Urologist Turned Down

[Want2BRight2.0 (imported)]

Greetings Tribe,

I paid out of pocket to see two urologist and both doctors denied my request for a simple bilateral orchidectomy.

How do I find a doctor that will perform this for me?

I'm in the U.S. near NCY

Have full medical

Support of my wife

A letter from my MD

Your reply is greatly appreciated.

[sparkey49 (imported)]

What does the letter from your MD say as the necessity? Most urologist won’t do it if not a medical necessity. There is a Dr. Arknof.

[Losethem (imported)]

Greetings Tribe,

I paid out of pocket to see two urologist and both doctors denied my request for a simple bilateral orchidectomy.

How do I find a doctor that will perform this for me?

I'm in the U.S. near NCY

Have full medical

Support of my wife

A letter from my MD

Your reply is greatly appreciated.

You're shopping in the wrong pool of doctors. There are several doctors in the USA who will do it, but you may need to travel. You've cleared a big hurdle in having a letter, though you do not indicate if this letter is from a therapist or your regular MD. I feel I need a bit of clarification there to help you and move you down the road to orchiectomy.

There is a doctor in Michigan who will remove a mans testicles with only informed consent. That means, you don't need a letter, you tell him you want him to remove your balls, you sign the waivers, and your balls come off. If your ultimate goal is nullification (The removal of both your testicles AND penis), then I would not use his services, but he seems to be able to perform orchiectomy without complications.

His name is Dr. Marc Arnkoff, and he is in Detroit, MI. Charges around $4,000 to remove a set of testicles, last I heard.

If you have a therapist letter, I may have options for you to explore that are fairly certain to potentially possible. I know of at least 3 doctors who will perform a voluntary orchiectomy with a support letter. Two are in California, and one is in Texas. Though I have a friend who recently had his testicles removed in Virginia, using a letter. This area of VA is about 6-7 hours drive from NYC.

--LT

[Want2BRight2.0 (imported)]

My MD is an In-Network Psychiatrist and the letter states I am competent and sites my physical discomfort. Although, I should add, my Internist did not detect any reason for my complaint. So after the Urologists did their exam, they too, didn't find any cause for my discomfort. I have heard of Dr. Arknof in Michigan. Any idea if his office requires a referral?

[Want2BRight2.0 (imported)]

Thank you, LT. Your information is very helpful. I don't mind traveling but I would like to remain in the U.S. so Michigan, California, Texas, Virginia, etc... wouldn't be an issue.

I've heard of Dr. Marc Arnkoff and hope an appointment is as easy as you say.

My therapist is a Psychiatrist who recommended the two practices that I visited and turned out to be dead-ends.

Since as you mentioned, I'm "shopping" for MD's, I would like to have a list of 3 or 4 doctors that I could consult with. Could you share the other doctors in CA, TX, and VA?

Can I ask who did yours?

Thanks for your help!

[shydudexx (imported)]

Hit Me Up for Ankoff recent information - done Dec 2017

Before and after procefure information - hey, I've been there.

[Want2BRight2.0 (imported)]

Hiya. This is Dr. Ankoff's clinical profile http://urologist.org/physicians/marc-arnkoff-m-d/

You've been there?

[Paolo]

As LT stated in his post, Dr. Arnkoff does not require a letter, as he performs voluntary castrations on only the informed consent of the patient.

[Want2BRight2.0 (imported)]

Really?

That would be really convenient.

Have you been there or know someone who has?

[Losethem (imported)]

Thank you, LT. Your information is very helpful. I don't mind traveling but I would like to remain in the U.S. so Michigan, California, Texas, Virginia, etc... wouldn't be an issue.

I've heard of Dr. Marc Arnkoff and hope an appointment is as easy as you say.

My therapist is a Psychiatrist who recommended the two practices that I visited and turned out to be dead-ends.

Since as you mentioned, I'm "shopping" for MD's, I would like to have a list of 3 or 4 doctors that I could consult with. Could you share the other doctors in CA, TX, and VA?

Can I ask who did yours?

Thanks for your help!

I was castrated by a cutter in 2005. Though I turned out o.k. I do not recommend that route. There are doctors now who are quite willing to help, where in 2005 when I had my castration done, the landscape was a lot different. My penectomy and scrotal excision was done in 2015 in Marin County, CA by a doctor at Brownstein Crane. When I asked Dr. Crane, who heads the practice what he would do for folks with the appropriate letters I pointedly asked, "Just Orchiectomy? Just penectomy where they keep their testicles? Complete genital removal (what I had)? Vaginoplasty, but remaining otherwise male in appearance?" His simple answer to my question was one word, "Yes." Obviously with the appropriate letter/letters. He had his partner perform my penectomy, and as I understand it they now require two letters for all surgeries, just like with any other Transgender patient.

Now in your case, you need to start considering yourself transgender - you can do so without ceasing to be male. The designator in our instance is Male-to-Eunuch (MtE), basically our gender is Eunuch for these purposes. Start identifying yourself that way, get a rewrite of your letter, and you'll probably be good to go.