Author Topic: Scheduled for an orhciectomy in late April  (Read 4157 times)

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Offline patstar

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Scheduled for an orhciectomy in late April
« on: March 24, 2016, 10:55:26 am »
Hi, I'm Patrice, I've been away been away from this site for about 4 or 5 years, which I use to frequent pretty much every day.  Anyway I'm scheduled for an orchiectomy on the 26th of next month, and schedule for a pre-surgical interview on April 12 with the surgeon. 

I'm interested in every bit of information everyone and anyone has to contribute on the surgery (including the the nature of the pre-surgery interview), the effects, results, side-effects, etc.  I am especially interested in penis size and function, as I am relationships with members of both genders (hard for me to choose presently).

I will have the surgery done with some surgeon done regardless of what I hear here.  My general practitioner suggested this procedure when when I confided that I felt like I was "trapped between two worlds", in that the hormones on their own seemed to be doing little--certainly NOT nearly enough anyway.

Lastly my surgeon is Dr. Mark Sigman, 2 Dudley St., Providence, R.I. 

All information shall be much  appreciated, thank you.
Well wishes to all. Patrice

Offline Laura_7

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Re: Scheduled for an orhciectomy in late April
« Reply #1 on: March 24, 2016, 11:40:18 am »

This could help you:
https://www.susans.org/forums/index.php/topic,193238.0.html

If you plan to have SRS later you might tell your Surgeon.
There are methods which leave few scars.
Some SRS surgeons are even willing to advise surgeons on the best methods.


*hugs*

Offline KayXo

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Re: Scheduled for an orhciectomy in late April
« Reply #2 on: March 24, 2016, 01:27:01 pm »
It might compromise later results with SRS or the intervention itself requiring skin grafts from areas other than the genital area.

Also, you say the hormones did little to you. Have you perhaps considered that your HRT is inadequate?
I am not a medical doctor, nor a scientist - opinions expressed by me on the subject of HRT are merely based on my own review of some of the scientific literature over the last decade or so, on anecdotal evidence from women in various discussion forums that I have come across, and my personal experience

On HRT since early 2004
Post-op since late 2005

Offline BeverlyAnn

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Re: Scheduled for an orhciectomy in late April
« Reply #3 on: March 24, 2016, 03:36:49 pm »
Another place to look is The Eunuch Archive.  Yes, there is a lot of fetishism there but also a lot of great information on recovery, aftereffects, etc. from a lot of people who have had orchies.
Always forgive your enemies; nothing annoys them so much. - Oscar Wilde




Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #4 on: March 25, 2016, 10:08:01 am »
It might compromise later results with SRS or the intervention itself requiring skin grafts from areas other than the genital area.

Also, you say the hormones did little to you. Have you perhaps considered that your HRT is inadequate?

(1) I originally didn't think I'd ever be a candidate for SRS. However, recently I saw some beautifully done and virtually indistinguishable from nature's work surgical vaginas, and my reaction: oh my, I do believe I may want one.  So, yes, I'll speak to the surgeon in the pre-surgery interview.

(2) "Have you perhaps considered that your HRT is inadequate?"  No, firstly my doctor is very good and has pretty much exhausted my options there.  The problem is that (although I don't think I look it) I'm 62 and even with the best hormones in the world they're working against a ton of history as a male. So they do need help.  Thank you for your impute sweetie.
Well wishes to all. Patrice

Offline KayXo

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Re: Scheduled for an orhciectomy in late April
« Reply #5 on: March 25, 2016, 12:05:37 pm »
The problem is that (although I don't think I look it) I'm 62 and even with the best hormones in the world they're working against a ton of history as a male. So they do need help.  Thank you for your impute sweetie.

If you are suppressing androgen levels to castrate levels now, what will be the difference post-orchiectomy?
I am not a medical doctor, nor a scientist - opinions expressed by me on the subject of HRT are merely based on my own review of some of the scientific literature over the last decade or so, on anecdotal evidence from women in various discussion forums that I have come across, and my personal experience

On HRT since early 2004
Post-op since late 2005

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #6 on: March 25, 2016, 12:26:38 pm »
If you are suppressing androgen levels to castrate levels now, what will be the difference post-orchiectomy?

