Urologist Turned Down

[daifu-orchid (imported)]

Yes, had the scrotum and looseness taken a few years after the nuts went. I wanted it done sooner but I had to learn that it is best done by a plastic surgeon who does "genitals" (dicks, scrotums, mommy-cheer-ups etc). Most plastic surgeons get plenty of business with easy facelifts, tummy-tucks without getting near the scrotum. I found a genital plastic surgeon in Alexandria, VA, who was happy to do it for $800 on CC, including anesthetic CRNA. They were very professional in their own surgi-center and kind too.They needed a preop blood test and EKG, and informed consent. They didn't take insurance.

Should have had it done long before!

[JockItch (imported)]

Oh, I may be getting ahead of myself here but had another question I would like to ask regarding post orchiectomy scrotectomy plastic surgery. Can anyone provide important details to know and maybe share their experience? I'm interested in learning about the qualified doctors, the procedure, how long after an orchiectomy, and of course insurance vs. out of pocket expenses. Your help is greatly appreciated.

Dr. (X) took most of my scrotum per my request when he removed my testicles. It looked funny with just half a sac, so I went back about a year later and he removed the rest of it, all scrotal tissue, even the webbing down the cock shaft. So totally smooth now, just regular skin where my nads used to dangle. You will lose your musky "man smell" down there with nothing to sweat up with no ballsac. I don't get that funky balls smell in my shorts anymore. Of course, if you remove the scrotum, you lose the option of putting in fake nuts if you ever wanted to do that, or use the skin for neo-vagina.

[Want2BRight2.0 (imported)]

Thank you so much for your reply. I really appreciate all your valuable information. That out of pocket expense is much more reasonable but why a blood test & EKG??? That has nothing to do with procedure. Seems like a tack on expense.

[Want2BRight2.0 (imported)]

Thanks for sharing your experience too! My understanding about simple bi-lateral orchiectomies is that only the testis are removed. Then a second appointment is made with a plastic surgeon for a scrotectomy.

I have no interest in prosthesis.

And not so much concerned about any man-funk. I've never had any issues or complaints in my 3 decades of activity. A little soap and a couple of showers a day keeps me spring fresh.

[daifu-orchid (imported)]

Thank you so much for your reply. I really appreciate all your valuable information. That out of pocket expense is much more reasonable but why a blood test & EKG??? That has nothing to do with procedure. Seems like a tack on expense.

I think these were required for the general anesthetic. It seems not unusual, and in keeping with the thoroughly careful and professional service given. If your procedure needs a general anesthetic or sedation, they require a companion to take you home, or in my case an hotel nearby. Probably safer I felt good and went home the next day.

BTW, he did offer prostheses, but also seemed happy that I did not want them.

[Want2BRight2.0 (imported)]

Oh, ok. That makes sense. Local vs. General anesthesia. I would think a seemingly benign scrotum tuck procedure would only require local anesthesia but I would have to consult with the surgeon when I get to that stage. I had multiple reconstructive plastic procedures to correct injuries from a car accident. The surgeon only used general anesthesia to fix my nose, jaw, and cheek bone. The other reconstructions were by local.

[zeebster (imported)]

Oh, ok. That makes sense. Local vs. General anesthesia. I would think a seemingly benign scrotum tuck procedure would only require local anesthesia but I would have to consult with the surgeon when I get to that stage. I had multiple reconstructive plastic procedures to correct injuries from a car accident. The surgeon only used general anesthesia to fix my nose, jaw, and cheek bone. The other reconstructions were by local.

Well there is a third option that's sometimes used for more complicated procedures and that's a spinal block like they give women going through child birth. That type of block can also be used for something as complicated as a penectomy. The biggest thing is the safety margin; people can and do occasionally die from general anesthesia itself. Those blocks will usually require some basic blood tests among others is the clotting time for your blood, CBC, HIV, glucose etc.

[daifu-orchid (imported)]

Yes, but anything over an most trivial local, has the potential, if events go unexpectedly to need more than the original plan. Good to make sure that the patient is ready for this and safe.

Sometimes a scrotum is stuck to the original orchie surgery and the plastic surgeon anticipates that more cutting is necessary than is easily taken care of by a local.

Mine had some stuck stuff and I wanted the loose stuff gone too. It resulted in a neat closure from root of dick to some 5 - 6". I snoozed, well cared for, through all of it. The result good.

[Want2BRight2.0 (imported)]

Oh, these are all very good points to consider and to discuss with plastic surgeons when I get there. I have to take the first big step first and that will help determine the follow up the secondary scrotum tuck procedure. Thank you.

