Operation Planned

[RubberDucky (imported)]

Congratulations and best wishes for a speedy recovery! If you don't mind me asking did you just have a simple orchiectomy or did you also have a scrotectomy done at the same time? He apparently just recently started offering to perform both at the same time. Pending a successful Androcur trial my next step is a phone call to Dr. A. I've read several accounts here of orchiectomies that he's done (thank you so much to everyone who shared their experiences) but I'm hoping to get as much feedback as possible on this new combined procedure as my intention is to ultimately have both done anyway either together or separately.

[Losethem (imported)]

I think I'd avoid Dr. Arnkoff for anything except testicle removal. Anything involving the penis or scrotal skin, I'd stay away from him. Scars from his skin/penis removal surgeries are Frankenstein like at best.

[MikeGrant (imported)]

Hi shydudexx. Hows it going? Any update? hows it healing, how are you feeling about it all? Been some negative comments about Dr. As work, just wondering about your experience. Hope you are doing well.

[smoothy75 (imported)]

Congratulations and wish you a speedy recovery !

[shydudexx (imported)]

An update:

The procedure (bilateral orchiectomy) went as planned on December 16th. I am still in partial recovery mode - cords ache, but I am otherwise good.

With respect to the comments about Dr. Arnkoff, I can only offer my first-hand experience.

First: a very legitimate clinic, and good sterile practices.

Second: my incision was scrotal, and vertical along the raphe line. Two of the six sutures have dissolved at this point, and the wound at those sites has closed with good appearance.

Third: no major hematoma or other difficulties - I spent the two days after the procedure in bed with lots of ice - it kept the swelling down. Bruising was apparent, peaking at days 3-4, then subsiding. At least in my personal experience, the horror stories about being immobile for days with a orange-grapefruit hematoma did not occur - I was fully mobile at all times.

Fourth: Dr. Arnkoff is a no-nonsense sort of fellow electronically - you need to be prepared to ask specific questions via text/email - and you should expect very short answers. Having said that, in person he is just the opposite - a competant clinician who listens and answers your queries - just be prepared.

Summary: I am fully satisfied with my visit to Dr. Arnkoff.

[Losethem (imported)]

An update:

The procedure (bilateral orchiectomy) went as planned on December 16th. I am still in partial recovery mode - cords ache, but I am otherwise good.

With respect to the comments about Dr. Arnkoff, I can only offer my first-hand experience.

First: a very legitimate clinic, and good sterile practices.

Second: my incision was scrotal, and vertical along the raphe line. Two of the six sutures have dissolved at this point, and the wound at those sites has closed with good appearance.

Third: no major hematoma or other difficulties - I spent the two days after the procedure in bed with lots of ice - it kept the swelling down. Bruising was apparent, peaking at days 3-4, then subsiding. At least in my personal experience, the horror stories about being immobile for days with a orange-grapefruit hematoma did not occur - I was fully mobile at all times.

Fourth: Dr. Arnkoff is a no-nonsense sort of fellow electronically - you need to be prepared to ask specific questions via text/email - and you should expect very short answers. Having said that, in person he is just the opposite - a competant clinician who listens and answers your queries - just be prepared.

Summary: I am fully satisfied with my visit to Dr. Arnkoff.

That is pretty much in line with my cautions. He does very well with the type of surgery you had. His difficulty occurs when he removes a scrotum or a penis, the resulting scar is horrible. He's not a plastic surgeon, to my knowledge. and I think that is the issue. He's also had one patient with a significant stricture requiring a suprapubic catheter as an intervention. That's a catheter that is inserted into the bladder surgically, not through the urethra. That can lead to infection and sepsis if not cared for properly.

[MikeGrant (imported)]

Thanks for the update!

Glad to hear you are recovering so well. No regrets? Any mental or emotional effects? Have you visited your GP yet ?

[daifu-orchid (imported)]

Good to know it ll went well!

I'd agree that in principle, urologists are good for urology, while the cosmetic removal of a scrotum seems more the skill of a plastic surgeon.

I had mine removed by a plastic surgeon, who did a fine job, and for less than I read Dr A is charging.

If there is nothing in the scrotum, it seems the surgeon has no issue removing it, provided that is what he does.

The trick is to find a plastic surgeon who does genitals, as they seem to be a rarer breed.

I found mine by looking for plastic / reconstructive surgeons who advertised "mommy makeovers" and penis enhancements.

The surgeon I found first wanted to put new nuts inside, but when I persuaded him that I wouldn't want to show them to anyone, he agreed the simplest thing was to remove the scrotum.

All went well. I paid cash and had it done with general anesthesia in a well appointed and staffed clinic.

[MikeGrant (imported)]

Hi Shydude, not heard from you for a while. Just checking you are doing well mentally and physically.

[Supranatural (imported)]

An update:

The procedure (bilateral orchiectomy) went as planned on December 16th. I am still in partial recovery mode - cords ache, but I am otherwise good.

With respect to the comments about Dr. Arnkoff, I can only offer my first-hand experience.

First: a very legitimate clinic, and good sterile practices.

Second: my incision was scrotal, and vertical along the raphe line. Two of the six sutures have dissolved at this point, and the wound at those sites has closed with good appearance.

Third: no major hematoma or other difficulties - I spent the two days after the procedure in bed with lots of ice - it kept the swelling down. Bruising was apparent, peaking at days 3-4, then subsiding. At least in my personal experience, the horror stories about being immobile for days with a orange-grapefruit hematoma did not occur - I was fully mobile at all times.

Fourth: Dr. Arnkoff is a no-nonsense sort of fellow electronically - you need to be prepared to ask specific questions via text/email - and you should expect very short answers. Having said that, in person he is just the opposite - a competant clinician who listens and answers your queries - just be prepared.

Summary: I am fully satisfied with my visit to Dr. Arnkoff.

How much is he currently charging for a bilateral simple orchiectomy?

How much discomfort was it?

I assume the standard is local anesthetic?