"No one should be turned off by the procedure itself. It was safe, painless and really easy, so if anyone is curious, I'd tell them to go for it, you've got nothing to lose," he says. "It's two thumbs up from me."


Associate Professor Peter Chin, spokesman for the Urological Society of Australia and New Zealand (USANZ), tells while Botox injections are relatively safe, there are risks to consider when undergoing the treatment.

"Botox is a medication derived from a bacteria called Clostridium botulinum, which is actually a toxin used to paralyse nerves in a specific area," Dr Chin says. "If you're injecting it into the muscle itself, you're paralysing the localised area, which will relax the scrotum and is relatively safe. But the scrotum is a very vascular organ, and there is a potential risk for the Botox to travel throughout the body if injected incorrectly."

Should this happen, the Federal Drug Authority (USA) reports regardless of where Botox has been injected, patients may experience difficulty swallowing, a change in voice, drooping of the eyelids and even problems with breathing.

Dr Chin says there's a higher risk of injecting Botox into the scrotum than putting it into superficial muscles, such as around the eye. "When you put it into a deeper structure, such as the cremaster muscle, no doctor can definitively say they won't go through a vein, which puts this procedure at a higher risk … but it can be a beneficial procedure for men who suffer from pain association with the retracting cremaster muscle," he says. "While it's an unlikely scenario with localised Botox injections and the risks for cosmetic surgery are low, if you're treating a muscle spasm and injecting it much deeper, you increase the risk for the toxin to travel."