I've posted a few times in the alcohol injection thread about my recent visits to my urologist in Texas, but I thought I'd start a new thread to see if anyone has any advice.

I injected alcohol into my testicles well over a dozen times, and they've shrunk significantly. They're now probably the size of an olive and hard and lumpy. I've always wanted to be castrated, and think maybe my time has come, if I can talk my urologist into it.

Last September, I started feeling a lump on my left one that hurt, so when I visited for my regular check-up with my family doctor in October, I pointed it out. He said that it didn't feel like anything of concern, but told me to come back if it got worse. By Thanksgiving, the left one had swollen significantly, and the right one was hurting, so I went back. He sent me for an ultrasound and said it was just epididymitis and orchitis (infection in epididymis and testicles), and not a tumor, so he put me on antibiotics.

After two weeks on antibiotics, they didn't get better, so he sent me to a urologist. I've seen my urologist four times, and am visiting for a fifth time on Friday. He's sent me for three more ultrasounds, and each time it shows that they're "heterogeneous" (they should be homogeneous showing no The swelling in my left one is still significant, and the right one is still hard and lumpy. I want my doctor to recommend a bilateral orchiectomy (castration of both of them), preferably through the scrotum and not the inguinal canal.

Suggestions on what I can tell my urologist so I'd have the best luck at being castrated? And to be castrated through the scrotum? They do hurt, and the left one is still really swollen. I really want him to suggest it so my wife doesn't think I'm pushing castration (no, she doesn't know my desire). I've been on HRT for some time because I had low T, lost energy, and couldn't maintain an erection. I'm 52 and have no desire to have kids.

Thanks for your suggestions.

All I can say is good luck. I also tried injections (20 or so) to damage my testicles enough to warrant their removal by my urologist but at best he was only willing to remove the right one, the one with the biggest lump. After visiting him 5 times and spending enough $ to get my deductible met he stated he was not going to do a full orchie. Frustrated and much poorer, I contacted Dr. Arnkoff and scheduled my surgery with him last October. Everything went smoothly up to the moment of removing my testicles when he discovered they were adhered to the inside of the scrotum. He spent an extra 30 minutes cutting them out of the scrotum and this caused major trauma. I was swollen to the size of a softball for 3 weeks and was still seeping blood from the incision 9 weeks later. My recovery was completely miserable! I have contacted another EA member who also did many injections and had similar problems during his orchie with his testicles being fused to the inside of the scrotum. I can only assume this was caused by the injections.

As I stated earlier "Good Luck". I have no regrets about becoming a Eunuch. However if I would have been able to see into the future and know the results of doing the injections I would have saved my time and money and just gone to Dr. A to begin with.

Hope the best for you. Pete

I have a similar experience with multiple injections visited three urologist and a plastic surgeon and frankly unless there is significant i

indicator of cancer or you can keep mentioning you are intense pain it is extremely difficult to convince them to be removed. The best

I could of done was the removal of one testicle and all the professionals would only do a radical orchiectomy. The plastic surgeon

would possibly done a bilaterial laterial radical orchiectomy as a private pay.

I had multiple ultrasounds done which had similar findings. I was told to watch the situation and come back for a follow up in one year. The last urologist suggested that maybe he might consider it with a consultation with my psychiatrist. I wish I had a simple

answer but the medical profession of "do no harm" pretty much ties their hands. It is a very awkward situation. I finally, with my

urologist that I have had for the past year, just told him the truth. He was unsettled and somewhat understanding but has been unable to cross the line.

The outer surface of the testicle being "fused" with the inner layer of the scrotum may be due to leakage of alcohol from the testicle.

Depending on how much you inject, the alcohol may be too much and be under pressure inside the testicle, during the injection process.

When the needle is removed the alcohol seeps, or shoots, out of the small needle hole.

Alcohol outside of the testicle and inside of the scrotum will cause a sensation that can be between uncomfortable burning sensation to "balls on fire holy hell" sensation, depending on how much alcohol leaks out. (I experienced the latter)

Why the testicle "fuses" to the inside of the scrotum is unclear to me.

Potential preventative measures for such a negative side effect would seem to be to use smaller doses of injectable, and following injection, massage the scrotum and balls for a long time to hopefully prevent them from resting in one spot long enough to permit any leakage of fluid from causing any fusing.

The above is pure speculation, not even close to being medically justified.

