Orchiectomy - Erections and Orgasms?

[Sammie Blade]

Hello everyone!  I think when I see my endo next month I am going to ask for a referral to a surgeon who performs orchiectomies.  It's definitely something I want done, because I eventually want a vagina, but I am not going to be able to afford SRS for at least 5-7 years.  I'm not even sure if I will really want it, an orchiectomy might be enough for me.  I have a rather small reminder of my birth sex and I am not sure if there will be sufficient tissue to make a nice vagina anyways.  But, the thing is, I like being sexual and having orgasms, and have heard mixed reviews.

Almost everything I have read online from people's personal accounts is that they still can get erections although they are not as hard as pre-Orchiectomy (not that important to me) and they can still orgasm  (highly important to me) but there is little ejaculate – only precum (not important in the least) --- HOWEVER --- everything I read also has a small caveat in there about "you may lose the ability to have an orgasm and/or erection... but I didn't!"

So my questions are for the girls who have had them, or someone who is further along in the research department on this one.  After I get some suggestions from my endo, I am going to starting finding out more information.


1)   Can you still have erections?
2)   Can you still have orgasms?
3)   Is the scrotal tissue incredibly smaller after a few years?
4)   How much did it cost? 

[Jill F]

1) Yes.  You just have to really want one to make it happen.
2) Definitely yes!
3) Don't know.  I did it in July and was told to keep stretching it like pizza dough.
4) Depends on surgeon, local or general anasthesia and geographic location.  It will be more than $1000 and less than $10,000.

[Sammie Blade]

4) Depends on surgeon, local or general anasthesia and geographic location.  It will be more than $1000 and less than $10,000.

I'm looking to spend between $2000-4000, do you think that is reasonable?

Is it a highly skilled thing?  I mean, it doesn't seem like there would be a lot of complications to it?  Just snip snip right?  Can you keep them afterwards?  I want to mail them to the ex-wife. 

[Jill F]

I'm looking to spend between $2000-4000, do you think that is reasonable?

Is it a highly skilled thing?  I mean, it doesn't seem like there would be a lot of complications to it?  Just snip snip right?  Can you keep them afterwards?  I want to mail them to the ex-wife.

I've heard of it done in that price range.  I had it done by a SRS surgeon to ensure it being done in order to optimize future results.   Everything was cut and sutured pretty far up the inguinal canals, there was no hematoma issue (I've heard horror stories about the sack filling up with blood, drains put in and having to squeeze it like a jelly donut every so often), and a small vertical incision was placed just under the penis.  I didn't get to keep them, as the doc wanted to biopsy them.  If cancer cells were found, my insurance would have mostly covered this procedure.  I suppose it would have been fun to have them covered in brass so I could show everyone that I really did have brass ones.   Instead I'm getting a shirt that says "If I had balls, they'd be bigger than yours."

[Sammie Blade]

  I suppose it would have been fun to have them covered in brass so I could show everyone that I really did have brass ones. 

Ahhhh hahahahahahaha!  That's an amazing idea.  I am definitely going to try and keep mine since I don't have any health insurance.  That hematoma issue sounds extremely traumatizing and I am probably going to have nightmares about it now, so thanks!  Lol

Really though, thanks for the info...  I certainly hope I can get it for under $5k, or I likely won't be getting it done til 2016. 

[Michelle G]

My spouse would most likely put them in a jar on the shelf like the old saying goes

[Sammie Blade]

My spouse would most likely put them in a jar on the shelf like the old saying goes

My ex always said that she kept them in her sock drawer, so it would be a hilarious (to me) Christmas gift for her next year!

[Jeneva]

Mine was in the lower half of 2000-4000 range.  With the right frame of mind it mind get almost firm, but that is distressing.  Orgasm's don't so much exit there forcefully there as much as flow outward sensation wise.  There is no fluid at all.

[Xipup]

I've been post orchiectomy for several years and report that sex/orgasm is still very much a part of my life. For a while post orchi I lost the ability to have erections but later regained it. The intense relationship with my girlfriend certainly helped. Spontaneous erections no longer occur but erections when being mentally aroused do occur but take more time. At least a little foreplay is generally required.  The nature of the orgasm changed and I have been graced with multiple orgasms.

The surgical procedure itself is about as simple as you can get. My appraisal is based on having worked in a hospital as a surgical tech. Also, based on the physicians book on urologic surgery that I own. The book illustrates in detail a wide range of surgical procedures. It turns out the shortest procedure describe in the book is the orchiectomy. It is literally one page long. Not two pages with the book cracked open, but one single, one side sheet.

Post operative bleeding can be an issue. If possible schedule your appointment for first thing in the morning. This way if there is an issue mid-day you can reach your doctor. Before you have the procedure discuss with your doctor what the procure is if there is a complication after hours, who are you to call and what would be the expected response from the office. You don't want to have to figure this out in the middle of the night. Get the facts ahead of time.

A couple days prior to the surgery avoid taking any medication or other substances that can interfere with clotting.  Most people know about aspirin but iburprofen should also be avoided. Ask your doctor as there are numerous things that affect clotting.

Request from your doctor to call in the painkiller prescription before your procedure, ideally the day before or if they won't that request they send to the pharmacy when you arrive for the appointment. This way you can pick up the meds in advance or if you have to pick up the day of the surgery you won't have to wait at the pharmacy for them to fill it.

A two drug numbing cocktails is typically used (lidocaine/marcaine). Marcaine is the longer acting agent and will get you through the first couple of hours but you want to get home an lie down in short order to as to avoid unnecessary walking. The discomfort will subside after a couple days. Remember that it take 7-10 days for tissues to close up and that first week is the most critical to avoid being upright or walking much.

Having an orchi was one of the best choices I ever made. Good luck.

[Zoetrope]

afaik its preferable to delay the orchidectomy until full SRS, because you want to keep all that skin in its original condition.

Wouldn't surprise me if they've worked away around that since I was last informed, tho. If it *is* ok to do before SRS, I'd be interested for sure.

I've seen it done a few times when I was a theatre nurse. In and out in under and hour.