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Scrotal pathology refers to conditions that involve loss of skin, tissue, or structural integrity in the scrotum. These issues often develop after trauma, infection, cancer treatment, or failed prior surgeries, and they can significantly affect comfort, appearance, and daily function. Scrotal defects may interfere with urination or sexual activity, cause chronic pain or sensitivity, and create visible changes that lead to emotional distress or reduced confidence. Some patients also experience inflammatory conditions such as hidradenitis suppurativa, which can further damage the scrotal tissue.
Because the scrotum has a unique anatomy that must protect delicate structures while allowing mobility and temperature regulation, reconstructive expertise is essential. At The Institute for Advanced Reconstruction, our surgeons use advanced techniques to rebuild lost tissue, restore natural contour, and improve both functional outcomes and aesthetic appearance. Our goal is to help patients regain comfort, confidence, and quality of life through precise and individualized care.
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Scrotal Pathology
What Is Scrotal Pathology?
Common Symptoms of Scrotal Pathologies
Scrotal pathologies can affect multiple aspects of life. Depending on the cause and severity, patients may experience:
- Visible loss of scrotal skin or tissue
- Pain, discomfort, or sensitivity in the scrotal area
- Difficulty with urination or sexual activity
- Infection or recurrent wound complications
- Emotional or psychological distress related to appearance or function
Seeking expert care early can improve outcomes and help prevent complications.
Causes and Risk Factors
Scrotal defects may develop from:
- Cancer surgery or treatment
- Severe infections, including Fournier’s gangrene
- Traumatic injury to the genital region
- Complications from prior surgeries or failed reconstructions
Many patients seek our care after unsuccessful treatments elsewhere. Our team specializes in complex reconstructions that require advanced microsurgical techniques.
Advanced Treatments for Scrotal Pathology
Our surgeons are leaders in reconstructive urology, offering advanced treatments tailored to the type and severity of injury.
Tissue Flap Reconstruction
Transfers healthy tissue from another area of the body to rebuild the scrotum, restoring both form and function.
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Skin Grafting
Uses donor skin to replace lost scrotal tissue and close defects. Effective in select cases where underlying structures remain intact.
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Robotic-Assisted Lower Urinary Tract Reconstruction
Robotic-assisted techniques for patients with associated urinary tract complications provide precise, minimally invasive repair.
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When cancer or infection complicates treatment, our team collaborates with urologic, oncologic, and reconstructive specialists. Each treatment plan is designed to restore comfort, function, and confidence.
Are You a Candidate?
You may be a candidate if you:
- Have lost tissue or structure in the scrotum due to trauma, infection, or surgery
- Experience functional problems with urination or sexual activity
- Are living with pain, sensitivity, or chronic wound issues
- Have been told by others that repair may not be possible
Not sure if this applies to you? Our specialists evaluate even the most complex cases to find a path forward. Schedule a consultation to explore your options.
Meet the Team
Our reconstructive urology specialists are experienced in restoring both function and form for patients with complex scrotal conditions. Every procedure is approached with precision, empathy, and long-term outcomes in mind.
Frequently Asked Questions About Bladder Neck Reconstruction
Is scrotal reconstruction only cosmetic?
No. Surgery restores function and comfort in addition to improving appearance.
How long does recovery take?
Recovery depends on the type of reconstruction. Many patients return to light activity in 4–6 weeks.
Will sensation be preserved?
Whenever possible, our surgeons use nerve-sparing and microsurgical techniques to maintain sensation.
Will insurance cover my surgery?
Yes, most reconstructive procedures for scrotal defects are covered when medically necessary. Visit our insurance information page for more information, or contact our financial coordinators to confirm your coverage.
Do I need a referral to see a specialist at The Institute?
No referral is required. Patients may request an appointment directly. If another doctor referred you, we will collaborate with your care team to ensure seamless communication.
How do I know if The Institute is the right place for me?
Patients travel to us from across the country and around the world because of our rare expertise in pelvic and urologic nerve surgery. If you’ve been struggling without answers, our team can provide a clear diagnosis and treatment plan.