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Had my "reroute" surgery (pernieal urethostomy) yesterday and I'm trying to find the best position to sit while writing this. I'm home but catherized. I'll tell you what, waiting for the surgery (it was an hour and a half late) and being catherized was/is the worst part of the whole surgery. My urologist walked me through it, a "Y" type incision would be made and was, then the urethra would be opened and stitched to the pernieal skin. No, the surplus scrotal skin I have remaining was not removed. I remember being wheeled into the OR and having the anesteiologist (that's not the right spelling, but it's 6am) tell me a few things. I remember the urologist getting the stirrups ready and pulling up the gown, but that's it. Next thing I remember was her, my urologist, calling my name. Boy coming out of that anenistia is bad too. Not only was I groggy and hungry, I had nausia and I was sick to my stomach. While in recovering I did look down below but all I could see was my penis which had shrunk to the size of a raisin, ok, maybe it was bigger than that, but this seems typical. During my orchiectomy with Dr. Kimmel, my penis near disappeared. This morning it's gained some size/girth back, though it feels weird. What was strange a few times yesterday was the feeling of having to urinate and it was coming from my whole penis, I mean, the urge to pee came directly from my whole penis as if urination is tied to the penis itself. Strange. Right now the only thing I'm thinking about is getting through the next 5 days. The earliest that I can get this catherter out is Tuesday and it can't come soon enough for me. I really have great respect and compassion for those who must self catherize. Just another note, my doctor seemed rather pleasant yesterday, probably due to the hospital atmosphere and being around other people/friends. She is still steely though and suspicious of me, but I'm just glad it's over. No, I have not looked at what she did, number one it's bandaged and two, I'll need to find a hand held mirror. I'll hope in the shower soon and take a looksy. Night or morning.

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Hash, I'm very glad to hear from you. That's too bad about the excess scrotal skin, but I'm happy you're back with us and posting. Take it easy and let everything heal up. I know you'll be VERY happy to have the catheter removed, but that's no walk in the park, either.

Hi Caith,

Yes, it's good to be back. I just finished showering and washed down below as per instructions. I felt around with my fingers and it feels as if there's a huge indentation and the small amount of scrotum is bunched up like a little ball. Not what I wanted, but maybe I can use this to have the scrotum removed completely. When I see my urologist I'll tell her I'm dissatisfied with the outcome and maybe she'll listen to me and remove it. One can hope. Thanks again for your input. I did hear that having a catheter removed can be painful, ouch, but better out then in!

Hash, don't worry too much about the catheter being removed. Its not that bad. There's a little balloon on the end and when it deflates the vibration is a bit of a weird feeling, but its not that bad. Congratulations on getting what you wanted and sticking with it.

Congrats and trust me the catheter will just slide out just relax as your muscles will try and contract as it comes out and thats what hurts.

Hi,

Congrats. My sack is exactly as you describe after my surgery. Put A-D ointment or another vitamin E suave on the scar after it heals to keep it soft. I had a cath for a little over 3 days. Removal was interesting sensation but not painful. The whole removal process is more mental than physical discomfort. The nurse had me inhale, hold it, then big exhale as he pulled it out. Helps divert attention. May have minor stinging the first pee, but for me it was a non-event. Now, wearing a cath for three days was the unpleasant part. Going to ask the doc about the empty baggie, and what can be done. The scar tissue is ugly, and a little hard.

I had no trouble finding a plastic surgeon to remove my scrotum. The comment was, yes, that's what we do, remove excess skin.

OK, so you had this done as a step towards penectomy or did you have other reasons aside from urine splashing everywhere due to the head split? I tried to patch this together in the other thread you had but it wasn't immediately obvious.

I hope you're healing well and I look forward to hearing how this latest arrangement of your anatomy works out for you.

--LT

Firstly, Thank You for sharing.

Especially the feeling of needing to urinate in the now, uninvolved penis.

Are you going to go for penectomy too? Seems like you have a wonderful

unique sexual organ uninvolved with urination, except when you feel it is.

DO NOT complain or that doctor minimally may be less willing to do another such surgery. Consider thanking her, especially if everything works okay. Diplomacy.

Possibly speak of a revision. Consider the final result will probably not be apparent for months as tissue swelling goes down and skin tissue adapts, the shrinkage of redundant skin.

Again, thanks for sharing.

Moi

ditto, as long as they remember to deflate the balloon at the end of the catheter,

removal should not feel painful. Maybe "odd", but not painful.