The testosterone blocker (spironolactone) was just about completely ineffective.  My doctor told me an orchiectomy is a "game changer" as far as eliminating testosterone and developing feminization--and, from everything I've read, I have no reason to doubt this.  ?
Well wishes to all. Patrice

Offline Tessa James

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Re: Scheduled for an orhciectomy in late April
« Reply #7 on: March 25, 2016, 01:14:06 pm »
Hey Patrice,

I am going "nutless" on Monday next week.  I was an anesthetist for 33 years and have done some homework that is very reassuring to me about the results we can anticipate from an orchiectomy.

If you are in the US then you should expect or be assertive about receiving a pre op interview that we call PAR.  You are entitled to know about the Procedure in any detail you need.  You should hear about the Alternatives, basically more HRT and keeping your testes.  And then we talk about the Risks.  Again your surgical team including a surgeon and anesthesia  provider should answer your questions and help you feel prepared and at ease.

My HRT has done a great job and the spiro I nick named "man away" has my T quite low.  Therefore I do not expect much difference in my secondary characteristics gains but a reduction in my drug needs.  All drugs carry inherent risk and I am tired of the diuretic side effects and the fear of going back should anything happen to my HRT drug delivery line.

Sexual function is variable for us as you know.  My experience and, that I hear about, is along the "use it or lose it" concept line.  My trans sisters who "get it up" regularly and use it generally are functional and experience less shrinkage than those who find IT untouchable or unwanted in the first place.  I do not know how an orchi would change your size?

Post op, some folks might need adjustments in HRT and we know of some who might utilize T gel or other medication options to maintain their sexual function.  You will likely have pre and post lab results to compare.

I am planning to have a local anesthetic with sedation and that is so I don't tell too many jokes and start laughing.  A moving target is not a good surgical field but honestly this will reduce my overall risks.  My urologist is well informed and experienced with the procedure, suggested to take a half hour.  I will be an outpatient and will have some tight jock strap sort of panties to wear.  I will be laying around for awhile with an ice bag between my legs rather than a full nut bag.  With much reduced testes size, shelling them out requires a small incision that will be generously flooded with long acting local anesthetics. 

I had a vasectomy long ago but did not listen to their post op advice to not use the equipment for sexual pleasure for two weeks.  Bad idea!!  Swelling and infection were my reward. >:-)

Best of luck to you and keep your positive sights on your post op recovery, freedom and more space between yer legs. ;D
Open, out and evolving queer trans person forever with HRT support since March 13, 2013

Offline BeverlyAnn

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Re: Scheduled for an orhciectomy in late April
« Reply #8 on: March 25, 2016, 02:36:13 pm »
(1) I originally didn't think I'd ever be a candidate for SRS. However, recently I saw some beautifully done and virtually indistinguishable from nature's work surgical vaginas, and my reaction: oh my, I do believe I may want one.  So, yes, I'll speak to the surgeon in the pre-surgery interview.


I emailed Dr. McGinn's office regarding an orchi with my urologist.  They replied with a recommendation of a lateral incision rather than vertical.  They even recommended my urologist call their office but as busy as he is, I doubt he will do it.
Always forgive your enemies; nothing annoys them so much. - Oscar Wilde




Offline KayXo

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Re: Scheduled for an orhciectomy in late April
« Reply #9 on: March 25, 2016, 03:55:51 pm »
Post op, some folks might need adjustments in HRT and we know of some who might utilize T gel or other medication options to maintain their sexual function.

In my opinion, adding T is more harmful than beneficial. Some effects might be irreversible, like scalp hair loss, further voice masculinization , acne scars and even body hair growth. Estrogen alone is able to maintain sexual function (is a vasodilator, so is progesterone) and libido. You just need enough of it and I suspect those that resorted to T didn't have enough E because doctors didn't fully understand the health risks associated with bio-identical E, especially if taken non-orally so prescribed too low doses.
I am not a medical doctor, nor a scientist - opinions expressed by me on the subject of HRT are merely based on my own review of some of the scientific literature over the last decade or so, on anecdotal evidence from women in various discussion forums that I have come across, and my personal experience

