penectomy, orchiectomy, and radical prostate removal

[androfin (imported)]

I could find some older threads talking about prostate removal,

most of them do not endorse it.

I'm very interessted in that topic, and want to give a brief introduction why.

I am aware that a radical prostate removal is a standard procedure, but not to be taken lightly. The surgery takes some hours, and several weeks or months to recover from. There are several risks, including permanent incontinence.

There are also procedures with lower risks (removal of the prostate tissue), but they do not bring the value, i want to havebecause the keep the seminal vesicles.

After several years of chemical castration, i want to get rid of all organs that are male.

Sure that this contains a radical penectomy and a bilateral orchiectomy; everything shall be smooth and asexual.

But that is not enough. I don't want to keep a prostate that can be stimulated and leads to some kind of ejaculation. I want to get rid of my whole masculinity.

So the only solution is a radical removal of the prostate gland including the seminal vesicles.

Has anyone similar thoughts or even did that severe step?

[HumanFly (imported)]

I can't imagine that any reputable doctor would do a radical prostatectomy on anyone without a good reason simply because it would leave you incontinent. It's harm, and the first principle of medicine is "do no harm". They do sometimes do preventive prostatectomy, but if a patient's testicles are already gone, the risk of prostate cancer are already drastically reduced because it is hormone dependent. Without testosterone, you will hardly notice that your prostate is there anyway.

[androfin (imported)]

You are absolutely right that it will be very difficoult to finde a reputable doctor doing a radical prostatectomy on a person that is not suffering prostate cancer. And you are also right that it is from medical view not a good idea.

But it is not right that it will involuntray leave you incontinent. There is a risk of impotence and incontinence after the surgery, but it is moderate. When done to remove prostate cancer, the main goal is to get rid of the cancer, so the docter has to be sure to get out everything, and incontinece is more acceptable than remaining parts of the cancer. In case of an healthy patient, the reoval can be done without doing that much harm.

The reason why i started that post is that i'm absolutely not sure if it is worth the risk. I don't mind the painful weeks after the surgery and the long recovery process, but i absolutely do not want to get incontinent.

[T van Keel (imported)]

but i absolutely do not want to get incontinent.

Then you gave the answer yourself. There's a noticeable risk of incontinence that can't be discussed away. You don't want that risk, so don't get the prostate removed.

As from my own experience as a nullo I can tell you won't notice much of your prostate as long as you don't stimulate it actively.

[androfin (imported)]

That answer is too easy; propably i did not find the correct words (i'm german). Impotence is not a goal for me, and the risk of permanent incontinence is under good conditions not really high. (If it is acceptable is individual question)

You are absolutely right that

you will not notice much of the prostate as a nullo, but the fact that it is there is mindfuck enough for me, and the possibilty of stimulating ist is something i really dislike.

[T van Keel (imported)]

You will notice that I'm german, too. Did you already talk to an experienced surgeon who performs gender affirming surgery? That might be a good idea, for example Uniklinik Essen or Evang. Kliniken Essen-Mitte. These clinics already performed nullification surgeries, especially the Uniklinik.

[androfin (imported)]

I think you are right, and i should talk to a surgeon!

I did not know that there are german clinics that perform nullification surgery.

May I ask you if there were medical indications for your nullification, or did you do that step because of your identity?

[T van Keel (imported)]

I was probably the first"official" nullo in Germany. It's all a quite new thing, but getting more common. In my case the main reason was gender dysphoria. I felt strongly uncomfortable with having genitals. You will need a therapist letter confirming something like this. It's not sufficient just to request the surgery, the surgeon needs some paperwork.

You might also have a look at the clinic in Mexico. They seem to do excellent work at a reasonable price, but I don't know what kind of papers they request.

[androfin (imported)]

Thanks a lot for your words, what you describe is also my feelings.

My goal is also loosing my genitals, because they don't feel correct for me.

[T van Keel (imported)]

Feel free to ask more questions in case you need more information.