How, exactly, did your cutter perform your orchiectomy? What type of anesthetic did he use, local or general? If local/regional (i.e. Lidocaine) where did he inject it? In the upper groin area (regional-femoral) or into the scrotum (local)? If local, did he numb the testis directly or just the scrotal area? All details are welcome.

Madscientist do you mean Don the guy in the news from Michigan?

Well, it's not the first time in my life I've been called Dan

I'll describe what I remember (and feel free to jump in, luvpain -- you were watching and I wasn't).

He began with a topical anesthetic around the groin area, similar to what a dentist uses on your gums before injecting the anesthetic. Then he injected Xylocaine (I saw the label on the bottle) at several places around the junction between my scrotum and groin. On each side he waited I would say about 15 minutes or so for the anesthetic to take effect before beginning the incision.

Hope this helps.

madscientist (imported) wrote: Fri Jun 21, 2002 11:58 pm How, exactly, did your cutter perform your orchiectomy? What type of anesthetic did he use, local or general? If local/regional (i.e. Lidocaine) where did he inject it? In the upper groin area (regional-femoral) or into the scrotum (local)? If local, did he numb the testis directly or just the scrotal area? All details are welcome.

Well I will keep this a little short for the time being, as I’m running out of time and need to get to bed.

The Cutter used EMLA Cream (Lidocaine 2.5% & Prilocaine 2.5%) and injectable 2% xylocaine.

He first used the EMLA cream over the area of the sac he was going to poke and inject the xylocaine into. He let that sit for about 5 minutes and then started injecting the xylocaine in to the sac. He injected it into the tissue surrounding the area that was going to be cut, and then deeper into the sac and possibly the spermatic cord then. He let that take effect before making the slit along the top and right side of sac. He skillfully exposed the right testicle out of the sac. He had to inject more xylocaine into the spermatic cord as Don seems a little immune to its effects. He tied of the cord using surgical grade nylon thread.

Then it was cut off, and sac sewn back up. Both the cutter and Don to a break after the right one was done.

Next the process was repeated on the left side. Same process EMLA cream, followed by xylocaine then the cut was made along the upper left side of the sac. The left side had more issues, as the connective tissue didn’t seem to want to cooperate. Finally the cord was tied off, and cut making Don a eunuch.

After everything was sewn back up and Don was cleaned up. Things where put away, and Don, the cutter and I all sat down to eat some berry pie. The cutter constantly was checking on Don’s status making sure he was alert and warm. Everyone was about to leave, as it was getting late, and everything seemed to be OK. One final check of the area revealed the problem, and everything went downhill from there. The left side was bleeding heavily from the incision site. Don’s sac was about the size of a grapefruit and was filled with blood. It was definitely a sign of a problem due to internal bleeding. I’m guessing that the problem was due to the knot around the spermatic cord slipping off the cord. (However that is a guess on my part, as I am not a doctor or have spoken with the ER crew that worked on Don that night)

As far as I’m concerned the cutter wasn’t selfish and acted more like a hero that night. He was the one that insisted 911 be involved even though Don kept insisting that the cutter try his best. The cutter realized that the problem were more than he could handle, especially with the equipment he had on hand.

For those that are criticizing Don for informing the police who did it I really don’t think it matters. The Police probably would have easily traced the blood trail back to the cutter’s house and had arrested him or even worse found his dead body. With everything that had happened that night the cutter was in very bad emotional shape after realizing that he had come close to losing Don that night. I know from what I can remember the cutter had made a few suicidal comments, and I do think Don did make a wise choice in informing the police about the cutter.

I know I’m personally disappointed in what happened that night and will be forever altered by those events. I had been looking forward to getting back with the cutter for some more CBT sessions, and possibly have him help me with some body modifications I want. Now I’m back to square one like the rest of you, needing to find a qualified cutter, and an experienced person for my CBT sessions.

