I am due to have my testicles surgically removed on March 15th. I had considered getting my urologist to remove my scrotum at the same time, but he is unwilling to do this for me and warned that removal of the scrotum could lead to pain from potential nerve damage.

The reason that I want my scrotum removed is 3 fold. 1> I shave and I think that shaving an empty scrotum will be a pain in the ass as shaving one with the testicles in it is already a pain in the ass. 2. At my age, I am not interested in prosthetics and as such don't see the need to keep an empty sack hanging around. 3. I have also read that an empty scrotum can sag and droop in hot weather and that this can be extremely uncomfortable.

My question is how many of you guys who have been castrated had their scrotum removed either at castration of r at a later date and what were your experiences in this regard. I am interested in hearing from those who had the scrotum removed at castration as well as those who had the scrotum removed later on. Did you suffer any discomfort and pain as a result of the removal besides the normal post operative discomfort during healing and how uncomfortable was the empty scrotum post castration.

I am seriously considering having mine removed later on as my urologist isn't keen on removing it during the surgery.

Your honest thoughts and answers please.

For what it's worth, I find no issues shaving my empty scrotum. So I would not say that is a good enough reason to have it removed, but do so if it's what you truly desire.

--LT

My scrotum was very small and initially I had no plans to remove it. I did however find that due to the way I perspire in warm weather that it was not comfortable, and opted to have it done. The removal was by far more discomfort than actually having the testicles removed. The scar is much larger. Once that initial discomfort was passed, I have had no issues, and certainly no nerve damage.

Most surgeons do not wish to do both at once since the potential for swelling is much greater and stitches can be torn. There are however some who do both together as routine. I have a friend who was actually quite surprised when he saw himself after his testicles were removed as the surgeon had also taken his scrotum, and that had simply not been discussed. When he quizzed the surgeon about it, he was told that since the doctor felt implants were a really bad idea and did not believe in them as well as a track record of patients coming back to have the scrotum removed he simply did both as a matter of course.

Aesthetically I think that removing the scrotum looks better, and while mine was never large I feel that it is hygenically better, since smooth is much easier to clean and dry when bathing.

Raymar

raymar2020 (imported) wrote: Thu Feb 27, 2014 5:46 am Aesthetically I think that removing the scrotum looks better, and while mine was never large I feel that it is hygenically better, since smooth is much easier to clean and dry when bathing.

Thanks very much for that info. I have seen pics of removed scrotums and I agree that it does look better than an empty bag hanging there. I guess I will wait 6 months and then go and have mine removed. I would however prefer if the urologist would do it all at once then it would only be one surgery instead of 2.

As mentioned, the doctors don't want to do both procedures at the same time due to swelling issues for the most part. I was told to wait six months before getting my scrotum removed would be considered. While I'd still like it done, mine has not been much of an issue as it is pretty small so going through the surgery, required healing time as well as the expense of the procedure including travel, well it's just not worth it to me right now.

One member, Rab of Mac or something close to that (my memory for names doesn't work all that well...) recently had both the orchiectomy and scrotum removal done at the same time due to some other issues with his scrotum. There are posts here starting in the thread about Dr. Arnkoff and continuing in a blog about his experience. I'm sure he's happy that it's done now but given the choice I wonder if he'd opt to do them at the same time again?

You might want to go check out those posts.

Mine removed a year or ore after the orchie, but still a little remains. The idea was to have it all gone for hygiene etc, but the remnant is not easy to keep clean. I had wanted it all gone, and was well prepared for a period of discomfort to get there. I plan to have the rest taken as soon as I can find someone nearby to do it.

It seems there is a world of difference between slicing off the top and closing the opening (easy), and removing an eliptical piece from the root of dick to a little in front of the anus and closing it as a single line(more work). This would take all the loose stuff and leave just a smooth area with no trace of scrotum. It's important to know what your doc intends, as imho only the second is worth the expense and discomfort.

I have kept my scrotum. Not by choice. The Doc that did my orcectomy did not want to do it. I asked him to but he said it was complicated and that I may get infected. As far as doing it post surgery I will not. It is very painful and the area that they have to work on is very large. Good Luck to you. Boy Eunuch

I asked Dr. A about it and he said it would be an additional $2,500 and we would need to discuss it further if that is what I wanted. If he was closer I might have considered it but the additional cost and the fact that I would not be around for follow up without even more travel and lodging costs I chose not to do it. I find that it actually doesn't bother me and doubt now that I will ever have it done.

I had my scrotum cut off about 9 months after having myself castrated. From what I heard, I was under the impression it would significantly atrophy, it did not. As the plastic surgeon near my home said...skin does not un-grow. I also think one at a time healing is the better route to take...others disagree. If you have both done at the same time and have some problem how do you know which it is from? If you wait a while it is much easier to know exactly how much skin to remove. I had the choice of tight, loose or just flat. I chose flat. I think you can have the scrotectomy done for a lot less cost in an ambulatory surgical facility.

smoothie36 (imported) wrote: Sun Mar 02, 2014 12:53 pm I had the choice of tight, loose or just flat. I chose flat. I think you can have the scrotectomy done for a lot less cost in an ambulatory surgical facility.

What is the difference between a tight and a flat scotectomy? Aren't they the same? How much did yours cost you, if you don't mind saying?