Incontinence

[NaturalEunuch]

Let's address the 800-pound gorilla in the room.

The old Chinese adage "smelly like a eunuch" refers to the historical reality that Imperial eunuchs suffered from incontinence and often wet their beds and clothes.

According to the book Hidden Power: The Palace Eunuchs of Imperial China by Mary M. Anderson, "The Chinese spoke of them behind their backs as 'stinking eunuchs,' and claimed they could smell one a mile and a half away."

It is documented that Western doctors examined several eunuchs in the aftermath of the Qing Dynasty, with 100% suffering from urinary incontinence. Not surprising considering the barbaric state of medicine during that time period.

What's interesting is that despite today's more advanced medical practices, the incontinence issue hasn't been solved.

As recently as 2023, a study titled Eunuchs and Their Urological Problems stated: "Eunuchs suffer from urinary retention as a side effect of castration. Castration causes urethral stenosis (physical narrowing of the urethral channel), which ultimately led to the development of various urological problems in eunuchs, such as urinary dribbling or retention, urinary incontinence, urinary tract infection, and bladder stones."

I have experienced some degree of incontinence myself. Luckily, unlike Forbidden City eunuchs, I can simply buy Amazon Basics Men's Incontinence Guards — so hopefully no one can smell me when I'm a mile and a half away!

[Friotler7]

I never heard about it before and I'm glad you shared it. That's a good reason for for not wanting to lose my penis Sitting to urinate would also be very annoying.

Do you know if a half penectomy is linked to incontinence too?

[NaturalEunuch]

I never heard about it before and I'm glad you shared it. That's a good reason for for not wanting to lose my penis Sitting to urinate would also be very annoying.

Do you know if a half penectomy is linked to incontinence too?

Back in the day they just sliced it off and shoved a pewter needle into the main orifice at the root of the penis, then the wound was covered with paper saturated in cold water and bound up. No anesthesia, no sterile conditions, not even any decent bandages.

From Hidden Power: For a long time after castration, many young eunuchs wet their beds and themselves. No notice of this was taken for a time, but a long continuance of the problem resulted in severe floggings, which were continued until the habit was broken or outgrown.

I think incontinece is understandable under those crude conditions.

By now, with modern medicine you would think they'd have it figured out. Guess not!

With an orchi, you can still pee standing up.

It's a good question whether incontinence levels are different between orchiectomy, partial-penectomy, and/or full nullification.

[Friotler7]

Back in the day they just sliced it off and shoved a pewter needle into the main orifice at the root of the penis, then the wound was covered with paper saturated in cold water and bound up. No anesthesia, no sterile conditions, not even any decent bandages.

You did it yourself?

[NaturalEunuch]

Back in the day they just sliced it off and shoved a pewter needle into the main orifice at the root of the penis, then the wound was covered with paper saturated in cold water and bound up. No anesthesia, no sterile conditions, not even any decent bandages.

You did it yourself?

That's how they did it in China 100+ years ago. I'm old, but not that old.

[Friotler7]

Back in the day they just sliced it off and shoved a pewter needle into the main orifice at the root of the penis, then the wound was covered with paper saturated in cold water and bound up. No anesthesia, no sterile conditions, not even any decent bandages.

From Hidden Power: For a long time after castration, many young eunuchs wet their beds and themselves. No notice of this was taken for a time, but a long continuance of the problem resulted in severe floggings, which were continued until the habit was broken or outgrown.

I think incontinece is understandable under those crude conditions.

By now, with modern medicine you would think they'd have it figured out. Guess not!

With an orchi, you can still pee standing up.

It's a good question whether incontinence levels are different between orchiectomy, partial-penectomy, and/or full nullification.

I asked DeepSeek. It says it is less likely to develop incontinence, but it has a risk involved, still.

Don't Kegel exercises help you deal with that?

[NaturalEunuch]

I asked DeepSeek. It says it is less likely to develop incontinence, but it has a risk involved, still.

Don't Kegel exercises help you deal with that?

Interesting answer from Deepseek. I wonder if there are research studies on this?