BTW, I would guess that between 30-40cc of xylocaine was used that night. From my observations it didn’t work very well on Don, which I believe is part of the problems as it was throwing the cutter off and making him nervous about causing Don any pain.

Fell free to ask for some clarification on it. However, I will be away all day Saturday and most of Sunday.

OK, so he used a local, which is why I guess it hurt. One thing, though. It appears that the cutter intended to leave the blood vessels tied forever with nylon suture, a practice I have never heard of. Tell me, Don. When you were hospitalized, did they seal the vessels some other way?

Blood vessels are usually sealed with an electro-cautery device in addition to ABSORBABLE sutures. Soldering guns will work but they are inadequate because they are not capable of maintaining a high temperature for cauterization like electro-cautery units are. Supplies obtained through a vet supply company will work for minor surgical proceedures although they are not of high quality.

It is very easy to get bleeders in the scrotum. Even a slight leak's effects will be more exaggerated because it will bleed into the sac easier than into the soft tissues of the lower abdomen. Pressure is the key, whether it be applied from the outside or by the surrounding tissues. Long ago I told you guys here that lower abdominal incisions are superior to scrotal incisions. This is an illustration as to why this is so.

Now you know why in the eunuch literature castrates were tightly bound for 3 days which led to kidney troubles. Kidney troubles are preferrable to bleeding to death. It was the best that could be done in ancient times

I know that a lot of guys fo the scrotal infusion thing with saline. Blood in the scrotum is slightly irritant and not as easily absorbed. Compare the process in some old person with fluid in their ankles and lower legs from kidney and/or heart failure to a HUGE bruise. I should not have to explain which is the least painful.

It is a shame that you cannot get a licensed physician who will do this for you all. Somebody is eventually going to get killed here attempting this.

A-1

As I say, no problem about the name. My Dad was and my older brother is Dan, and lots of people (including my Dad ) have called me that over the years.

In answer to your question, I really don't know what they did to seal the vessels at the hospital. I'm sure they did something (the surgery took somewhere close to 3 hours), but I just didn't bother to ask.

madscientist (imported) wrote: Tue Jun 25, 2002 11:58 am OK, so he used a local, which is why I guess it hurt. One thing, though. It appears that the cutter intended to leave the blood vessels tied forever with nylon suture, a practice I have never heard of. Tell me, Don. When you were hospitalized, did they seal the vessels some other way?

A-1 (imported) wrote: Wed Jun 26, 2002 12:57 pm It is a shame that you cannot get a licensed physician who will do this for you all. Somebody is eventually going to get killed here attempting this.

Which makes me wonder what will happen when Dr. Spector dies. Will Dr. Kimmel stil be willing to peform legal and safe castrations, or will he decide that he doesn't want to be responsable for the actual counseling that Dr. Spector does before the operation?

If I only had the money...to fund a scholarship for some enthusiastic doctor-to-be to specialize in urology with the understanding that his practice would include castrations on demand.

Andrew (imported) wrote: Wed Jun 26, 2002 6:17 pm Which makes me wonder what will happen when Dr. Spector dies. Will Dr. Kimmel stil be willing to peform legal and safe castrations, or will he decide that he doesn't want to be responsable for the actual counseling that Dr. Spector does before the operation?

If I only had the money...to fund a scholarship for some enthusiastic doctor-to-be to specialize in urology with the understanding that his practice would include castrations on demand.

I'm not sure about what Dr. Kimmel will do down the road.

It is too bad that I don't care for school, as I wouldn't have any problem going into that line of work, and performing castrations on demand.

A-1 (imported) wrote: Wed Jun 26, 2002 12:57 pm Blood vessels are usually sealed with an electro-cautery device in addition to ABSORBABLE sutures. Soldering guns will work but they are inadequate because they are not capable of maintaining a high temperature for cauterization like electro-cautery units are. Supplies obtained through a vet supply company will work for minor surgical proceedures although they are not of high quality.

How hot an iron does one need? Do you know the minimum wattage? There ARE hot soldering irons.