On HRT since early 2004
Post-op since late 2005

Offline Floritine

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Re: Scheduled for an orhciectomy in late April
« Reply #10 on: March 26, 2016, 12:50:47 am »
I just had it done and almost two after the pain is gone along with being totally happy they are gone and being off the spiro,
One of the main reasons I finally got it done was I never liked juggling my easter eggs and I was more self concious of them when wearing jeans or long pants and after 10 years of being on HRT Ive found it hard to save the large amount of dollars needed for full GRS and found that I could get it done in the public health system with my private doc.
My bloold levels have generaly been fine over the years but my T level fluctuates from time to time,
My urologist surgeon made two 2 vertical incisions and after surgery I was kept over night at my request,
When I went home I was told to take pain killers only as needed and plently of rest for the first week and ice to reduce the swelling
I found for me it was best to were PJs with no underwear and only wear them if going out or to the shops but removed them when I get home as they made me sore, and to get plenty of fresh air to help with healing something I learnt years ago and my GP told me ages ago.
Before the surgery my endo and my urologist said I will still need to take the HRT but not the spiro after surgery and having regular blood test will continue to keep a eye on my blood levels and there may be a little more feminizing after and went though the pros and cons of the orchi surgery and made shore I was doing if for the right reasons and to make sure I didnt have any regrets after it was done along with a good psych elevation.
After the surgery I was told that I couldnt start tucking it for at least a month and only when the swelling from surgery ifs fully gone and fully healed up so wearing skirts or dresses when out works best.
And it is has its moments when it grows FWIW
All the best with your surgery ..

Cheers Tracy

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #11 on: March 26, 2016, 08:23:18 am »
In my opinion, adding T is more harmful than beneficial. Some effects might be irreversible, like scalp hair loss, further voice masculinization , acne scars and even body hair growth. Estrogen alone is able to maintain sexual function (is a vasodilator, so is progesterone) and libido. You just need enough of it and I suspect those that resorted to T didn't have enough E because doctors didn't fully understand the health risks associated with bio-identical E, especially if taken non-orally so prescribed too low doses.

Thanks for all the valuable input ladies.  Actually I was thinking more of possibly Viagra and other related meds....?
Well wishes to all. Patrice

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #12 on: March 26, 2016, 01:52:40 pm »
Thank you so much Tracy.  Your post tells me I have a of thinking and planning to do.  I have two cats I love dearly (and no one else that could likely gain entrance to my apartment building), so staying over night might be out of the question.  The sensitivity to underwear seem problematic since I have that dripping after urination issue and usually line my undies with some form paper tissue. I'll come up with something.  I'm also an avid fitness buff (I've lost about 30 pounds and want to lose 30 more)--this includes a spinning class 3 times a week (I guess it will be months before I'm ready for those bicycle seats again).  A much more accurate picture of the recovery time is starting to form.  Thanks again sweetie.
Well wishes to all. Patrice

Offline Floritine

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Re: Scheduled for an orhciectomy in late April
« Reply #13 on: March 26, 2016, 11:58:45 pm »
Hi Patrice, if your taking spiractin you will find that "dripping after urination issue" will stop after surgery as your body will returns to its old self when you stop the spiro and you retrain your blader,
It took my body about a week and it feels so good not having to go to the bathroom after drinking anything and no more drip after............
Not sure if I mentioned it in my post but I stopped the spiro 2 days before surgery so I didnt have to go to the bathroom when I wok up after surgery from the fluids they gave me.....

Cheers Tracy

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #14 on: March 27, 2016, 10:18:12 am »
Thanks Tracy.  This is VERY useful information.  I will also cut back on my fluid intake before the operation.

Love,
Pat
Well wishes to all. Patrice

Offline KayXo

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Re: Scheduled for an orhciectomy in late April
« Reply #15 on: March 27, 2016, 11:04:27 am »
Usually, spironolactone should be stopped about a week before as it can interfere with anesthetic and also affects electrolytes so that you may end up with too much potassium in your body (i.e. hyperkalemia) due to the IV.
I am not a medical doctor, nor a scientist - opinions expressed by me on the subject of HRT are merely based on my own review of some of the scientific literature over the last decade or so, on anecdotal evidence from women in various discussion forums that I have come across, and my personal experience

On HRT since early 2004
Post-op since late 2005

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #16 on: March 27, 2016, 11:15:42 am »
Thanks sweetie.  Good to know.