Yes, my doctor says I should be doing Kegel exercises every day and I haven't been doing them. Glad you reminded me. I'm usually OK, but I never know when leakage can strike so I often wear the pads. It's not necessarily due to my orchie, by the way. There are other medical issues in the mix also.

I think a lot of it has to do with what I eat/drink. Still fine-tuning my diet, but I find certain foods are safe for me to eat and certain foods (or ingredients) throw my whole system out of whack.

[Peewee]

I have had incontenence for a number of years that seems to be more distracting as my years as a eunuch go by, notably the sudden need to urinate, increased frequency and pre-mitriculation dribbling. My penis has atrophied significantly, which I believe is similar to an “acquired adult hidden penis syndrome”. At home, I always sit to urinate to control the spray of my urine so that it goes into the bowl. I have had a number of urologists try to ameliorate this problem, with drugs to retain my urine and an ablation to reduce the size of my prostate, with no real improvement. I’m now prescribed another drug to try and then follow up with my current doctor later to see if this helps. A buried penis has the same issues and I’ve read that sometimes the amelioration is a scrotoplasty and penis suspensory surgery to free the penis to create a longer and unobstructed route to release the urine normally. I’m not at this point for my surgeon to conclude that this might be a possible solution.

[NaturalEunuch]

At home, I always sit to urinate to control the spray of my urine so that it goes into the bowl.

I'm the opposite. I usually stand and lean over the toilet. If I sit to pee, the urine can squirt through the space between the seat and the bowl. Very messy.

[JustMe]

I’m unfortunately incontinent (urge incontinence) and nothing that can be done to revert it, words from my urologist.
Some days are better than others.

[1smoothguy]

Similar to NaturalEunuch, I stand to pee because I also tend to pee into the gap between seat and bowl when seated. Standing also allows me to void better, but as age and medical issues advance, my penis is usually buried into my swollen scrotum. Urological surgeon is not interested in orchi and scrotoplasty but rather just do a Hydrocelectomy. I have arrived a another solution for $5 instead of expensive surgery. I use a women's vaginal funnel over my buried penis and I can effectively pee standing without out any dribbling or mess.

[WheelyFixed]

I also have continence issues and use pads (I find the Prevail brand works a little better for me than the Amazon Basics) however I think mine is more related to my SCI than to being castrated...

I have a neurogenic bladder as is common in most SCI patients, which means I am unable to voluntarily urinate (this was a major cause of death back in the days when an SCI was officially considered "an injury not to be treated") so I have to do "Intermittent catheterization" several times a day... Admittedly I do this far less often than my urologist would like me to, but presumably between excessive volume and the wear and tear on all the sphincter tissues I have had "pressure incontinence" to some degree almost since I was first injured, and it has slowly gotten worse over the years...

I had gotten to the point where I had to use pads during the day a couple of years before I got fixed. Between shrinkage and the loss of a couple things I found that standard men's briefs didn't hold the pads in place snugly enough, and since it's covered by the pads I couldn't use the "man-hole" and had to either go out the side or over the top... So now I use women's panties (basic low cost Fruit of the Loom) instead which hold the pad in place much more snugly....

I actually discovered a side benefit that I wasn't expecting which hopefully most wouldn't care about... I also have a neurogenic bowel, which has the opposite effect, namely that I can't hold it and NOT shit myself... The way they handle this is to teach you to do 'Bowel Program' where you spend an extra long time over the toilet getting rid of everything you can (often with the aid of suppositories, digital stimulation, and other methods) and then hope that you have created enough space not to need to go until the next time you need to do BP... This is one of the major things they work with you on in rehab. It doesn't always work... However I've found the thinner but more tightly woven fabric in the women's panties does a better job of 'containing' the solid parts of the 'accident' and this makes the cleanup a little bit easier....

WheelyFixed

[1smoothguy]

We have totally different conditions but with some of the same issues. The women's vaginal funnels have solved my urinary issue. My amyloidosis has autonomic nervous system issues which have multitudes of GI issues including gas/diarrhea. A daily routine is needed to avoid issues but there can be embarrassing times also. The new urologist is a big proponent of women's underwear for compression and comfort. Also has suggested compression bike shorts, so even as an intact male, many things are now more feminine. When it works, it works and I go with it.

