Urologist Turned Down

[Want2BRight2.0 (imported)]

Oh, ok. That makes sense. Local vs. General anesthesia. I would think a seemingly benign scrotum tuck procedure would only require local anesthesia but I would have to consult with the surgeon when I get to that stage. I had multiple reconstructive plastic procedures to correct injuries from a car accident. The surgeon only used general anesthesia to fix my nose, jaw, and cheek bone. The other reconstructions were by local.

[zeebster (imported)]

Oh, ok. That makes sense. Local vs. General anesthesia. I would think a seemingly benign scrotum tuck procedure would only require local anesthesia but I would have to consult with the surgeon when I get to that stage. I had multiple reconstructive plastic procedures to correct injuries from a car accident. The surgeon only used general anesthesia to fix my nose, jaw, and cheek bone. The other reconstructions were by local.

Well there is a third option that's sometimes used for more complicated procedures and that's a spinal block like they give women going through child birth. That type of block can also be used for something as complicated as a penectomy. The biggest thing is the safety margin; people can and do occasionally die from general anesthesia itself. Those blocks will usually require some basic blood tests among others is the clotting time for your blood, CBC, HIV, glucose etc.

[daifu-orchid (imported)]

Yes, but anything over an most trivial local, has the potential, if events go unexpectedly to need more than the original plan. Good to make sure that the patient is ready for this and safe.

Sometimes a scrotum is stuck to the original orchie surgery and the plastic surgeon anticipates that more cutting is necessary than is easily taken care of by a local.

Mine had some stuck stuff and I wanted the loose stuff gone too. It resulted in a neat closure from root of dick to some 5 - 6". I snoozed, well cared for, through all of it. The result good.

[Want2BRight2.0 (imported)]

Oh, these are all very good points to consider and to discuss with plastic surgeons when I get there. I have to take the first big step first and that will help determine the follow up the secondary scrotum tuck procedure. Thank you.

[daifu-orchid (imported)]

Anesthesia: do you suppose that local is better than imported?

[Want2BRight2.0 (imported)]

I'm not sure I understand your question, daifu-orchid. Do you mean going for the scrotectomy locally (i.e. here in the U.S.) or traveling abroad? Or were you referring to having local anesthesia vs. general anesthesia, or as zeebster referenced, a spinal block? My preference would be for a domestic (U.S.) plastic surgeon to apply local anesthesia.

[daifu-orchid (imported)]

No, I think you need appropriate and safe anesthesia for these things. The doc is best to advise.

My plastic doc explained the options, and chose a plan that seemed sensible. It all worked out very well: I lost the scrotum and loose stuff so it's hard to know that there was ever anything there. He got $800, a while ago.

A fine professional job that is good to this day!

[seanthomas (imported)]

For a simple orchiectomy general anesthesia is not only unnecessary but significantly adds to the risks and cost. Mine was done with a local although and IV was started "just in case". I was given an injection of Valium although I tried to even decline that. The surgeon said it was to help me keep still while he was wielding sharp instruments around my nether region.

Now don't get me going on the profit driven medical profession in America, but hey..... I guess the Anesthesiologist has to make his Yacht payments just like his buddy the surgeon.

[Want2BRight2.0 (imported)]

That is wonderful to hear everything worked out for you. That is what I am ultimately seeking to achieve too. I have to take the first step first, heal, then schedule the plastic surgery. Thank you.

[Want2BRight2.0 (imported)]

Hi eafictionwriter.

Thanks for sharing your experience.

I think each patient is different and deserves a say in their treatment. IV and a spinal block seems too much for me. I'm glad it worked for you. Thank you.