LB-herelt (imported) wrote: Sat Jun 20, 2009 10:50 am
I have excised my both testicles and don't take hormones. Some time after castration I noticed that my penis has decreased, evidently. The same happened to my sack. Since, I haven't circumcised before the castration my foreskin became too long in a comparison to a flabby penis (I am constantly impotent). It looks as if the entire penis was only made from foreskin. Having such excessive foreskin I have problem with an intimate hygiene after urinate.
I haven't decided about a surgery, yet - I consider seriously two ways of my problem solutions: lower radical - the circumcision procedure and scrotum removal ...or ultimate - a complete the penis and scrotum removal.
My experiences are similar. I had a circumcision, frenulum removal and release of penoscrotal webbing in June 2008, and orchiectomy and scrotum removal in December 2008.
The reason for me wanting to undergo orchiectomy and take estrogen is that I am a male-to-androgyne transsexual and I did not want my body and face to be masculinised any further by testosterone. I also want my face to look more feminine and to develop breasts. On the other hand I do not feel a sufficiently strong desire for SRS that would justify its risks, complications and long-term maintenance.
I found a friendly urologist who was willing to give me advice, and perform some preliminary surgery in June 2008. Although he approved of my desire for orchiectomy, he was not willing to take the medicolegal risk of performing the orchiectomy himself. Therefore in December 2008, I flew to the US to be operated on by Dr Kimmel.
The first urologist advised me to have a circumcision because my foreskin was long and tight, with a short and tight frenulum, and often became sore and swollen. He said that estrogen and a lack of testosterone would make things worse. He also said it would be harder for me to get circumcised after orchiectomy than before, because the surgeon would be more inclined to question my sanity! He also advised that the circumcision scar should be positioned close to the corona of the glans, in order to prevent the scar from being able to slip over the glans and form a secondary phimotic ring. He also recommended the removal of all of the mucosal skin, because it would atrophy and become sore under the influence of estrogens, but none of the shaft skin because it would be needed to accommodate expansion during erection, as estrogen reduces the size of the flaccid penis, but hardly affects the size of the erect penis, while reducing the elasticity of the shaft skin. He also recommended the removal of the frenulum. He also said that he could release the penoscrotal webbing that I had in order to give me a better cosmetic outcome than if I had it done at the time of my orchiectomy and scrotum removal. Therefore, in June 2008 I had circumcision, frenulum removal and release of penoscrotal webbing as a single operation under local anaesthetic.
As for my decision to have scrotum removal, but not penectomy or SRS. I disliked the bulky appearance of my male genitals, but I have always enjoyed orgasms and hope to have a sexual relationship. Being able to orgasm and have a sexual relationship matters more to me than whether I have a penis or vagina. Therefore I was not willing to accept the risk of losing orgasmic ability if I had penectomy or SRS. Scrotum removal was a way of debulking my genitals without significant risk to orgasmic function. Also, although I enjoyed orgasms, I hated ejaculation. Androgen-deprivation and estrogen have abolished ejaculation, without affecting orgasms. So I think I have found the right compromise. (Perhaps in my subconscious I saw scrotum removal as a way of preventing myself undergoing SRS).
I notice that you are not taking any hormones, and you describe yourself as asexual in your profile. During the weeks before and after my operation when I was not taking any hormones I felt asexual, but my sexuality returned within a few days after I restarted estrogen. So it might be an idea to see whether you are happiest without hormones, or with testosterone or estrogen, and how these hormones affect your sexuality and body image. For example, if you begin to want SRS, the removal of scrotum and foreskin would be a mistake. Or, you might feel no desire for SRS, but wish to remain sexually active (the situation I am in). In that case penectomy would be a mistake.
At the moment, without testicles you do not have testosterone masculinising you, so you have time to decide what is best for you.
Best wishes
Helsinki
: lower radical - the circumcision procedure and scrotum removal ...or ultimate - a complete the penis and scrotum removal.
but in my case, the scrotum is appeared a little imp.
This piece of skin reacts oddly to the environmental conditions. If in a hot day, a droplet of sweat appears on the scrotum I get a mad itch attack. Sometimes, the scrotum may to itch me without a reason. It is very unpleasant. I'm convinced of the need for a surgery. I'd like to rid scrotum and foreskin (I'm sure) or everything (I hesitate yet). I'm not such brave and ready for the ultimate solution yet and I don't know in this moment what should I decide to take ?.