If he wasn't so far away, I'd just go see Dr. Kimmel. However, I don't like big cities and Philadelphia in the winter isn't the greatest place to be. I know that it will take me about a week to heal and get over the pain and I'd rather be in my own bed at home, and not have the agony of traveling hundreds of miles with stitches in my scrotum.
A cutter could be used, but again I don't want to be in a strange city or a seedy hotel room when it happens.
I have explored various DIY methods, and banding sounds possible, but I lack the nerve to even buy one at Tractor Supply. I've walked in there a zillion times, looked at the banders, and then left without buying one. I am so afraid of the clerk's reaction.... Duh!
Actually, I don't need a bander as I could improvise something similar or just tie them off with a plastic tie strap used for electrical wiring.
Then there is the issue of pain. Banding or surgery results in massive pain. So I'd need help from someone with access to suitable medical supplies.
The bottom line is: If there was a local doctor like Kimmel, I'd make an appointment right now. As it is, I'm totally frustrated.