Surgical castration techniques

[Kangan (imported)]

There are several ways to have your testicles removed. The typical DIY approach is to band the scrotum and then cut off all the dangling parts. This is clearly not the method used by surgeons, nor is it a safe method as there can be aftereffects such as adhesions of the cords.

Surgical techniques range from slitting the scrotum in various ways, to a full abdominal incision where almost all of the cords are removed as well (this is typically done in cancer surgery).

Personally, I'd prefer my surgery to be as minimally invasive as possible so a scrotal incision would seem to be the best route for me. Since the cords are located to each side, I would think that a separate incision for each testicle would provide the best route for easier removal of the cords, instead of a single midline cut.

When I had my vasectomy, the doctor made two separate cuts. My recovery was simple and without any complications. I'd prefer my orchiectomy to have a similar lack of complications. Cutting deep into my abdomen through the muscle layers would inherently cause more trauma and possibly delay recovery.

While an inguinal incision would allow for most, if not all of the cord to be removed, I wonder if this is really necessary.

I'd like to hear from those who have gone through surgical castration and what sort of trauma you experienced afterwards. I do plan to talk with Dr. Kimmel about this subject also.

[mrt (imported)]

There are several ways to have your testicles removed. The typical DIY approach is to band the scrotum and then cut off all the dangling parts. This is clearly not the method used by surgeons, nor is it a safe method as there can be aftereffects such as adhesions of the cords.

Surgical techniques range from slitting the scrotum in various ways, to a full abdominal incision where almost all of the cords are removed as well (this is typically done in cancer surgery).

Personally, I'd prefer my surgery to be as minimally invasive as possible so a scrotal incision would seem to be the best route for me. Since the cords are located to each side, I would think that a separate incision for each testicle would provide the best route for easier removal of the cords, instead of a single midline cut.

When I had my vasectomy, the doctor made two separate cuts. My recovery was simple and without any complications. I'd prefer my orchiectomy to have a similar lack of complications. Cutting deep into my abdomen through the muscle layers would inherently cause more trauma and possibly delay recovery.

While an inguinal incision would allow for most, if not all of the cord to be removed, I wonder if this is really necessary.

I'd like to hear from those who have gone through surgical castration and what sort of trauma you experienced afterwards. I do plan to talk with Dr. Kimmel about this subject also.

One other reason for inguinal orchiectomy is if you have chronic testicular pains. One of the most effective ways to eliminate them is complete removal of testes and as much of the cord as possible. For cancer patients the cord can be a issue for cancer may have spread to it. So a surgeon would be very nutty to not remove as much of the cord(s) as possible.

[BudleyBare (imported)]

...

While an inguinal incision would allow for most, if not all of the cord to be removed, I wonder if this is really necessary.

I'd like to hear from those who have gone through surgical castration and what sort of trauma you experienced afterwards. I do plan to talk with Dr. Kimmel about this subject also.

The first half of my two-part procedure was on an emergency (life-saving basis) and was done the minimally invasive style. That later led to complications with the cord that remained, and resulted in major surgery for several procedures, one to remove the "dangling" cord and to fix the associated problems therewith, and also (with my knowledge and consent) full removal of the then one remaining testicle and its associated cord.

If asked now, as a result of my experiences I recommend full removal of testicle and cord in order to avoid future complications. The resulting recovery time is greater, but to me it is worth it. For more details, please review my long thread about my experiences. Can't remember where it is, but do a search on all topics that I started and you will find it. It is a very lengthy thread.

For the curious, the complication from the first (emergency) surgery was not a botched procedure on the part of the surgeon (in fact, there were three surgeons working on me to save my life), but simply a case of something that can happen (and did). Think of the resulting problem as a hernia.

[JeffEunuch (imported)]

There are several ways to have your testicles removed. ...

Personally, I'd prefer my surgery to be as minimally invasive as possible so a scrotal incision would seem to be the best route for me. Since the cords are located to each side, I would think that a separate incision for each testicle would provide the best route for easier removal of the cords, instead of a single midline cut....While an inguinal incision would allow for most, if not all of the cord to be removed, I wonder if this is really necessary. I'd like to hear from those who have gone through surgical castration and what sort of trauma you experienced afterwards. I do plan to talk with Dr. Kimmel about this subject also.

My testicles were removed through 2 small incisions, and I think quick recovery was facilitated as a result. I also had small nuts, and the short 2 cm incisions were probably smaller than others might require.

[DonnyMac (imported)]

Does anyone have experience with the subcapsular method where they essentially "hollow-out" the testicles?

Don

[Kangan (imported)]

My testicles were removed through 2 small incisions, and I think quick recovery was facilitated as a result. I also had small nuts, and the short 2 cm incisions were probably smaller than others might require.

This would descirbe my nuts also. I'm hoping for a similar result.

[stevesd (imported)]

From my research two incesions down each side of the sack to allow access to the testicle and cord is best, and the cord to be tied off twice before being snipped. The procedure should be preformed in the most steril setting, and one should wear a jock-strap afterward to support the penis and sack until it is healed.

stevesd

[Kangan (imported)]

From my research two incesions down each side of the sack to allow access to the testicle and cord is best, and the cord to be tied off twice before being snipped. The procedure should be preformed in the most steril setting, and one should wear a jock-strap afterward to support the penis and sack until it is healed.

stevesd

That is exactly the description of my vasectomy except it was only my vas deferens that was snipped (much to my regret). I'd also hope that Lidocaine or Novocaine was injected into the appropriate places first!

It was weird seeing those needles being stuck into my balls....

[stevesd (imported)]

I had surgrey on both testicles last fall, some repair work needed to be done, by a urologist who routinely does vasectomys. Only cold thing I felt was the liquid brown stuff poured all over my sack by the female nurse. Well the doc I thought was going to castrate me on the spot the way he used his electric knife cautery to make a small cut down from my penis to locate the sprem cords, he was able to work on one of the blood veins that ruptered and when he cut me open puss shot straight out at him. After he fixed me up so to speak he put me on septra antibodics, and I wore a jock for two weeks.

I did not even feel the needle he shoot lidicane into my balls for the surgrey.

He said he would have castrated me if he could not fix the vein problem and I said that would have been okay with me.

stevesd

[kristoff]

Does anyone have experience with the subcapsular method where they essentially "hollow-out" the testicles?

Don

Chat Sag111. His were done that way