[daifu-orchid (imported)]

Anesthesia: do you suppose that local is better than imported?

[Want2BRight2.0 (imported)]

I'm not sure I understand your question, daifu-orchid. Do you mean going for the scrotectomy locally (i.e. here in the U.S.) or traveling abroad? Or were you referring to having local anesthesia vs. general anesthesia, or as zeebster referenced, a spinal block? My preference would be for a domestic (U.S.) plastic surgeon to apply local anesthesia.

[daifu-orchid (imported)]

No, I think you need appropriate and safe anesthesia for these things. The doc is best to advise.

My plastic doc explained the options, and chose a plan that seemed sensible. It all worked out very well: I lost the scrotum and loose stuff so it's hard to know that there was ever anything there. He got $800, a while ago.

A fine professional job that is good to this day!

[seanthomas (imported)]

For a simple orchiectomy general anesthesia is not only unnecessary but significantly adds to the risks and cost. Mine was done with a local although and IV was started "just in case". I was given an injection of Valium although I tried to even decline that. The surgeon said it was to help me keep still while he was wielding sharp instruments around my nether region.

Now don't get me going on the profit driven medical profession in America, but hey..... I guess the Anesthesiologist has to make his Yacht payments just like his buddy the surgeon.

[Want2BRight2.0 (imported)]

That is wonderful to hear everything worked out for you. That is what I am ultimately seeking to achieve too. I have to take the first step first, heal, then schedule the plastic surgery. Thank you.

[Want2BRight2.0 (imported)]

Hi eafictionwriter.

Thanks for sharing your experience.

I think each patient is different and deserves a say in their treatment. IV and a spinal block seems too much for me. I'm glad it worked for you. Thank you.

[Want2BRight2.0 (imported)]

Too funny, seanthomas. I appreciate your profit driven medical profession. On a side note, I've been having an on-going, horrible time with simple, routine medical and dental visits with my insurance company that I continue to appeal. It's unbelievable these companies can remain in business. Don't get me started. I believe in being a knowledgeable advocate for my care and how my healthcare dollars are spent.

I'll stick with a local block and maybe a Xanax at most but don't think there would be any flinching or squirming. This is not brain surgery. Much like a dentist, if a patient physically reacts, the doctor just backs off and might apply additional anesthesia.

[fhunter]

This is not brain surgery.Actually, if I remember correctly, during brain surgery patient is usually awake - to assess cognitive functions or other problems.

[zeebster (imported)]

Actually, if I remember correctly, during brain surgery patient is usually awake - to assess cognitive functions or other problems.

Only in a very few specialized procedures. I went in to get a aneurysm clipped off and I was completely out for the whole process. The other really BAD part about brain surgery is that they won't really give you much of anything for pain. They do not want your level of consciousness decreased by drugs, but be able to observe you for changes in that level.

[Want2BRight2.0 (imported)]

You are correct, fhunter. Brain surgery are awake during their procedure because it is safe to assess cognitive issues and the brain does not have pain nerves.

[Want2BRight2.0 (imported)]

That's right, zeebster. Brain surgery is of course, complicated and highly specialized. My point was scrotal plastic surgery should be a relatively simply tuck.

[Want2BRight2.0 (imported)]

Hey, I had another question I'm hoping you can help me with regarding the second procedure, scrotectomy. After a plastic surgeon does the tuck reduction, do you still have sensation down there or is nerve damage expected? Just curious. Thanks.

[daifu-orchid (imported)]

Scrotum gone, plain and simple. Not there and that 's about it.

[Freddyjack (imported)]

Scrotum gone, plain and simple. Not there and that 's about it.

Question not answered, is there still feeling in the scrotal tissue left after removal of excess "baggage"?

[daifu-orchid (imported)]

Not sure how to make this clearer. Removal of the scrotum, means that it isn't there now. It didn't have any contents, so there's still none. There's nothing of the scrotum left to have feeling, so there isn't any. There's no damage, just gone.

Under is smooth, except for an unremarkable dick.

Beyond this, I really don't spend much effort contemplating the infinite, relating to something that isn't there!

It's really not a big deal....

[gandalf (imported)]

Sure, no scrotum, no feeling. WHOA! I find that with no scrotum, I can get aroused simply by massaging between my legs. I still have a penis, so there is feeling ....very pleasant ones I find, by massaging the root of the thing. May not achieve ejaculatoin but it is sure nice feeling and relaxing. Not that ejaculation couldn't happen but it could.