orchiectomy done right

[mrt (imported)]

That is one of the reasons I asked how it is normally healing. Based on my own related experiences, if everything is ok, then sutures can be removed on 7th-10th day. swelling starts to go down after 3-5 days. and after 2 weeks it should look pretty healed without coloring and swelling. wound would be slightly painful for touch for months.

Only thing I can't imagine how cords will heal. After initial swelling they probably start to disappear. Is it possible to touch them or feel them even after everything is healed?

Erik in my case I was dealing with chronic pains (Called Orchialgia in Urology speak) and had my orchiectomy done inguinaly. This is where the scrotum is left alone and instead incisions are made up high (In the pubic hair area) and the cords are fished out and the testes are pulled up into the canals and (most or) the cords are removed. I personally do no believe in Scrotal Orchiectomy. Leaving the cords to dangle around is a good bet you will have future pain issues. They contain all the nerve bundles and they all to often "reattach" to some part of the body. Also I think infection is more "likely" when you do a scrotal. All these comments about needing drains etc all seem to me to be band aids for choosing to do this in this way. If you research Orchialgia you will see that the success rate for Inguinal (aka Radical) orchiectomy is very good. Scrotals have a far lower success rate.

Please be really REALLY sure about what your looking into doing this for however. I can't say whats best for others but I think it would be very smart to talk to a lot of experts (not just Internet types) about this. Check in with a Therapist, your GP, get refered to a Urologist (Or a Pain Doctor if your problem is Orchialgia)

[erikboy (imported)]

Erik in my case I was dealing with chronic pains (Called Orchialgia in Urology speak) and had my orchiectomy done inguinaly. This is where the scrotum is left alone and instead incisions are made up high (In the pubic hair area) and the cords are fished out and the testes are pulled up into the canals and (most or) the cords are removed. I personally do no believe in Scrotal Orchiectomy. Leaving the cords to dangle around is a good bet you will have future pain issues. They contain all the nerve bundles and they all to often "reattach" to some part of the body. Also I think infection is more "likely" when you do a scrotal. All these comments about needing drains etc all seem to me to be band aids for choosing to do this in this way. If you research Orchialgia you will see that the success rate for Inguinal (aka Radical) orchiectomy is very good. Scrotals have a far lower success rate.

Please be really REALLY sure about what your looking into doing this for however. I can't say whats best for others but I think it would be very smart to talk to a lot of experts (not just Internet types) about this. Check in with a Therapist, your GP, get refered to a Urologist (Or a Pain Doctor if your problem is Orchialgia)

Thank you for your view on castration methods! (I am serious)

I feel, I need to explain background of my interest

I am well aware of castration methods, effects, related vocabulary etc. My interest in castration has changed from irresistible desire to have it done to almost academic. Over the last 20 years or so.

I have written numerous stories about castration, but none of them isn't good enough to publish it here. So far. As the story I wish to tell must be very realistic. There are always so many details I need to know, as I do not have personal experience. The question here is related to another story I am writing right now. It is not my personal issue.

And this archive is a source of endless experience. When I think i know just everything about castration I am wrong. There are always new details that I did not know yet and that is keeping me coming back and asking questions.

[jean1443 (imported)]

i was very estonish but your answer the biopsy is not a painful intervention it is often under sedatifs and the part take for the experience is very tiny and it remain nothing because spins are put about anus. but chirurgical intervention for the orchy are as women accouchement a peridural anesthesy.

after two horizontal cut there are only beautiful scarse but no pain if suture point are remove 5 day after a good doctor remain all in good state

[RichTOwen (imported)]

I had a simple bilateral orchiectomy done under general anesthetic by a urologist at Stanford for extreme orchalgia. He went the scrotal route, but did an incision on each side horizontally instead of a single vertical midline incision that you hear about most people doing.

I think because of the extreme orchalgia to begin with I was not as quick to overcome everything, but I had taken a week off from work for recovery, honestly didn't need all of it.

I was up and walking the same day. Used frozen peas as ice bags on and off for several days, had no swelling, no bruising, and there were no drains used. Had one side that we think had a minor infection (very minor) where the remainder of cords, etc. were sewn up about 5 days after surgery, but continued antibiotics seemed to clear that.

I've had very little trouble with my castration.

[Kangan (imported)]

After 5 months from being cut by Dr. Kimmel, I still have a small puckered place in my scrotum where the stitches had everted the skin. The cords are impossible to find, but I can get some slight discomfort if I press on the spots where they penetrated the abdominal wall. However, my healing was very slow. It is only now that I can touch my scrotum without any discomfort.

[Bobbisocksgrl (imported)]

Mine took about two weeks to be really comfortable. I sat on ice packs for about 24 hours. Then move slowly after 2 days.

[Boogie77 (imported)]

I have a problem that has to be dealt with one way or another. My issue is a varicocele above my left testicle. I’ve had it a number of years and haven’t given it much thought until recently.

Long story short: My libido went into the toilet about 40 years ago. Ultimately I was placed on testosterone and do to the present day.

About three years ago I had prostate surgery for urine blockage. It was nominally useful but did not really correct the problem. I just put up with it for now.

I don’t know the amount of testosterone that my my testicles produce but when tested without the replacement my natural production had dropped to about 180. Normal is from 300-1200. With the injections it got up up about 1215 as I recall.

