<$1000 orchiectomy options

[asphaltscry (imported)]

just curious, i believe i have thoroughly searched the archives of this site for nationwide list of surgeons whom provide bilateral orchiecomies without involving a hospital and therefore incurring their exoirbitant fees. I am aware that this site does not endore "cutters", but i am well versed in various body modifications and don't believe that orchectomy is a complex procedure.

with some EMLA creme, injectable marcaine, and a single centerline incision, cauterize the spermatic cords and remove the offending items, sew the sac and you're on your way

it is my understanding that the major need for a sac drain comes from just cutting the cords and them, continuing to bleed and ooze; therefore i am thinking that with a cauterization pen there would be no need for a drain, given adequate flushing of the area prior to closure of the scrotum.

how does a veterinarian do it when they castrate a dog?

it can't be much more complex than that, although i do wish to retain all of my scrotal skin for future GRS.

It just seems like such a sad joke that an adult need to basically get a permission slip from a psych in order to get a procedure on their own body.

If there is nothing medically wrong your testicles, then you must be sick in the head they tell you. They don't seem to realize/care that that very practice forces people without the resouces to take matters into their own hands. Fuck that shit.

any suggestions would be greatly appreciated.

jami

[Uncle Flo (imported)]

A few points. Topical anesthetics should not be needed if adequate injectables are applied in the proper spots and creams have their own set of cautions when used at the site of an incision. Marcaine is less effective than and generally inferior to other compounds. The need for a drain is more the result of edema and consequent fluid loss from the tissues than the result of "ooze" from imperfectly terminated cords. The cords at any rate have to be sutured properly or no ammount of cauterization will be effective. A dog's anatomy while looking similar to a human's is actually quite different. I agree with your take on medical attitudes towards removal of unneeded parts but it is a societal attitude as much as a medical one. --FLO--

[genderless (imported)]

Sounds a bit complicated.

I do agree it is a big big hassle and unless you have the time and all the money for it, it seems just easier to do it yourself. Of course I'm no expert in this field in any case.

[asphaltscry (imported)]

i was under the impression that the vas deferens were the only connection from the testis to the body and that they would provide the route for all travels to and from testis, i am confused why cauterization would not be sufficient to seal this highway.

and i was thinking thinking about some EMLA on the sac topically, just because i'm a sissy and although i have lots of piercings, i still am scared of needles. and that could prepare me for the injection of marcaine. i was only thinking of these two options because they seem easily accesible through BME, as well as scalpels and cautery pens if needed.

if there are other anethetics which would work better i would love to hear about them, as well as any other suggestions you all have

i am not intending on doing this myself, besides me knowing its not a good idea, i am way too chicken, but like i say, i can't and won't pay a hospital six grand was something this simple.

oh and the other thing i was wondering about was how do they close it up, sutures? and if thats the best way, what size? and i saw something which was a medical grade super glue basically. i suppose you glue the sack back together to stop bleeding then sutre it up, but Flo, you were saying that the drainage is still an issue. hmmm

[kristoff]

i was under the impression that the vas deferens were the only connection from the testis to the body and that they would provide the route for all travels to and from testis, i am confused why cauterization would not be sufficient to seal this highway.

and i was thinking thinking about some EMLA on the sac topically, just because i'm a sissy and although i have lots of piercings, i still am scared of needles. and that could prepare me for the injection of marcaine. i was only thinking of these two options because they seem easily accesible through BME, as well as scalpels and cautery pens if needed.

if there are other anethetics which would work better i would love to hear about them, as well as any other suggestions you all have

i am not intending on doing this myself, besides me knowing its not a good idea, i am way too chicken, but like i say, i can't and won't pay a hospital six grand was something this simple.

oh and the other thing i was wondering about was how do they close it up, sutures? and if thats the best way, what size? and i saw something which was a medical grade super glue basically. i suppose you glue the sack back together to stop bleeding then sutre it up, but Flo, you were saying that the drainage is still an issue. hmmm

I've never heard of anybody gluing this kind of incision. I've always seen/heard sutures, including my own. Lidocaine waas the preferred method when Spector of old clipped me. That has also been the preferred injectable of anything I've heard. The vas defrens is not the only thing running from the testes. There is also the main cord. The vas deferens carries sperm, whereas there is another cord, parallel, which carries nerve tissue and blood supply. Only the vas deferens is cut during a vasectomy. EMLA is worthless for what would be involved, and further would contaminate the surgical incision, possibly causing infection - definitely a bad idea. Since you eventually desire SRS, check out some of the surgeons who cater to this population. Many WILL do a castration for folks who have been working the Harry Benjamin standards, etc. Usually they do them relatively inexpensively (cant quote current prices) and in their offices.

[wolverine1 (imported)]

I know i've mentioned the ORR in belgium before, but all I can say is that I would recommend you gain VIP membership and download both orchiemctomy videos for reference as to what is involved with the operation itself...

I don't doubt that there are members here with the knowledge / skills to perform castration successfully, but it would be unfair to ask them or put them in such a position... I would heartily recommend that if you are serious about going thru with castration, have it done in a sterile clinic - i'm stil saving like crazy, but I know that if I rushed thru and performed auto-castration I would be the unlucky twit that ends up with all sorts of infections, etc despite taking every possible precaution!! think of it this way - would it not give you something to aim for and possibly a bigger sense of achievement once completed?

