Figure 1.

Scrotum hair removal. Patients who will undergo MtF vaginoplasty with creation of a neovaginal cavity using scrotal skin require permanent hair removal from scrotal skin. (A) If the surgeon plans to use scrotal skin as (free) grafts to augment the depth of the epithelium-lined neovaginal cavity, the entire scrotum should be treated to ensure that the skin used has been rendered hair-free; (B) when a pedicle-flap of scrotal skin (hatched outline) will be used, only the flap area needs to be rendered hair-free. Typically, the flap is made from a midline segment of scrotal skin that is 10-cm wide (stretched), and extends cephalad, from a 1-cm wide base of skin at the junction of the perineum and scrotal skin.