But, since my balls experienced alcohol leakage and burning from injecting too much alcohol, and they were definitely fused to inside of scrotum afterwards (which has been mostly reversed by heavy manipulation and massage of scrotum and balls), had I known this information before hand I would have probably proceeded with more restraint during my injection process. I also found that after multiple injections spanning a few months, and as my balls shrank, and got hard, I needed to inject less and less alcohol to prevent leakage of alcohol out of the ball and into the scrotum. Ball size, and firmness, does matter. Small amounts of alcohol injected on a regular basis over a longer period of time I would have done, but such opinions were not available at the time I started to inject (nearly 2 years ago).

Thanks for all the good advice. At my appointment with my urologist on Thursday, he took me off antibiotics because he said that if they hadnt worked by now, they wouldn't. He ordered another ultrasound next Wednesday and unless I miraculously recover this weekend, he asked me to come back for an appointment next Thursday to make plans for a biopsy.

My balls are both hard and lumpy, and less than half the size they were after at least 20 injections over the last year. With the bad infection, I'd have to think the biopsy will show that they're infarcted or calcified, and they should be removed. I really hope he decides to take them out when he sees them from the inside.

Hi all,

I have just had the last one removed last week and all is doing well.

What I did was to inject one until I could feel it was very hard and I could squeeze it without any pain, there was also a small lump on it,

Going to my local doctor she sent me to get a scan on them during the scan the operator went out and got the doctor to come in and check it out, he thought it was cancer that I had and took me to get straight back and see my doctor and I must go and see a specialist about it. Which she sent me to an urologist and within in 3 day I was in hospital getting it takes out on a Saturday.

After healing for a while I started to inject myself again and this time I noticed that I was getting lots of pain and swelling in it, long story short 5 scan later (and it was showing that it was dying and had very little blood flow to it) and many many visit to the urologist and telling him that the pain was unbearable he decided to take it out.

What I am trying to say is that you have to tell them that you are in lots of pain.

They took the first out thought the groin and the last out thought the scrotum and it is less pain full thought the scrotum but i think it better by the groin

Several points to consider,

First off, Male urologists seem to really have an issue with doing a bilateral orchie. I guess its that whole "unmanning" thing. I saw dozens over the years, and in spite of all the issues and indicators , not the least of which was pain, they would NOT remove them.

When I did see a female urologist, I went prepared. I had kept a journal of the pain I had, when it started, how long it lasted, and the level of pain on a 1 to 10 scale. I also took a list of all past treatments I had had, and was quite frank about the fact that I am gay , infertile, and well past the age when making a baby even if possible would be VERY unlikely.

She slept on it, and called me and agreed to do the procedure.

As a rule, the medical community does NOT think that surgery is a cure for pain. Especially when dealing with testicles. IN spite of the vast majority of doctors being men, there is really very little research into the testicles, and because men tend to clam up about pain, far too few researchers looking into the reasons for testicle pain.

When you see your doctor, discuss quality of life. Bee frank that you would be much happier to be pain free, and that you see no detriment to being testicle free. Point out that HRT is needed anyway, so that very little would change except that you have a chance to be pain free, and further you reduce the risk of some other charming complication like cancer. Calcified testicles can and often do become cancerous, even long after the age when testicle cancer usually strikes.

Also quite frankly, if you don't get an answer you like, see another urologist, and keep seeing them til you find one who will do what you want. Others have also said that seeing a urologist who is part of a large practice seems to increase the odds of their being agreeable. The motivation for profit is much stronger.

Raymar

I didn't have a problem but I went prepared with a statement just in case.

They have for filled my reproductive needs and I therefore have no further use for them, they are no longer require and are causing me pain and a great deal of worry and I want them removed and am willing to sign any forms stating that in doing so there will be no future legal come back on the hospital or its staff.

If this doesn't work add. OK can you do me a letter stating that the doctor and hospital will guarantee there will be no further problems and that they will not need to be removed in the future.

This gets the old compo claim frame of mind going in the doctors head.

As I said I was OK but if it came to it, it was what I would have said.

Thanks

I see you've had a series of ultrasounds but no mention of a Doppler ultrasound nor a testosterone test to see what that level is. Doppler will show blood flow which should give input on their condition and the testosterone test will show if they're functioning. Biopsies come in 2 flavors, an ordinary surgical one where a piece is cut out of the testicle and sent to the lab and a needle biopsy where hollow needles take tiny samples much like is done for prostate biopsies. If your doc is doing a surgical biopsy, give him permission to remove the testicles then if they look bad to avoid another surgery. That may not work but gives him the input that you accept castration.