[Hairless (imported)]

The vas deferens carries the sperm from the testicles to be ejaculated with the semen. That is the cord that is cut for a vasectomy. There is a much larger coed, the spermatic cord, that carries the blood supply and is the major connection for the testicle. This has to be tied off very securely with a stitch or two going through the cord so it won't slip off. Then the cord can be cut and cauterized. This operation is easy to do, but not easy to do right unless you know what you are doing. If the cord is left to long it can attach itself to something that it shouldn't and cause pain that doesn't go away. If you want your scrotum for GRS, there needs to be a minimum of scaring or the skin cannot be used. There are a lot of things to consider other than the money. Like the saying goes, "you get what you pay for". I went the expensive route and am glad I did. There have been some here at EA that have gone the cheap route and after it was all said and done, spent more money than I did. You can read all about it here. Big twin had a very bad experience with Dr. Kimmel and he is suppose to know what he is doing. Most SRS or GRS surgeons would rather you weren't castrated when they do there thing so they have good skin to work with. Your best option is to go the chemical route for now if you haven't already. Just be careful and consider all your options before you jump into anything. Good luck.

[asphaltscry (imported)]

thank you all for your insight on this matter, i know most of you have much more knowledge in this area than i

i am a mechanic by trade and therefore feel the need to understand the specifics of the operations involved with orchiectomy. i would very much like to go the full proffessional route for this. i have already banked my sperm and hjave seen a couple of therapists. the thing is, that they aren;t much help, i mean i feel like i am banging my head against a wall. After all, i know what i want and i know that its not some impuslive, sexually charged decision, but i need the permission slip signed by a mental proffesional in order to recieve "proper" surgery.

i agree that things can go very bad during this procedure and more ofter, after the procedure. in no way am i interested in Kimmel, but would look quite favorably upon a urylogic surgeon who could do it in office with local anaethesia.

the main factor is money. i am 24 and don;t make that much. i agree that it is cheaper to do it right once for $$ than to do it cheap for $, then fixing it for $$$. i plan to do GRS as my last surgery, as planned out, probably not for 3 years, but i do want to rid myself of the primary contributor of testosterone. thereby lowering the amount of hormones i will be prescribed after my levels have stabilized after the orchiectomy.

i realize that the scrotal tissue will shrink after the removal of the contents, but i also know that skin stretches easily given enough time.... my ears have 1.5" plugs in them. basically i know that as long as i have this testosterone poison in my i am moving towards one end of the spectrum. i want to go the other way, and when i get the orchiectomy, i will stop moving so fast anyway.

oh and thank you for the deciption of the make up of the spermatic cords. i was researching their nature. are they too thick to cauterize without stitching?

once again thank you all for your input, and i apologize if i am asking things that have already beeen answered on the site.

jami

[philip1 (imported)]

You do get what you pay for. follow the post op recomendations to a tee otherwise you will end up having problems. Problems like infection, adhesions, and hemotomas. Castration is a simple operation that causes a LOT of trauma that is not visible outside the body. If the Doctor says a week in bed, stay in bed, or no heavy lifting for a month then don't go moving pianos. Most importantly get the perscription for antibiotics filled and take the full regimine.

[DewMeAlso (imported)]

thank you all for your insight on this matter, i know most of you have much more knowledge in this area than i

i am a mechanic by trade and therefore feel the need to understand the specifics of the operations involved with orchiectomy. i would very much like to go the full proffessional route for this. i have already banked my sperm and hjave seen a couple of therapists. the thing is, that they aren;t much help, i mean i feel like i am banging my head against a wall. After all, i know what i want and i know that its not some impuslive, sexually charged decision, but i need the permission slip signed by a mental proffesional in order to recieve "proper" surgery.

i agree that things can go very bad during this procedure and more ofter, after the procedure. in no way am i interested in Kimmel, but would look quite favorably upon a urylogic surgeon who could do it in office with local anaethesia.

the main factor is money. i am 24 and don;t make that much. i agree that it is cheaper to do it right once for $$ than to do it cheap for $, then fixing it for $$$. i plan to do GRS as my last surgery, as planned out, probably not for 3 years, but i do want to rid myself of the primary contributor of testosterone. thereby lowering the amount of hormones i will be prescribed after my levels have stabilized after the orchiectomy.

i realize that the scrotal tissue will shrink after the removal of the contents, but i also know that skin stretches easily given enough time.... my ears have 1.5" plugs in them. basically i know that as long as i have this testosterone poison in my i am moving towards one end of the spectrum. i want to go the other way, and when i get the orchiectomy, i will stop moving so fast anyway.

oh and thank you for the deciption of the make up of the spermatic cords. i was researching their nature. are they too thick to cauterize without stitching?

once again thank you all for your input, and i apologize if i am asking things that have already beeen answered on the site.

jami

YES, the cords are too thick to use cautery only.

That is a recipe for disaster.

You could bleed to death before you got to the ER if one of the arteries ruptured at the site of cauterization!

Without proper tying off, bleeding is a near certainty!