Genitourinary reconstructive surgery sits at the delicate intersection of Surgical Urology, Microsurgical Andrology, and Plastic & Aesthetic Reconstruction. For international and domestic patients researching genital reconstructive surgery Da Nang, choosing a surgeon dual-trained in urological anatomy and plastic tissue transfer is essential to restoring both natural aesthetics and intact urinary and erectile function.

Quick Clinical Summary: Quick Clinical Summary: Genital reconstructive surgery encompasses functional and aesthetic procedures including adult buried penis repair, urethroplasty for urethral strictures/hypospadias, testicular prosthesis implantation, suspensory ligament release with Acellular Dermal Matrix (ADM) grafting, and excision of penile siliconomas with scrotal flap resurfacing. At Family Hospital Da Nang, Dr. Dang Phuoc Dat (Specialist Level I in Urology & Andrology, certified in Plastic & Aesthetic Surgery) performs these procedures in sterile hospital operating suites.

1. Four Categories of Hospital-Certified Genital Reconstructive Surgery

Combining urological microsurgery with plastic reconstructive principles, Dr. Dang Phuoc Dat categorizes genitourinary reconstruction into four clinical indications:

1. Congenital & Acquired Anatomical Reconstruction:

• Buried / Concealed Penis Repair: When a normal-sized penile shaft is trapped beneath a thick prepubic fat pad (escudo) or tethered by dysgenetic Dartos bands, surgery excises suprapubic fat (monsplasty), releases tethering bands, and anchors Buck’s fascia to the pubis at the penopubic and penoscrotal angles to reveal full natural shaft length.
• Urethroplasty & Hypospadias Repair: Reconstructs complex urethral strictures or congenital hypospadias using local vascularized preputial flaps or Buccal Mucosa Grafts (BMG).

1. Prosthetic Restoration:

• Testicular Prosthesis Implantation: Places an anatomically contoured medical-grade silicone testicular implant into an empty hemiscrotum following orchiectomy, trauma, or testicular atrophy.

1. Safe Surgical Enhancement:

• Controlled division of the superficial fundiform/suspensory ligament with V-Y skin advancement and biocompatible Acellular Dermal Matrix (ADM) grafting.

1. Salvage Reconstruction (Penile Siliconoma / Paraffinoma Excision): Complete radical excision of necrotic granulomatous tissue caused by foreign-body injections (liquid silicone, paraffin oil, or implanted beads), resurfaced with a vascularized Bilateral Scrotal Flap.

Safety Comparison: Evidence-Based Genital Reconstruction vs. Illicit Procedures

Safety Comparison: Evidence-Based Genital Reconstruction vs. Illicit Procedures

2. Salvage Surgery for Penile Siliconoma (Foreign-Body Granuloma)

In clinical practice in Central Vietnam, Dr. Dang Phuoc Dat frequently performs salvage reconstruction for men suffering severe complications from prior self-injected liquid silicone or implanted subcutaneous beads:

• Pathophysiology of Siliconoma: Unencapsulated liquid oil migrates along the Dartos fascia into the scrotum and pubis, triggering chronic foreign-body inflammation (sclerosing lipogranuloma) that obliterates dermal microvessels—causing rock-hard induration, painful erections, and non-healing skin ulcers.
• Definitive Scrotal Flap Reconstruction: Dr. Dat excises 100% of the silicone-infiltrated skin and Dartos layer down to the avascular plane above Buck’s fascia (sparing the neurovascular bundle and corpora cavernosa), then rotates a richly vascularized, elastic Scrotal Dartos-Cutaneous Flap to resurface the penile shaft with natural, supple skin.

3. Confidential Consultation &Realistic Anatomical Counseling

Every reconstructive consultation with Dr. Dang Phuoc Dat at Family Hospital Da Nang prioritizes anatomical honesty and functional preservation:

• Transparent Expectation Setting: Honest measurement of stretched penile length (SPL), pubic fat depth, and realistic postoperative gains without commercial exaggeration.
• Microsurgical Aesthetic Closure: Fine absorbable sutures and tailored compression dressings minimize edema and conceal incisions along natural anatomical raphes.

Clinical Red Flags: When to Seek Immediate Urological Care

URGENT MEDICAL RED FLAGS:

• Seek urgent urological evaluation if penile or scrotal skin (especially in anyone with prior filler injections or beads) develops woody induration, violaceous/black discoloration, ulceration, purulent drainage, or painful erectile tethering.

Clinical Perspective from Da Nang: Clinical Perspective from Da Nang: Many overweight men believe their penis has structurally shrunk and request ligament-cutting surgery. Clinical examination usually reveals Acquired Adult Buried Penis—where every 3–4 cm of prepubic fat pad thickness buries an equal length of normal penile shaft. Combining weight optimization with suprapubic lipectomy and penopubic skin anchoring exposes the full natural shaft safely.

Frequently Asked Questions (International Patient Guide)

Question 1: Does a testicular prosthesis affect the function of the remaining natural testicle?

No. The medical-grade silicone testicular implant sits inside the empty hemiscrotal pouch, completely separated by the median septum from the healthy contralateral testis. Hormone production, sperm quality, and physical appearance remain completely normal.

Question 2: What is the recovery time after adult buried penis or siliconoma reconstruction?

Patients typically stay in the hospital for 1 to 3 days. Sutures heal within 10–14 days, daily office activities resume within a few days, and sexual intercourse can resume after 4 to 6 weeks.

Question 3: If I had liquid silicone injected years ago and it doesn’t hurt yet, should it still be removed?

Yes. Medical literature confirms that virtually 100% of free liquid silicone or paraffin injections eventually progress to sclerosing granuloma and skin ischemia. Removing the foreign material before ulceration develops makes single-stage reconstruction much simpler and preserves more native skin.