Orchiectomy

[GrayKat]

I an considering it but I wonder if some of you can give me some insight.I am on Finasteride. But I have constant headaches and I understand that is a side affect. I greatly increased my water intake but it does not help.

Will is speed transition?

Is it a big major surgery or an outpatient procedure?

How long will it take to continue normal activities?'

I would like to find a local surgeon. I a, in the Chicago area. Any names? Do I need a specialist, or will any general surgeon do? I go to a VA hospital, they don't do SRS, but do have general surgeons.

[Devlyn]

I'm having one done, my consultation is on the 20th. There are three types of orchiectomy, simple, subcapsular, and inguinal.  My understanding is that transgender women usually get the simple orchiectomy. The penis is taped to the stomach, the scrotum is shaved, local anesthetic is given, an incision is made in the scrotum, the testicles are pulled out through the incision, the cords are cut, tied off, and reinserted into the scrotum, and the incision is closed with sutures. Roughly forty five minutes.

I'll be providing any information I get as I go along. I'm going with Dr Oates at BMC who is also doing full GRS now. I'll ask how he feels about orchiectomies for women who may eventually seek GRS (I'm not), and try to get an answer on his waiting list because everyone is interested in that. 

Hugs, Devlyn

[josie76]

Any Urologist is trained to perform an orchidectomy. Finding one who will do it for transgender reasons may take more searching. I have found one who was suggested by me endocrinologist. I'd already have the appointment scheduled for an in office procedure if not for my discriminatory insurance for Miss. I have a BCBS PPO but they exclude all transgender care. They denied coverage for my last endo office visit and blood tests to check my potassium levels and another to check for chromosomal abnormalities. If someone there figures my reason for HRT is transgender care they may refuse paying for my meds next time. I have asked my doctors office to look into using other billing codes for the blood tests. One being "suspected exposure to DES" and the other being a reported medical record stating my mother believes she was given DES. Ive also asked them about possibly using hypogonadia. My problem there may be no one did a pre HRT testosterone or estrogen level test.

I also asked the urologists office if when trying to get preapproval if they could use the testicular pain and testicular atrophy as a reason. I have been having bad pains. A few times I have had to curl over the steering wheel of my work truck when the pain sets in it has been so severe. It's kinda getting dangerous when I'm going down an interstate.

[Lady Sarah]

Mine was a "day surgery" by a urologist. You will want to rest for a day or two after. You may be told to continue blockers for a short while after, just to make sure your T stays low until it is out of your system.

[GrayKat]

Thanks for the info. My insurance covers trans health. I sent them an email and they say coverage is on a case by case bases. I am looking at Dr. Loren Schechter in Chicago. Since he also does SRS he knows what to do.