Persons Who Need To Be Fixed
Posted: Sun Dec 17, 2006 6:14 pm
As far as I can tell, testicular cancer and cancer of the penis are the only conditions for which it can ordinarily be considered a medical necessity for all or part of the male reproductive organs to be removed, or, in common parlance, for the person to be fixed.
Although orchiectomy is a common treatment for cancer of the prostate, from what I have read and heard, the progress of that type of cancer is sufficiently slow, that it often isn't clear whether removal of the testes is required for treatment of the disease--the patient is likely to expire from other causes before he succumbs to the effects of cancer.
My impression is that, in cases of penile cancer, all or part of the organ has to be removed to prevent metastis. I would guess that, if the cancer has spread to other parts of the reproductive system, it probably has also become extensive enough to be fatal to the person, and excision of the testes would not be an effective treatment.
But the question which would seem to be posed by what some members of the archive have said (and by information from other sources) is, whether an objective protocol of some type could ever be formulated, as to whether there are individuals who need to be fixed, as it were, because of their mental characteristics. I have read in some accounts, that, prior to their orchiectomies, individuals were physically damaging their testes and other sex organs, in ways which were unsafe, and which could have led to life-threatening injuries--the implication being, that orchiectomy was indicated to keep the person from placing himself at risk for his general health. There are also persons who become obsessed with their own dysphoria, and constantly think of suicide, as well as, in some cases, ultimately attempting suicide. Do these persons need to be fixed, for their own safety?
Another category would seem to be those who are unable to control their sex urges, whether those urges cause them to do violence to women, or their urges drive them to pedophilic offenses. Do these individuals need to be fixed, for reasons of public safety?
The idea of "need" is also something which, I would think, would have to be defined in a protocol for determing when someone needs orchiectomy. If, on balance, someone would appear likely to be distinctly better off after removal of the sex organs, can it be said that he "needs" to have the surgery? It must be said, that it doesn't seem easy to predict what the outcome of surgery of that kind will be, either in terms of physical effects or in terms of psychological effects. Still, at the time of the surgery, the person may fully believe that he needs to have the operation, and perhaps the sense of urgency which the individual feels, produces a perception that there is no reasonable option to the amputation.
I do, of course, think that the final decision should be up to the person who would be operated on. But it still seems as though some kind of systematic approach to the problem of decisions of that type, ought to be attempted, or at least the possiblity of that type of approach should be explored. Those who give advice and counsel in matters of sexual surgery, would have some reference from which to make their recommendations.
Although orchiectomy is a common treatment for cancer of the prostate, from what I have read and heard, the progress of that type of cancer is sufficiently slow, that it often isn't clear whether removal of the testes is required for treatment of the disease--the patient is likely to expire from other causes before he succumbs to the effects of cancer.
My impression is that, in cases of penile cancer, all or part of the organ has to be removed to prevent metastis. I would guess that, if the cancer has spread to other parts of the reproductive system, it probably has also become extensive enough to be fatal to the person, and excision of the testes would not be an effective treatment.
But the question which would seem to be posed by what some members of the archive have said (and by information from other sources) is, whether an objective protocol of some type could ever be formulated, as to whether there are individuals who need to be fixed, as it were, because of their mental characteristics. I have read in some accounts, that, prior to their orchiectomies, individuals were physically damaging their testes and other sex organs, in ways which were unsafe, and which could have led to life-threatening injuries--the implication being, that orchiectomy was indicated to keep the person from placing himself at risk for his general health. There are also persons who become obsessed with their own dysphoria, and constantly think of suicide, as well as, in some cases, ultimately attempting suicide. Do these persons need to be fixed, for their own safety?
Another category would seem to be those who are unable to control their sex urges, whether those urges cause them to do violence to women, or their urges drive them to pedophilic offenses. Do these individuals need to be fixed, for reasons of public safety?
The idea of "need" is also something which, I would think, would have to be defined in a protocol for determing when someone needs orchiectomy. If, on balance, someone would appear likely to be distinctly better off after removal of the sex organs, can it be said that he "needs" to have the surgery? It must be said, that it doesn't seem easy to predict what the outcome of surgery of that kind will be, either in terms of physical effects or in terms of psychological effects. Still, at the time of the surgery, the person may fully believe that he needs to have the operation, and perhaps the sense of urgency which the individual feels, produces a perception that there is no reasonable option to the amputation.
I do, of course, think that the final decision should be up to the person who would be operated on. But it still seems as though some kind of systematic approach to the problem of decisions of that type, ought to be attempted, or at least the possiblity of that type of approach should be explored. Those who give advice and counsel in matters of sexual surgery, would have some reference from which to make their recommendations.