The Lexus service manual for both of these conditions, essentially ends up as "replace the changer".
You can have the unit repaired, if you can find someone that does this kind of work (and has parts) and if you can DIY remove the unit and send it in.
I've used Willman's Electronics in Garland, Texas in the past. They couldn't repair the factory Alpine in my old Acura Legend (lack of available replacement parts), but they did have a later model that was a plug-and-play. It wouldn't hurt to contact them for advice. IIRC, they charge a flat fee for repairs; you pay for shipping to and from. Sound (no pun intended), professional advice is worth an email.
http://www.willmanselectronics.com/default.htm