Keelee Macphee- Informed Consent SRS/Orchiectomy

[evolve (imported)]

I'm confused by her wanting to do orchiectomy in the hospital under general anesthesia. The only reason I could think would be that she does them via the inguinal canal. That approach is how urologists are trained to take out testicles suspected of having cancer. (It's highly debatable as to any actual evidence that there is any benefit to an inguinal orchiectomy being better for anything other than the doctor's wallet when it comes to cancer - there is no evidence it's worse. There is just no evidence. What exists is a 100-year-old thought from a doctor who felt it might be a better approach).

Otherwise, absent cancer, there is no reason the procedure is more complicated than a vasectomy. Oddly, insurance companies don't pay for hospital vasectomies and urologists routinely do them as an office procedure.

Does she do an inguinal orchiectomy or trans scrotal?

My understanding is that she uses the scrotal incision method.

[rugaard1 (imported)]

Thanks for the information. I've been trying to find one like this myself. Hoping to eventually be done, still in the information gathering stage of my process.

[photoglenn (imported)]

My double orichiectomy was done through the scrotum with general anesthesia in an outpatient facility.

I asked my doctor how it would be done and he said through scrotum.

I asked why not an inguinal and he said just the same reason you mentioned; when cancer is present or suspected they want to remove as much of the testicle connecting cords as possible.

After almost 2 years I find it interesting that when I massage the inguinal canal area I can feel the cords on the right side it makes it seem as though I am feeling my testicle. It almost gives me an erection, but alas even taking Androgel I am unable to get an erection or orgasm. I do get a rare middle of the night erection that is not sexually stimulated. For a long time, since my orchiectomy was due to recurring severe bacterial infections, after advised to do so, I accepted the doctor’s recommendation and agreed to the surgery, so in a way I did chose to be castrated.

What I did not expect that was for the longest time I really missed my balls. I use to really enjoy them very much and did not anticipate that I would miss them so much.

I also did not anticipate that my new self identity would be as a eunuch. A term that I did not like for a long time.

Now, however after much time and personal growth, I do not miss my balls, and in fact am glad that they are gone.

I do miss getting erections and orgasms.

Even with Androgel they have not returned.