Love,
Pat
Well wishes to all. Patrice

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #17 on: March 27, 2016, 07:55:21 pm »
Hey Patrice,

I am going "nutless" on Monday next week.  I was an anesthetist for 33 years and have done some homework that is very reassuring to me about the results we can anticipate from an orchiectomy.

If you are in the US then you should expect or be assertive about receiving a pre op interview that we call PAR.  You are entitled to know about the Procedure in any detail you need.  You should hear about the Alternatives, basically more HRT and keeping your testes.  And then we talk about the Risks.  Again your surgical team including a surgeon and anesthesia  provider should answer your questions and help you feel prepared and at ease.

My HRT has done a great job and the spiro I nick named "man away" has my T quite low.  Therefore I do not expect much difference in my secondary characteristics gains but a reduction in my drug needs.  All drugs carry inherent risk and I am tired of the diuretic side effects and the fear of going back should anything happen to my HRT drug delivery line.

Sexual function is variable for us as you know.  My experience and, that I hear about, is along the "use it or lose it" concept line.  My trans sisters who "get it up" regularly and use it generally are functional and experience less shrinkage than those who find IT untouchable or unwanted in the first place.  I do not know how an orchi would change your size?

Post op, some folks might need adjustments in HRT and we know of some who might utilize T gel or other medication options to maintain their sexual function.  You will likely have pre and post lab results to compare.

I am planning to have a local anesthetic with sedation and that is so I don't tell too many jokes and start laughing.  A moving target is not a good surgical field but honestly this will reduce my overall risks.  My urologist is well informed and experienced with the procedure, suggested to take a half hour.  I will be an outpatient and will have some tight jock strap sort of panties to wear.  I will be laying around for awhile with an ice bag between my legs rather than a full nut bag.  With much reduced testes size, shelling them out requires a small incision that will be generously flooded with long acting local anesthetics. 

I had a vasectomy long ago but did not listen to their post op advice to not use the equipment for sexual pleasure for two weeks.  Bad idea!!  Swelling and infection were my reward. >:-)

Best of luck to you and keep your positive sights on your post op recovery, freedom and more space between yer legs. ;D

Very best  of luck to you as well Tessa.  As everyone's experience varies at least a bit, it would be great if you keep us posted on how things go, and on your recovery.  I, in all likelihood, shall do the same
Well wishes to all. Patrice

Offline patstar

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Re: Scheduled for an orhciectomy in late April
« Reply #18 on: March 27, 2016, 08:32:18 pm »
I just had it done and almost two after the pain is gone along with being totally happy they are gone and being off the spiro,......

Also, Tracy, being that you've been through whole thing, can I ask another question?  I have read of one lady's experience with the operation here on these forums.  Specifically, it's the injection of the testicles at the start of the procedure.  There a few shots, one of which she described as "the worst pain I've ever felt"  :icon_yikes:.  As someone with a very low pain threshold, and who doesn't like getting a shot in the arm and winces a bit when the needle penetrates the skin, this frightens me more than a little.  I'm wondering (hoping  :eusa_pray:) if your experience was any different?
« Last Edit: March 28, 2016, 09:48:26 am by patstar »
Well wishes to all. Patrice

Offline Floritine

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Re: Scheduled for an orhciectomy in late April
« Reply #19 on: March 27, 2016, 11:10:04 pm »
Hi Patrice, They first put a cannula in my arm when I was in the pre operation room on  the bed and did a final check of my details then injected general anaesthetic and then the next thing I remember is waking  up in recovery the after the surgery was done, I didnt feel any of the operation just sore after the surgery was finished,
I to hate needles and having tiny venes it makes it worse when they are tring to find the right spot then there is my ishue of hating hospitals and my anxiety of being near one which causes me to scratch from being in and out a lot over the years,
And the above was the same when I had a large cyst removed from the same area about 6 months earlier,
If your still concerned I would make a appontmet to have a chat to your surgeon about the way your operation is going to go and keep your GP in the loop about everything (if you get on well with him /her or have a lot of trust with him or her)
Just a side note before the surgery shave the area that is going to opened up as it makes life easier when your cleaning the wound at home....
I was also told the night before surgery to stop eating and drinking anything 12 hours before the operation and only drink a tiny bit of water if I needed to have my medication the day of surgery, but they will explain there policies when you call and get your time and what to bring with you..
Can you send me a link to the ladies experienvce your were talking about ...............
Cheers Tracy