Genital Reconstruction

CONDITIONS AND TREATMENTS

Genital reconstructive surgeries aim to improve or restore the function or appearance of the genitals.

Some conditions or life experiences may impact on the function or appearance of people’s genitals.

Congenital abnormalities, injury, gender dysphoria, or diseases such as lichen sclerosis may all have a profound effect on genital function, self-esteem and quality of life.

Who requires Genital Reconstruction surgery?

Genital reconstruction surgery is typically recommended for individuals who are experiencing significant physical distress due to their genital appearance or function.

The reasons for seeking genital reconstruction may vary and can include conditions such as Peyronie’s disease, hypospadias, phimosis, buried penis, urethral stricture disease, lymphoedema, among others.

There are different types of genital reconstruction surgery depending on the specific condition being treated.

We welcome you to request an appointment and we can discuss your individual needs.

We have extensive experience, understanding and care when it comes to these types of surgery and the issues involved.

gender surgeries

Bilateral Orchidectomy

Orchidectomy is the surgical removal of both testicles.

Scrotectomy

Scrotectomy is the surgical removal of the scrotum, which may be performed together with orchidectomy.

labioplasty

Labioplasty is a surgical gender affirming procedure which provides female appearing genitals. This is also known as a zero-depth vaginoplasty, as there is no internal cavity.

vaginoplasty

Vaginoplasty is a gender affirming genital procedure to construct female appearing genitals including a vaginal cavity. The procedure involves using the skin of the penis to create a cavity. It is performed together with a bilateral orchidectomy.

Requirements for vaginoplasty/labioplasty include relevant WPATH documents from 2 separate specialists, active private health insurance (>12 months coverage) as well as a BMI (body mass index) of 30 or less.

Phalloplasty

Phalloplasty is a surgical procedure to create or reconstruct a penis and is typically performed on transgender men or individuals with congenital anomalies. The procedure involves multiple complex procedures using tissue from the patient’s own body, to create a penis. While Dr Blecher has trained in phalloplasty, this procedure is not yet being offered.”

Vaginoplasty - Peritoneal pull through (PPT)

This latest version of vaginoplasty aims to increase the depth of the cavity, by incorporating some of the lining of the abdominal cavity (peritoneum). It requires a minimally invasive key-hole robotic approach to the abdomen, combined with utilisation of the penile skin, to form the vaginal cavity. It is of value in cases where there is limited penile tissues. We currently offer this approach in addition to penile inversion vaginoplasty.

genital reconstruction surgery

Buried penis

Buried penis can be a very embarrassing chronic condition. Many men experiencing buried penis have excess abdominal or pubic fat, but not everyone is necessarily overweight. Sometimes, people may have local skin conditions which interfere with the penile position.

While it can be difficult to treat, some people may be candidates for certain un-burying procedures. Buried penis surgery aims to correct the appearance and function of a penis that is buried under the skin. During the surgery, the excess fat and diseased skin are removed, the local skin is compressed to enable the penis to sit in a more exposed position.

pubic lipectomy

A pubic lipectomy involves removing excess fat from the pubic area. It is typically performed on men who are overweight or obese and have excess fat in the pubic area. The procedure involves removing the excess fat and reshaping the pubic area to improve the appearance of the penis.

penile skin grafting

A skin graft involved shaving some healthy skin and transferring it to another area of the body. In buried penis surgeries, sometimes the penile or genital skin needs to be removed. The skin graft is transferred to the penis and a dressing is left intact for a week. Unfortunately there are several drawbacks to skin grafts in the genital region, so it is only performed when no other option is available.

glans resurfacing

Glans resurfacing is a surgical procedure that involves removing the top layer of skin on the head of the penis (the glans) and replacing it with a new layer of skin. This procedure is typically used to treat men who have experienced damage to the glans due to skin diseases such as lichen sclerosis or penile cancers. Recovery time varies, but patients can usually return to normal activities within a month.

urethral stricture

Urethral stricture is a condition in which the urethra, the tube that carries urine out of the body, becomes narrow or blocked. This can cause difficulty or pain during urination, and in severe cases, can lead to bladder or kidney problems. Treatment for urethral stricture can involve a variety of approaches, including urethral dilation (widening the urethra with a medical instrument), urethrotomy (making a small incision to widen the urethra), or in more severe cases, surgery to remove the narrowed section of the urethra and replace it with healthy tissue.

At Restore Urology we have extensive experience, understanding and care when it comes to genital reconstruction surgery and the issues involved.

It is important to understand that genital reconstruction surgery is a complex and delicate procedure that requires specialised training and expertise. It is essential to consult with a specialist urologist with extensive experience in performing genital reconstruction surgery to determine the most appropriate type of surgery for your individual needs.