reattaching cord pain

[randy (imported)]

hi, recently the issue of attached cords have been brought to my attention. i would like to know if anyone has any advise from experience on how the doctor should cut the spermatic cord so that it does not reattach itself to the sac and causes long term discomfort and potential hernia.

has anyone been to kimmel and had their cords reattach. where does he cut the cords? can i request to the doctor to cut the cords high up into the abdomen?

is there anything you can do post-op to reduce the risk of reattachment ?

any other advise on preventing reattaching cords would be helpful too thank you ....

grace and peace.

randy

[mrt (imported)]

A inguinal (also known as Radical) Orchiectomy is done where they make two incisions in the pubic hair area. The cords are fished out by the doctor and he / she should then inject the cords with nerve blocks. The testes are pulled up into the canals and out through the incision. When the cords are cut its very high up so there is no danger of them dangling down near the scrotum. The shorter the cord the less chance of if reattaching. *If I understand this correctly. You should ask your surgeon about how he/she does it. I would insist on getting the cords removed as high up as possible to avoid having to come in and have someone do more surgery. Its not fun the first time.

good luck!

[randy (imported)]

dr kimmel doesnt do a radical orchiectomy, he goes thru the scrotum.

going thru the scrotum can you still cut the cords high enough to not reattach ?

[FianceeUvBigGuy (imported)]

dr kimmel doesnt do a radical orchiectomy, he goes thru the scrotum.

going thru the scrotum can you still cut the cords high enough to not reattach ?

Yoli here,

Our "Pet" eunuch, Barry, once told be that he was concerned about that and expressed same to the Mexican MD that castrated him. The good doctor apparently snipped the cords so far up as possible and Barry has never experienced any "attachment" issues. He was castrated via incision in his baggie.

One of the other two eunuchs I know told me that he thought a cord had adhered to his scrotum at one point but apparently he was feeling something else, not too many weeks post-snip. In any event, whatever the problem was went away after several days. I have NO idea what that was all about.

Yoli

Insomnia Poster Child...Dammit!

[sduyck_2000 (imported)]

dr kimmel will do it right

He will bury the end of the cords in the inner sack called the tunic and stitch it in place.

You should never have any problems

[coinflipper_21 (imported)]

Apparently, this problem can even happen in a simple vasectomy if the doctor is not using the correct technique. As it was explained to me, by a surgeon, the cut end of the cord should be doubled back on itself when sutured. That way, the only thing that the cut end could possibly reattach to will be itself.

Hey, what do I know? Ask the doctor.

[mrt (imported)]

dr kimmel doesnt do a radical orchiectomy, he goes thru the scrotum.

going thru the scrotum can you still cut the cords high enough to not reattach ?

One of our members had a scrotal orchiectomy and had to go back when his cords reattached. He told me that they used a laproscopic way to go back and remove the cords up higher. Between you and me I think the Radical is the way to go. Then you don't have any cord issues to worry about.

[jlc9292 (imported)]

Randy,

I have several posts on this site discussing the problems I had with attached cords. My bilateral orchiectomy was performed through the lower scrotum but the Dr. said that he was going to take all the cord he could. Even tho he performed the surgery consistent with how the surgery would normally be done, as confirmed by another urologist in another state, there was still a reattachment of cords bilaterally in the inguinal canal. This reattachment caused me pain in the groin area with the lightest touch. I believe he doubled the cords over and sutured them closed as per standard practice. He said they should migrate back into the abdomen but they did not retract that far and did lodge in the canal and reattach. The result was the development of bilateral hernias which had to be repaired about a year or so later. I discussed the problem of attached cords with the surgeon doing the hernia surgery and he agreed to go down into the canal, surgically release the cords, cut them off as near the source in the abdomen as possible and suture them closed. The operation made the hernia repair easier because there was no longer any cord to work around at the upper end of the inguinal canal and the mesh could be placed without wrapping it around the cord. The surgery was performed with "belly button" surgery, about a half inch incision in the belly button, another half inch incision about half way to the bottom of the abdomen, and the third about a half inch in the bikini line of the abdomen. The surgery was performed arthroscopically and the result was excellent. There has been no pain associated with the cords since that time. I agree with MrT that an orchiectomy should be performed in the upper inguinal canal to minimize the chances of attached cords. I have been told by Urologists since my operation that as high as one in three scrotal orchiectomies result in cords reattaching themselves. Some become problems as mine did and others never do. Doctors prefer the scrotal method because of the ease of the operation. Recovery is faster from the surgery as well but there is risk of reattachment. Insist on upper inguinal canal entry at the least. It can also be done arthrscopically as my hernia repair was but is a bit more expensive and requires specialized equipment. Just a note: If there is any suspicion of cancer they will never to an scrotal surgery due to the risk of cutting the nut and spreading the cancer. I would never have a scrotal surgery again if it could be avoided. For what it is worth.

JLC

[sduyck_2000 (imported)]

A radical orchiectomy cant be done with a local

A simple orchiectomy can..if I had it done I would go for simple and play the odds

a 30 percent chance of it happening is not that great

If later on the cords do need removal the canals can be closed at the same time preventing future hernia.

[randy (imported)]

im having the scrotal orchiectomy. thats the way kimmel does it.. period

knowing that, i would like to know what i can do to prevent them reattaching. thanks