Penile and Scrotal Procedures

Penectomy is a surgical procedure performed to treat penile cancer, a rare type of cancer that typically starts in the skin or mucous membranes of the penis. If the cancer is diagnosed at an advanced stage or has not responded to other treatments (like radiation therapy or chemotherapy), penectomy may be necessary to remove the cancerous tissue and prevent further spread.

Types of Penectomy for Cancer

Robotic Groin Lymph Node Dissection is a minimally invasive surgical procedure to remove lymph nodes from the groin area, typically performed for cancers that have the potential to spread to the lymphatic system, such as penile cancer, melanoma, vulvar cancer, and genital cancers.

In this procedure, a robotic-assisted system is used (such as the da Vinci Surgical System) to remove lymph nodes from the groin, which are the first areas where cancers in the penis, vulva, anus, or lower extremities may spread. The robotic approach offers greater precision and smaller incisions compared to traditional open surgery.

An orchiectomy is the surgical removal of one or both testicles. In the case of testicular cancer, the affected testicle is removed to eliminate cancer and prevent the spread of the disease to other parts of the body. This is often done as part of a staging process, where the tumour's characteristics are studied, helping to determine the cancer's stage and best course of treatment.

A hydrocoele repair is a surgical procedure to remove a hydrocoele which is a fluid-filled sac that develops around the testicle. While hydrocoeles are usually harmless, they can become uncomfortable or interfere with daily activities. This procedure is considered when the hydrocoele causes pain, swelling, or significant inconvenience.

A vasectomy is a simple and effective form of permanent male contraception. It involves blocking or cutting the tubes (called vas deferens) that carry sperm from the testicles. The procedure is usually done under sedation and takes about 15–30 minutes. It does not affect your hormones, sex drive, or ability to have erections or orgasms — the only change is that your semen will no longer contain sperm.

Recovery is typically quick, with most men returning to normal activities within a few days. Some mild swelling or discomfort is common. It’s important to note that a vasectomy is not immediately effective — a follow-up test is needed to confirm that no sperm remain.

Circumcision is a minor surgical procedure that involves removing the foreskin — the fold of skin that covers the tip of the penis. It is usually performed for medical, cultural, or personal reasons. The procedure is typically done under general anaesthesia and takes around 30–60 minutes. Recovery is usually quick, with most patients returning to normal activities within a week. Some discomfort, swelling, or sensitivity is normal in the first few days.