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Doctors issue severe warning over 'scrotox' penismaxxing trend as reality star explains why he got it
Home>News
Published 17:19 3 Jun 2026 GMT+1

Doctors issue severe warning over 'scrotox' penismaxxing trend as reality star explains why he got it

The Valley star Zack Wickham got 'scrotox' done during an episode of the Bravo series

Anish Vij

Anish Vij

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Aspiring to have the most optimal of sex lives has become an online trend within this hypersexualised culture we currently live in.

From looksmaxxing to ballmaxxing and nutmaxxing, it's truly hard to keep track.

But if you're familiar, or at least interested enough in the various trends, you'll want to know why a reality star was so keen on having the 'scrotox' penismaxxing procedure.

During an episode of Bravo series The Valley, Zack Wickham detailed what it was like getting Botox injected into his scrotum, a process known as 'scrotox'.

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“Apparently, it feels really good during sex and it just looks aesthetically better,” he told castmate Danny Booko as the two sat in a medical office.

“You know how balls go up and down? I just was like, ‘You know what? Let’s see what happens when they stay down’.”

Just moments later, Zack admitted that the procedure 'hurt' a lot and Danny decided he didn't want to go through with it.

The problem with 'scrotox'

The neurotoxin drug temporarily paralyses muscles (NBC)
The neurotoxin drug temporarily paralyses muscles (NBC)

While we're not here to kink shame, experts have shared the various health risks associated with injecting botox into your d**k.

Dr Barbara Kubicka, aesthetic doctor and founder of Clinicbe, told Tyla that 'while scrotox may appear minimally invasive, any injectable treatment carries risks, including bruising, swelling, discomfort, infection, asymmetry or dissatisfaction with the result'.

"There is also limited long-term research surrounding some of the aesthetic claims associated with these procedures," Dr Kubicka added.

"More broadly, chasing trends without fully understanding the evidence base or psychological motivation behind them can lead to disappointment and unnecessary intervention."

Why is 'scrotox' becoming more popular?

The procedure was originally developed by urologists to treat chronic scrotum pain (Getty Stock Images)
The procedure was originally developed by urologists to treat chronic scrotum pain (Getty Stock Images)

Dr Kubicka believes maxxing techniques are being driven by people on social media as 'an attempt to optimise the appearance or perceived performance of their genitalia'.

"This can include everything from supplements and stretching devices to injectable treatments, cosmetic procedures and, increasingly, treatments like scrotox," Dr Kubicka notes.

"Much of the online conversation is fuelled by unrealistic expectations, misinformation and highly edited portrayals of male bodies, which can create unnecessary anxiety and insecurity."

Dr Simon Smail, at Evergreen Medical And Wellness Clinic, added: "My main concern is that these trends can take understandable male insecurities and push them towards poorly evidenced or unnecessary interventions. There may be legitimate medical uses for botulinum toxin in specialist settings, but cosmetic scrotox should not be treated as a casual grooming treatment or a DIY-adjacent trend."

Featured Image Credit: Kelly Balch/Getty Images

Topics: Sex and Relationships

Anish Vij
Anish Vij

Anish is a Journalist at LADbible Group and is a GG2 Young Journalist of the Year 2025. He has a Master's degree in Multimedia Journalism and a Bachelor's degree in International Business Management. Apart from that, his life revolves around the ‘Four F’s’ - family, friends, football and food. Email: [email protected]

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@Anish_Vij

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