Peno-scrotal procedures


Peno-scrotal procedures involve the diagnosis and correction of deformities associated with the Penis and the Scrotum. These organs have two main functions, urination which carries urine out of the body and the storage of semen for male reproduction.

At the Royal Free PPU our expert Urology consultants and allow us to provide a rapid and efficient service for and treatment of a range of peno-scrotal procedures, tailored to the individual patient, with the full support of the latest equipment and clinical expertise available.

We offer the following peno-scrotal procedures for our patients:

Adult Circumcision – This involves the surgical of removal of the male foreskin. The foreskin is the retractable part that covers the whole of the penis. There are different reasons as to why a male would opt for this procedure which include medical for issues such as the foreskin not retracting (phimosis) or recurrent infection (balanitis) or for suspected cancer or pre-cancerous conditions.

This is usually carried out as a day case therefore the patient will be able to return home the same day. The procedure can be performed under either a general or local anaesthetic. For a local anaesthetic an injection will be used to numb the penis and the surrounding area. This is a quick procedure, the foreskin is removed just behind the head of the penis with a scalpel or surgical scissors, if bleeding occurs this will be stopped using heat (cauterised) and dissolvable stitches will be used to stitch the edges of the skin.

Hydrocele repair – This involves surgery to correct the swelling of the scrotum when there is a build up of fluid in the coverings of the testicle (known as hydrocele).  For adults an incision is made in the scrotum where the fluid will be drained away. Incisions are closed using dissolvable stitches. This is a day case procedure therefore you should be able to return home the same day.

Vasectomy – This is done for male sterilisation which is said to be is the most effective method. It will involve removing of a small section of vas from both sides with insertion of tissue between the divided ends to stop them re‑joining.  The semen no longer contains sperm after the tubes are cut, so conception cannot occur.

Inguinal (radical) orchidectomy – If there is a suspicion of testicular cancer your urologist will take a careful look at your medical history and then examine you. Following this your urologist will arrange an ultrasound examination and blood tests. If the suspicion is still strong after these examinations then the urologist will arrange removal of the testis for suspected testicular cancer (radical orchidectomy). The procedure is usually performed under general anaesthesia. The testicle and spermatic cord are removed by making a short incision in the lower groin area. A testicular prosthesis may be inserted at the same time. The patient can usually go home the same day.

Please see the British Association of Urological Surgeons (BAUS) patient information leaflets on Peno-scrotal procedures below:

Adult Circumcision

Hydrocele repair


Inguinal (radical) orchidectomy