Author Topic: How common is it to only want an orchiectomy?  (Read 629 times)

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Offline Carla68

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How common is it to only want an orchiectomy?
« on: July 13, 2020, 04:08:10 pm »
Hi all

How common is it to only want an orchiectomy?

I saw my Dutch urologist and he seemed quite surprised I only wanted an orchiectomy, I told him I am really scared of hospitals and medical things in general and the idea of turning my penis inside out etc just makes me cringe.

I am not interested in men or the idea of penetrative sex and would quite like to still be able to have sex with my wife (i understand this may not be possible after operation but am willing to take that risk)

He did discuss that the orchiectomy process is quite quick and only requires an overnight stay and that he can tidy up down there so that i still have some other surgery later but still look tidy?
 
I am still in 2 minds what this means to me. If i decide i want to make further changes in the future (which I cannot rule out) this is great but if I feel that more could of been tidied up can i go back for more?

Anyhow this is my plan going forward and am looking forward to hearing back about next appointment

Thanks

Carla

 
 
Carla







Offline Davita

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Re: How common is it to only want an orchiectomy?
« Reply #1 on: July 13, 2020, 04:43:20 pm »
Hi all

How common is it to only want an orchiectomy?

I saw my Dutch urologist and he seemed quite surprised I only wanted an orchiectomy, I told him I am really scared of hospitals and medical things in general and the idea of turning my penis inside out etc just makes me cringe.

I am not interested in men or the idea of penetrative sex and would quite like to still be able to have sex with my wife (i understand this may not be possible after operation but am willing to take that risk)

He did discuss that the orchiectomy process is quite quick and only requires an overnight stay and that he can tidy up down there so that i still have some other surgery later but still look tidy?
 
I am still in 2 minds what this means to me. If i decide i want to make further changes in the future (which I cannot rule out) this is great but if I feel that more could of been tidied up can i go back for more?

Anyhow this is my plan going forward and am looking forward to hearing back about next appointment

Thanks

Carla
      Carla, I'm the same as you as to not into men and married to a beautiful wife. I've chosen the Orchidectomy and Scrotectomy. I believe that making love is not always penetration. My T- level right now is around 60ng. I can still reach orgasem and they are more intense.  I truly believe it's all in the mind. Good luck on your choice and I wish you the best. Hugs Davita!
Be yourself because everyone else is taken.

Offline Devlyn

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Re: How common is it to only want an orchiectomy?
« Reply #2 on: July 14, 2020, 08:51:40 am »
I didn't even want an orchiectomy initially, but the blockers weren't lowering my testosterone levels. I had my orchiectomy in 2017, and my scrotum has contracted right up against my body. I still get erections, they aren't as strong as they used to be, but I'm also not as young as I used to be.  ;)

I'm just like you, doctors, needles, hospitals, and surgery put me on edge, but the day of the orchiectomy was bearable. I went to the hospital at 9:00 AM, and was home by 14:00. I did pop an internal stitch during healing and that slowed recovery down, but everything worked out fine in the end. My orchiectomy thread has pictures, i think they're on pages 5 - 8. It shows the effects of the internal bleeding, something which admittedly doesn't happen very often. But if it should, at least you'll know what to expect.

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Offline Devlyn

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Re: How common is it to only want an orchiectomy?
« Reply #3 on: July 14, 2020, 10:03:00 am »
I went and checked, the pictures are on pages 5 - 9.
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Offline Carla68

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Re: How common is it to only want an orchiectomy?
« Reply #4 on: July 14, 2020, 04:01:29 pm »
Hi Devlyn,

Thanks for the information, i am hoping it is bearable too

Carla

PS thanks for offer but not a chance in hell i'm looking at pictures of anything medical it will be bad enough to look at my own post op lol
Carla







Offline Devlyn

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Re: How common is it to only want an orchiectomy?
« Reply #5 on: July 14, 2020, 04:05:48 pm »
It's not surgery pictures, it's me in a bikini and shows the extent of the bruising. There's no blood or stitches visible, except for the blood inside me.
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Offline natasha

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Re: How common is it to only want an orchiectomy?
« Reply #6 on: July 15, 2020, 07:42:54 am »
I had an orchie, ten years ago, yikes. I didn't like spiro. No regrets at all. Why only an orchie? Its all I could afford.

Offline ramilove

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Re: How common is it to only want an orchiectomy?
« Reply #7 on: July 15, 2020, 12:45:55 pm »
Carla
4 month into HRT mono therapy and I considered an orchiectomy along with a vaginoplasty. For the present I am going to see how far HRT will take me in my transition.
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Offline AllieSF

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Re: How common is it to only want an orchiectomy?
« Reply #8 on: July 15, 2020, 01:43:14 pm »
I had my orchiectomy in January 2018.  I was on estradiol and spironolactone and the spiro was causing quality of life issues, greatly increased urine production to the point of having unwanted "accidents" when out.  I was planning on an operation in the same area to stop my incontinence caused by surgical removal of my prostate for cancer.  My urologist put in an artificial sphincter.  I had asked him before the surgery if he could also do the orchi and he said no problem and he did as part of the main surgery.  I was in the hospital overnight and was up and about when I got home.  No bruising at at all and minor pain.  I did get some quick sharp pains occasionally, which I attributed to nerve endings trying to reconnect.