So what’s my problem? I can’t get a useful erection and can’t even masturbate right and it is retrograde likely the result of the surgery- a real bummer. I wish I didn’t have had the prostate procedure. Seems to have made the problem worse and I didn’t have erection problems to any great degree but now it is wholly unsatisfactory.

Sent message to the urologist about fixing the problem by removing the varicocele. Haven’t heard back yet. He broke his leg while skiing. But he will be back in August. In reading the information it appears that the varicocele procedure is no walk in the park.

So I am wondering if perhaps a simpler orchiectomy might be order. Take them out. Replace with prosthesis and go on testosterone therapy. It is no big deal and my wife gives me the shots. Since the natural testosterone production slows to a crawl in the testicles, why not simply get rid of them and be done with it? Thoughts would be appreciated.

[cutnbulls2ox (imported)]

I think lots of men think as you do Boogie77. As men age and start having various ball problems and erection and prostate problems, a full castration and getting higher testosterone levels back artificially does seem to be a reasonable and good solution for many men. Once a man is done breeding and he has enjoyed decades of great sex with his pleasure giving balls enjoying his sex life, castration starts to look pretty attractive to a lot of men. The testicles have done their jobs admirably and a voluntary retirement looks better than struggling with chronic ball pain or low natural testosterone levels causing sex problems.

You are finished needing any sperm, you are on artificial T already, your balls atrophied and shut down from 40 years of replacement T, so your balls are just decorations hanging in your sack at this point. Do your balls feel pleasure during ejaculation ? Most caressing pleasure comes more from the scrotum than from the balls. An extra big set of prothetic balls swinging proud in your sack does sound really good. The bigger the better if you don t mind some inconvenience fitting them in your pants and careful walking and sitting a little more bow legged ?

[Boogie77 (imported)]

I think lots of men think as you do Boogie77. As men age and start having various ball problems and erection and prostate problems, a full castration and getting higher testosterone levels back artificially does seem to be a reasonable and good solution for many men. Once a man is done breeding and he has enjoyed decades of great sex with his pleasure giving balls enjoying his sex life, castration starts to look pretty attractive to a lot of men. The testicles have done their jobs admirably and a voluntary retirement looks better than struggling with chronic ball pain or low natural testosterone levels causing sex problems.

You are finished needing any sperm, you are on artificial T already, your balls atrophied and shut down from 40 years of replacement T, so your balls are just decorations hanging in your sack at this point. Do your balls feel pleasure during ejaculation ? Most caressing pleasure comes more from the scrotum than from the balls. An extra big set of prothetic balls swinging proud in your sack does sound really good. The bigger the better if you don t mind some inconvenience fitting them in your pants and careful walking and sitting a little more bow legged ?

Thank you, I appreciate your post. I agree with your post entirely. I had researched this extensively and considering the varicocele problem, even if corrected doesn’t mean that I will be “cured.” It is a crap shot. And if it fails, then I haven’t moved the ball. As I read about that procedure it seemed a little more complicated and uncertain than would be a full castration. I mentioned this to my wife last night and she was shocked having no knowledge of the subject. We know that replacement T works. So a steady amount every two weeks would seem to be the answer. We also know that replacement T shrinks the balls. And I can certainly tell it. I had ordered a cock ring from Amazon to achieve erections. It is one of those three ring kind. I could get my penis in just fine with some difficulty. The idea of the tree ring device was to ensure that it wouldn’t slip. I was reminded of long ago when fitting a condom was anything but certain. I said at the time, “are you kidding me?” Anyway back to the 3 hole ring my balls had shrunk so much that all I could get through was scrotum tissue. Well, that obviously won’t work. I wrestled with it and literally couldn’t find them. I finally gave up and said to myself something has to be done. I may be old, but I’m not dead.

One more thing. I get no pleasure from my balls. And the ejaculation is totally unsatisfactory. I didn’t know that I would have erection problems and I certainly didn’t know about the retrograde ejaculation. Thisis from the prostate TURP procedure. Turned out this is classified as “ major surgery.” My recommendation is for anyone contemplating this should get two maybe three opinions. Once done there is no way back.

The final option is because the Cialis didn’t work except to make me agitated and nervous all night long are penile injections at the base of the penis. As of yet that hasn’t been done because the surgeon won’t be back until next month. We’ll see. But useless baggage will still be there.

A penile implant is off the table as far as I am concerned. It is so frustrating. Although I am old I haven’t been sick of anything in a dozen years. So I just want this fixed. Thanks for reading. Hope I haven’t bored everyone.

[cutnbulls2ox (imported)]

Hey Boogie77,

Noy bored at all. Most men will face ED and other male sex organ problems if they live long enough. It happens to the most virile men with enough years of living. Lots of men not commenting on your posts face similar virility and ED problems. Most readers never leave comments. Just a few of us who hate to see worthwhile posts or questions going unanswered and speak up.

One of my buddies had a big varicocele that was wrecking his sperm and preventing him from impregnating his wife. He was getting kidded by his hyper masculine co workers with offers to do his husbandly duties for him and impregnate his wife for him. After lots of infertility testing on both him and his wife, drs said they could not find any reason a healthy young couple was unable to get pregnant after lots of trying. My buddy read all about male and female infertility and diagnosed his own varicocele and showed it to his dr. The dr agreed and did surgery to cut out his big bag of worms like scrotal swollen veins that were affecting his balls and sperm. He said it was not bad and healed up quickly. Since then, he can impregnate his wife as much as they want ! His fertility is great now.