Male, Had Lipo of Abdomen, Flanks and Pubic Area. My Scrotum is Enlarged to Size Of Baseball?

I had abdominal, flank and pubic liposuction yesterday. I am wearing the compression garment and pain is okay. Drainage of fluid is proceeding as normal. My scrotum is about the size of a baseball! Afterwards, I could not urinate without pushing VERY hard. I went to the ER later that evening (just last night) and had a catheter put in. Now I am flowing freely. I fill up the bag every few hours. Is this normal? Should I get it removed soon? I'm afraid I won't pee on my own if removed.

Doctor Answers 2

Scrotal swelling after liposuction

Severe scrotal swelling can occur after abdominal liposuction in men.

Bad enough to need a catheter - not common.

Have you notified your plastic surgeon? He/she should know about it.

You may already have been told the following standard advice:

  1. Keep your groin area elevated, keep ice compresses on the scrotum.
  2. Loosen the compression garment.
  3. Do not remove the catheter. Sere a urologist first - it is best to wait at least 5 days.

Otherwise you are right - it might just have to be replaced only the second time is more difficult.

This will go away. It may take several months to fully subside.

Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Scrotal Swelling After Liposuction

Scrotal and penile enlargement after male abdominal liposuction is very common. It is a combination of the trauma of liposuction, gravity and the forcing of swelling downward by the compression garment. While I have never seen a man require a urinary catheter due to the swelling, it can happen. This is a temporary situation that will resolve itself in a week or so after surgery. I would advise to get the catheter out as soon as possible. 

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.