[WheelyFixed]

We have totally different conditions but with some of the same issues. The women's vaginal funnels have solved my urinary issue. My amyloidosis has autonomic nervous system issues which have multitudes of GI issues including gas/diarrhea. A daily routine is needed to avoid issues but there can be embarrassing times also. The new urologist is a big proponent of women's underwear for compression and comfort. Also has suggested compression bike shorts, so even as an intact male, many things are now more feminine. When it works, it works and I go with it.

I agree, if it works go for it... It isn't even that big of a deal since it doesn't show if you are wearing pants... There is the old line about wearing clean underwear in case you land in the ER, but believe me the people there have seen MUCH stranger things than guys in ladies undies..

(I recently saw a U-tube w/ a couple of nurses talking about the statistics (Yes, they do keep track of such things) on "sex and toy related injuries" and how they matched with what they had encountered, with plenty of mildly rude comments about how hard it is to believe how stupid some guys are.... Supposedly the most common ones was cock-rings, and they had a certain amount of glee in pointing out that the tools most ER's have can't handle a steel ring, so they have to share the entertainment with the guys from the local fire department...

WheelyFixed

[JustMe]

Talking about embarrassing situations, after my urodynamics study where I wet all over, one of the nurses brought me tapped diapers, and my urologist was the one who actually wrote my application for free diapers, which I’m entirely dependent on (I used pads up until, but had major issues with leakage and wet pants)

Besides getting used to the incontinence and diapers, which took quite some time, I’m annoyed because my situation also means I can’t have a scrotectomy. Since the wound will be exposed. So I can only hope my empty sack continues to shrink.

[WheelyFixed]

Talking about embarrassing situations, after my urodynamics study where I wet all over, one of the nurses brought me tapped diapers, and my urologist was the one who actually wrote my application for free diapers, which I’m entirely dependent on (I used pads up until, but had major issues with leakage and wet pants)

Besides getting used to the incontinence and diapers, which took quite some time, I’m annoyed because my situation also means I can’t have a scrotectomy. Since the wound will be exposed. So I can only hope my empty sack continues to shrink.

I mostly went the other way, and was really delighted when my body got enough retrained to not have bowel accidents, at least not most of the time, so that I felt able to go back to "big boy pants"... I feel this was a big improvement in some of my chair using issues, as I felt the extra material of the diapers was putting pressure concentrations on my skin where they bunched and wrinkled, and definitely trapped a lot of moisture - both factors that can lead to pressure sores...

Obviously I don't know all of your situation, but my leakage issues did not prevent my combined orchie and scrotectomy. I did have them put in a Foley cath for the first 48 hours or so, and I should have left it in longer as it turned out. My surgeon wasn't even that concerned, he said that the surgical glue / sealant they use nowadays is enough as long as you have enough of a pad to soak up the moisture without being saturated...

At any rate my discharge instructions were to pull the Foley after 48 hours, so I did... I then discovered that my bits were so swollen I could not find the tip of my penis in order to cath. I ended up having to go to the ER and get a second Foley put in, which I then kept for about two weeks until the swelling had gone away.... I don't like Foleys because it's a pain to have to haul a bag of piss around, but there are times when they are useful...

WheelyFixed

[JustMe]

Obviously I don't know all of your situation, but my leakage issues did not prevent my combined orchie and scrotectomy. I did have them put in a Foley cath for the first 48 hours or so, and I should have left it in longer as it turned out. My surgeon wasn't even that concerned, he said that the surgical glue / sealant they use nowadays is enough as long as you have enough of a pad to soak up the moisture without being saturated...

WheelyFixed

Interesting, I always thought that having such a wound exposed to urine would cause serious problems like infections and such.
As I said, I’m entirely dependent on diapers, no way around it.
Also I guess a plastic surgeon can perform the surgery, now the important parts are long gone?

[TheRagingEunuch]

Nothing should surprise us about the way they performed castrations way back when or for that matter, illegal ones today. They obviously didn't and don't care about the individuals in question.