If you want one, do it.  Stopping the spiro was the best part of it.  One less somewhat powerful medicine out of my body and life!  I do recommend that, if you also eventually want GCS, to make sure that your chosen or only available surgeon can work with whatever scrotum material you have left.  Some need a lot, others less so, and others, using the new techniques of peritoneal pull through or the one where they use part of your colon, do not need any scrotal material.

Good luck with whatever you decide.
HRT - February 2017
Full Time - July 2018
Orchi - January 2018
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Offline Lady Sarah

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Re: How common is it to only want an orchiectomy?
« Reply #9 on: July 15, 2020, 11:39:13 pm »
I had my orchi back in 1994 due to medical necessity. They were causing severe pain from being drawn into my body from hormone use. I never had GCS because of cost. Even the cost of insurance that will pay for GCS costs more than my monthly utilities combined. That being said, what I have left down there (while it doesn't work) is at least easily concealable, and I don't need any blockers.

Remember: every step has consequences. Consider them carefully. I do not regret any part of my transition. I just wish I could have been more financially fortunate.
started HRT: July 13, 1991
orchi: December 23, 1994
trach shave: November, 1998
married: August 16, 2015
Back surgery: October 20, 2016

Offline alyssalove2790

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Re: How common is it to only want an orchiectomy?
« Reply #10 on: July 27, 2020, 04:25:17 pm »
I've been on hormones for a good 1.5 years but still pre-op... at first I wanted a full vaginoplasty, but as time goes by I'm shifting towards an orchi/scrotectomy... To me it's mostly an appearance issue I don't mind having a male genitalia, as long as it doesn't show through my clothing... so far I've been able to pull off most looks without it showing, bikini or gymwear shorts etc.

Like you, I'm not interested in men (I had that bicurious phase but they turned me off), only in women.
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Offline Carla68

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Re: How common is it to only want an orchiectomy?
« Reply #11 on: July 28, 2020, 10:13:56 am »
Hi Alyssa,

Just had the op haven't checked yet but Dr Kanhai said he was just doing single incision, removing testicles and leaving scrotum as if change mind will be required later and also heals quicker
But bulge will gone and that's the main thing

Carla
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Offline LaRae

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Re: How common is it to only want an orchiectomy?
« Reply #12 on: August 12, 2020, 06:22:49 am »
I didn't even want an orchiectomy initially, but the blockers weren't lowering my testosterone levels.
This exactly. I'm planning to have one. I initially had no plans of having any surgeries of any sort, but my T levels have refused to drop & I've begun shedding hair like mad, so they've got to go. I may get prosthetics put in, just for the sake of appearance.

"Never forget what you are, the rest of the world will not. Wear it like armour and it can never be used to hurt you."



Offline Carla68

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Re: How common is it to only want an orchiectomy?
« Reply #13 on: August 13, 2020, 03:36:17 am »
Hi LaRae,

2 weeks on and swelling has gone down there is still quite a bit of sack left, giving sone resemblance of what was there before, I think I can have it trimmed back some more if decide not to go for further surgery in about 4 months

I assume my T levels will change but still have blocker in my system

But personally I would recommend it

Carla
Carla







Offline DebbieB

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Re: How common is it to only want an orchiectomy?
« Reply #14 on: August 15, 2020, 11:41:53 pm »
Transgender girls often want an orchiectomy if they are attracted to women.  The main concern for many is that if for any reason they have to stop taking estrogen, the testosterone could start taking over and everything would start to revert back to male.  I knew it was only a matter of time before the spiro slowed my heart to the point where I would have to stop or significantly reduce it.

The orchiectomy is also a nice alternative to vaginoplasty

There are several options to the orchiectomy.
   Do you want to keep the scrotal tissue?  This is needed if you later want a vaginoplasty and labiaplasty.
   Do you want a penectomy, this is a shortening of the penis that can even be completely flat, but you lose the sensitive nerves in the head, and if you get the vaginoplasty, they can't make a sensate clitoris.
   Do you want the urine to come out at the base of the scrotum.  This lets you pee like a girl.
   I've even heard of some surgeons who can form the scrotal tissue into something that looks like labia.
       You may have to do some shopping for that feature.


   
Debbie Ballard - IT Architect
1st Transition 1988 to 1997 - detransitioned
2nd Transition 2010
HRT since 2011
Full Time since 2012

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