Penile, Genital & Urinary Reconstruction
Specialist assessment and reconstructive care for urethral stricture, buried penis, genital scarring, complex foreskin problems, genital lymphoedema, testicular prosthesis surgery and complications following previous penile or genital surgery.
Reconstructive problems can involve more than one structure. Assessment focuses on understanding the anatomy, previous treatment and the effect on urinary, sexual and genital function before deciding which management options are reasonable to discuss.
Previous treatment has not solved the problem
Recurrent narrowing, scarring or altered anatomy may require reassessment rather than simply repeating the same procedure.
More than one structure may be involved
The urethra, penile skin, foreskin, scrotum and surrounding tissues can contribute to the same reconstructive problem.
Function guides treatment planning
Urination, hygiene, comfort, sexual function and previous surgery are considered alongside the anatomical findings.
What can we help with?
Select the problem that most closely matches what you have been told or what is affecting you. Each dedicated page explains the assessment, treatment considerations and possible reconstructive pathway in more detail.
Urethral Stricture & Urethroplasty
Assessment of recurrent or complex urethral narrowing and reconstructive options when repeated endoscopic treatment may no longer be the most appropriate strategy.
Explore urethral reconstruction →Buried Penis Reconstruction
Assessment of adult acquired buried penis, penile skin deficiency, scarring, urinary difficulty, surrounding tissue and genital lymphoedema.
Explore buried penis reconstruction →Lichen Sclerosus & Genital Scarring
Assessment of inflammatory penile and foreskin scarring, meatal narrowing and associated urethral disease.
Explore lichen sclerosus →Complex Circumcision & Foreskin Problems
Assessment when significant scarring, previous surgery, buried penis, skin deficiency or urethral involvement makes foreskin surgery more complex.
Explore complex circumcision →Scrotal Lymphoedema & Complex Scrotal Surgery
Assessment of persistent genital swelling and thickened tissues affecting hygiene, mobility, urination, penile exposure or surrounding genital structures.
Explore scrotal lymphoedema →Testicular Prosthesis
Information about testicular prosthesis surgery following orchidectomy, testicular loss or an absent testis, including timing, position and realistic expectations.
Explore testicular prosthesis surgery →Penile Implant Revision
Assessment of mechanical problems, difficult cycling, pain, malposition, infection, erosion or another concern following previous penile implant surgery.
Explore penile implant revision →Penile Cancer & Reconstruction
Information about penile-preserving and reconstructive considerations when cancer or previous cancer treatment affects penile tissue, skin or function.
Explore penile cancer care →
Repeated treatment is not always the same as definitive reconstruction
Urethral stricture can recur after dilation or internal urethrotomy. When narrowing is recurrent, long, dense or associated with previous surgery, trauma or inflammatory scarring, the anatomy may need to be mapped before deciding what further treatment is reasonable.
Urethroplasty is not one standard operation. The reconstructive approach depends on the location and length of the stricture, previous procedures, tissue quality and the individual clinical circumstances.
- Location and length of the narrowing
- Previous dilation, urethrotomy or urethroplasty
- Trauma, pelvic surgery or previous radiation treatment
- Lichen sclerosus or reduced tissue quality
- Baseline urinary and sexual function
- Whether grafting or staged reconstruction may be relevant
Revision surgery starts with understanding what has already been done
Previous surgery can change tissue planes, create fibrosis and alter the options available for later reconstruction. Operative reports, device information, previous imaging and details of prior complications can therefore be especially useful.
Penile implant revision
Review may be appropriate for suspected mechanical failure, difficulty inflating or deflating, abnormal component position, persistent pain, erosion, infection or other concerns following previous penile prosthesis surgery.
Testicular prosthesis & revision
Testicular prosthesis assessment can include first-time implantation following testicular loss as well as review of pain, high position, asymmetry, migration, size concerns or another problem involving an existing implant.
From defining the problem to planning treatment
Complex reconstruction is usually best planned in stages: first understand the history, then define the current anatomy and only then consider which management options are reasonable.
Understand the history
Previous operations, infections, trauma, catheterisation, skin disease, urinary symptoms and sexual function are reviewed.
Define the anatomy
Examination and selected investigations can help establish whether the problem involves the urethra, penile skin, foreskin, scrotum or surrounding tissues.
Discuss reasonable options
Not every reconstructive problem requires surgery. Appropriate alternatives, limitations and potential risks are discussed.
Plan reconstruction & follow-up
Complex surgery may involve staged treatment, grafts, urinary catheters or additional wound care. Follow-up is tailored to the reconstruction performed.
Why see Dr Jack Crozier?
Dr Jack Crozier is a Brisbane urologist with advanced fellowship training in andrology and reconstructive urology. His practice includes urethral reconstruction, complex penile and genital surgery, buried penis, genital skin disease, penile cancer reconstruction, prosthetic surgery and selected revision procedures.
Travelling to Brisbane for reconstructive urology care?
Where appropriate, previous operative reports, imaging, pathology and investigation results can be reviewed as part of planning. Complex reconstruction may require more than one assessment or additional time in Brisbane for surgery and early postoperative review.
Questions about reconstructive urology
What is reconstructive urology?
Do all urethral strictures need urethroplasty?
Can a urethral stricture return after treatment?
Is buried penis only caused by obesity?
Can circumcision make a buried penis more difficult to reconstruct?
What if I already have a penile implant and something is not working?
Can a testicular prosthesis be inserted after orchidectomy?
What if my testicular implant sits too high or is painful?
Can reconstructive surgery affect erections or sensation?
What should I bring to a reconstructive urology appointment?
Have you been told your urinary or genital problem is complex or recurrent?
A reconstructive assessment can help define the current anatomy, review previous treatment and clarify which further investigations or management options are reasonable for your circumstances.
Medical information on this page is general in nature and does not replace individual medical assessment. Investigation and treatment recommendations depend on the diagnosis, examination findings, previous treatment, relevant investigations and individual circumstances.