CastratedTomcat (imported) wrote: Thu Jul 14, 2016 10:04 am 3000$ for that easy little OP ... wow ...

I paid $4,440 for a routine adams apple shave so $3k is still really cheap for something more invasive than what I got. Remember he's not some joe blow cutter down the street and have the knowledge to do it right the first time. Personally I'd rather pay a bit more now and less down the road due to complications.

To everyone: I've not looked much into this though what is the general consensus on the type of cut? I see some do it on the side of the scrotum while others do it down the middle.

On sides is a higher risk for getting infections and it's also more sensible for pain ...

CastratedTomcat (imported) wrote: Tue Jul 19, 2016 7:17 am On sides is a higher risk for getting infections and it's also more sensible for pain ...

What are the advantages then? Obviously aesthetics are important for some of us though beyond that is there anything else?

(Hopefully I'm not thread jacking much. I tried to make it a one time post though had to post again for this followed question)

I have two incisions near the middle from my vasectomy (1cm long) and I cant find them anymore.

In the direct middle you shouldn't see it after healing.

On the sides are extreme more nerves and it is much more painful to cut there.

In the middle you will feel nearly nothing after it. I have feeling nearly nothing of my two cuts.

More on the side is also no right air around, so can more easy set in an infection or you have more and longer to bandage it.

krone1000 (imported) wrote: Tue Jul 19, 2016 6:54 am To everyone: I've not looked much into this though what is the general consensus on the type of cut? I see some do it on the side of the scrotum while others do it down the middle.

I believe that Dr. A usually does a midline incision and takes out both sides from there, that's how mine was done. I have seen pics from one member who had Dr. A do his orchiectomy, and there were two horizontal incisions, one on each side. I suspect, after seeing some discussions here, that might have been done in order to cut more of the cords since he will not do an abdominal route, but that possibility has mentioned as an option to some people according to what I've seen posted.

In retrospect, I think given the option knowing what I know now, I'd go for the two horizontal cuts higher up if it did indeed allow more of the cords to be removed during the procedure.

Sept 10th is the date...Can't wait.

zeebster (imported) wrote: Tue Jul 19, 2016 12:39 pm I believe that Dr. A usually does a midline incision and takes out both sides from there, that's how mine was done. I have seen pics from one member who had Dr. A do his orchiectomy, and there were two horizontal incisions, one on each side. I suspect, after seeing some discussions here, that might have been done in order to cut more of the cords since he will not do an abdominal route, but that possibility has mentioned as an option to some people according to what I've seen posted.

In retrospect, I think given the option knowing what I know now, I'd go for the two horizontal cuts higher up if it did indeed allow more of the cords to be removed during the procedure.

When we spoke, he offered a "high scrotal" approach when I talked to him about the clinical results of scrotal vs. inguinal orchiectomies in treating chronic pain - inguinal removal is a complete cure 3/4 of the time and improved the rest of the patients significantly, but scrotal removal was disappointing - something like half the patients in that group had no pain relief.

So, with all due respect to Dr. Arnkoff (which is quite a lot, since he's quite progressive here), he's simply not selling what I'm buying.

Back on point, what you mentioned about placing incisions up high to remove as much of the cords as possible? It's completely accurate. That's exactly what we discussed.

ZeuterMe (imported) wrote: Thu Jul 21, 2016 2:16 pm When we spoke, he offered a "high scrotal" approach when I talked to him about the clinical results of scrotal vs. inguinal orchiectomies in treating chronic pain - inguinal removal is a complete cure 3/4 of the time and improved the rest of the patients significantly, but scrotal removal was disappointing - something like half the patients in that group had no pain relief.

So, with all due respect to Dr. Arnkoff (which is quite a lot, since he's quite progressive here), he's simply not selling what I'm buying.

Back on point, what you mentioned about placing incisions up high to remove as much of the cords as possible? It's completely accurate. That's exactly what we discussed.

I've been reading all of these responses and am confused what people would say is the "best" to get as each one seems to have their own preference. Would this question be best as a new topic at this point as I didn't expect it to go this far?

Losethem (imported) wrote: Sun Jul 17, 2016 9:00 am Now we're getting, "It needs to be near a place where I have friends and/or relatives..." This is much like the continual drum beat from folks of, "My help needs to be nearby, in the same town preferably." It's a road block. If you want this done, you'll find a way to make it work. Otherwise I'll assume you're just here wanking and never intending to do anything because you keep throwing road blocks up.

--LT

I appreciate the commentary from the peanut gallery. You should focus on the words -would be great to know of- in there, how the word "need" doesn't pop up once, and then go shove the attitude where the sun don't shine. As far as the wanker bit goes, do you want timestamped proof of my Androcur collection and shrunken dick and balls or something?

krone1000 (imported) wrote: Thu Jul 21, 2016 3:57 pm I've been reading all of these responses and am confused what people would say is the "best" to get as each one seems to have their own preference. Would this question be best as a new topic at this point as I didn't expect it to go this far?

If you're after orchiectomy to treat scrotal pain, then inguinal is definitely the best approach, though the studies demonstrating this difference are statistically weak. (Well, definitely the best if the statistics hold in larger sample sizes, which can't yet be proven. The difference in those small sample sizes is something like a 25% cure rate vs. 75% though.)

your reason dictates the "best" approach. If you're looking for a cosmetic body-mod, and want scrotal reduction, there's no reason not to go with a scrotal approach. It'll save you having another scar, and having a plastic surgeon do the procedure, that'll minimize the appearance of scars overall (and the scrotal-reduction scar can appear minimal enough to pass as a natural raphe). If you want to tank your testosterone, injections are simple and cheap.

What specifically are you chasing after in this?