An Onymus (imported) wrote: Fri Oct 10, 2003 5:46 am Since the blood vessels from which substantial hemorrhaging could occur, would seem ordinarily to be only those in the seminal cords, you would think that someone doing this type of surgery, could administer a local anesthetic to the seminal cords, tie them off with absorbable suturing thread (possibly also a membrane patch), and then sever the cords below the threads, with the loss of only a few drops of blood. The suturing thread would be left on when the scrotum was sutured, to prevent postoperative hemorrhaging. But, of course, you still have to know exactly what you're doing when you embark on any surgery. And, even then, a lot of operations turn out to be harrowing adventures, regardless of the training or competence of the surgeon.

You're absolutely correct, and the cutters that have successfully castrated dozens of candidates do exactly this. The problem is that the task is harder to accomplish than your simple description might indicate. Both expressing the testicles outside the sac and then tying off the cords require a certain amount of skill, more than a lot o' amateurs or naive observers might believe.

My cutter experienced some difficulty in closing down blood flow in the cords to nil. Remember, the blood is flowing the whole time he's trying to close it down. However, he was both patient and careful. He wouldn't have even considered severing the cord 'til until he was 100% certain that all of blood flow had been successfully stopped. Some cutters - and doctors - cauterise the cord as they cut. You don't mention it, but the use of hemostatic clamps was key to this procedure.

I have seen it done many different ways, you really have to be very careful and make sure to tie the vessel cords off correctly and make sure the knot is not going to slip off.

When my cutter friend was removing Don's testicles he got sloppy from being exhusted and very nervous. I know he didn't remove all the surrounding tissue from the testicles, and I remember him saying as I took a photo "This is not the correct way of doing it, so don't submit the photos, otherwise people may make a serious mistake". I still wonder what was going through his head then, but going back on what I witnessed and later learned That was the cause of the problems later that night.

I did end up posting the photos to www.bmezine.com but I put warning messages on them stating incorrect proceedure that led to hospitalization visit.

I have learned a lot of stuff from that aweful night, and have done a lot more research for when I attempt my own castration. I plan on using combonation of both methods, I will will use sutures to tie off the cord and then used cautery to seasl the end of the cord.

Is there such a thing as a scalpel that cauterizes as it cuts (like a knife that you left in the fire, but more high-tech)?

I was thinking, what if the scrotum was cut open, the cords to the testicles pulled out, cut with the cauterizing scalpel, then the scrotum is sewn up (leaving the testicles inside to die and be absorbed by the body)?

That seems to be a method that requires less cutter skill, and thus has less potential for human error.

The cautery pen I uses can cut, but it is real slow at cutting. I've used it to split my glans and a few times when I have done my partial subincision and trying to plit my sac in half.

It has helped keep the bleeding under control, but I haven't used it on any big blood vessels like you find in the cord.

I couldn't be definite bout if it would work or not, but my gut feeling is it wouldn't work very well in the method you suggested.

First of all it would be hard to seal up a vessel especially while blood is flowing through it. I'm also not sure what would happen if some of the clotted or burnt tissue got into the bloodstream, which seems very likely if you haven't clamped off the blood flow.

Besides a cautery isn't the easiest thing to use, you still can bleed even if you have used it to cut tissue. You really need to know what you are doing to fully seal off a wound from bleeding with a cautery unit.

Probably the quickest way of accomplishing hemostasis is using stainless steel surgical staples. They come in a variety of sizes, and the trick to successful stapling is doubling the cord over and stapling the doubled over part.

Of course, if you do not have the patient anesthestized this will bring the poor sucker up off the table with an ear-splitting scream, plus they most likely will lose control of their bodily functions and most probably squirt you like a skunk would.

Otherwise, you dissect the cord and clamp the artery and usually two veins separately from the creamaster muscle and the various fascia that covers the structures that I do not remember. Then you would sever the nerve quickly and neatly instead of smashing it with a staple or burning it in half with electrocautery. This is the less painful way but it is decidedly NOT the safest way, you see.

I really recommend seeing a real Doctor to get this done because if somebody should happen to have a stroke or heart attack and die while you are doing this, it is manslaughter at best. Keep in mind that most of these people have been fooling around with steroids and hormones for years and therefore are good candidates for stroke or myocardial infarction. Something as simple as a basic arrythmia can get crazy if their electrolytes are not right and they could die after you cut off the left ball and before you could cut off the right one.

No, trust me on this one. Nobody would have the pain tolerance to have this done right without anesthetic. Unless, of course, you took them to a blacksmith shop, tied them down, hooked them up with that Roman Clamp that you all used to have displayed on the Home page and cut the whole she-bang off in one fell swoop with a sterlized Rambo knife. Then, taking the glowing red-hot flat iron out of the forge, you would slap it against the stub and count to 10 while the poor stub fried like a T-bone on the grill at your local steak house. All the time he would be shitting and pissing himself. If this did not give somebody a stroke or a M.I. they would have to be in damned good shape.

Nope, fellers, I'd pass on this one unless you know how to pass gas out of a tank through a regulator into a respirator and the fine science of anesthesiology.

...Of course, there IS the spinal anesthetic, but that is a story for another time...

A-1

I guess the bottom line is

Castration can be dangerious no matter who does it but the odds are in your favor if you use a Qualified Doctor over a cutter or doing it yourself. This is not to say that you cant castrate yourself, several have and are still with us. Others have used a cutter to success but I am so glad Dr Kimmel did mine and Luvpain and thefraj were waiting for me in the lobby. It good to have someone you trust with you.

Riverwind

A-1 (imported) wrote: Tue Oct 14, 2003 7:57 pm Unless, of course, you took them to a blacksmith shop, tied them down, hooked them up with that Roman Clamp that you all used to have displayed on the Home page and cut the whole she-bang off in one fell swoop with a sterlized Rambo knife. Then, taking the glowing red-hot flat iron out of the forge, you would slap it against the stub and count to 10 while the poor stub fried like a T-bone on the grill at your local steak house.

A-1

That is SO ghastly, so cruel, so ancient Roman!

I just lost my lunch!!!!

Although the glowing red-hot iron is kinda ...

SCARY!

Dave (imported) wrote: Wed Oct 15, 2003 10:56 am Although the glowing red-hot iron is kinda ...

SCARY!

Only if you wiggle...



A-1