Thanks for all of the information about catheter removal, gives me great comfort knowing what to expect and that it won't be that bad. Currently I'm just waiting until Tuesday when the cath will be removed. Actually took a couple sick days off, had a ton of them and never used them so why not. As for penectomy, I go back and forth on it, I'm not as highly motivated to have my penis removed right now. I had the reroute surgery just in case and also because of urine splashing around while peeing. Couldn't use a urinal without getting urine all over the place, even if I tried to pinch the glans somewhat, it caused a mess. Sitting down was better, but still messy. As for penectomy, what happens after you're castrated is that you lose most if not all sexual desire and along with that is the desire to modify or remove one's penis if you don't use any testosterone. For me as I've said multiple times, I can no longer get my testosterone to go any higher, if I use more testosterone then I normally have done for so many years, it has a reverse affect, turns into estrogen and my penis go into hiding. It's pretty small and prepuberty like to me, but I was not the least bit embarrassed about it. Anyway, when my estrogen rises, I don't even care about the Eunuch Archive, so just saying that's why I'm not highly motivated to remove my penis, just don't have the desire or the will to go through with it even though now, it wouldn't really matter. But never say never, who knows what one might do in the future. My castration desire was so strong and compelling I could not stop thinking about it, overwhelmed me and I could not stop myself. It was strange.

Catheter comes out today at 3pm. Yeah! I can't stand the thing, having it is worse than the surgery itself. I've checked the surgery area and can't really see much except a slice of skin with a tube (cath) sticking out. It will be interesting to see what my urologist has to say about it. I did get a semi-erection the other night and it was a little strange, I think my penis is a little numb, not completely, but a little. Hope I can pee after the catheter comes out so the doctor releases me. We'll see.

congrats on your opperation

glad to here all went well

So?

The cath came out and . . . .

Truly hope the delay in the cath outage report does not bode bad stuff.

Good luck. Really. And thanks again for sharing.

Moi

So how did it go? We are all waiting to hear. Hope all is ok.

Sorry for the delay in responding. I had my appointment and my urologist said, "Well, it's not quite healed up yet, I'd like you to keep the catheter in for two more days. Come back on Friday!" Worse news you can imagine, however, I went home and toughed it out. Back to see her Friday and all was o.k. She however was not feeling well, but, she held up the catheter and starting filling it up with sterile water. Then she said sit up and said she wanted me to pee in a hat! I kid you not, it's somekind of measuring device that sits on the rim of the toilet. So the catheter came out and I didn't even feel it or know it was out, but there I was sitting down for the first time peeing in a hat It was strange to pee with out pee coming out the tip of your penis and it surprised me when I started to pee out the reroute, weird feeling, but not bad or painful. The nurse and the doc looked at the hat, saw the measurement and told me to get dressed. We exchanged pleasantries, she told me she wanted to see me in a month, and then she left but not before she said, "You know you'll also ejaculate from down there now too?" I said yes, I know. She said, "It'll be a little different." I shook my head and she walked out. I kind of thought that a little strange for her to say, but I don't know how much to take from it.

Anyways, after getting home I sat to urinate again and lifted my penis out over the edge. I thought, "Well there's no urine coming out of it so why not lay it on top of the toilet seat while I pee?" Wrong! A little urine started spraying out the tip along with what was coming out the new reroute hole. I was not, am not, happy. I'll have to call the good doctor on Monday and tell her that she didn't totally seal off the urethra. Man, this is disturbing. I'm not sure what I'm going to do, I certainly don't want any additional surgery to fix the problem, I don't want to wear a catheter ever again, but we'll see what she says. That's about it for today. P.S. still have some numbness below the scrotum or what's left of my scrotum.

Maybe it just needs a little more time to heal. Maybe if you press on the base of the penis just above the new pee hole and prevent pee from entering the penis that might help give it time to finish healing and re-route. Just an uneducated guess. Best wishes.

nullorchis,

You know, you might just be right, can't hurt to try it. Let you know what happens.

Are you sure it was urine and not some other secretions from within the penile urethra?

Thanks for checking in. You had us <foot tapping> waiting? & concerned.

moi is right.

These kind of things must heal from the inside out. Discharges are usually associated with healing and the immune function, and do not necessarily mean that there is an infection.

I suggest that if you can stand it to put pressure on the old urethral route to force the urine out of the new orifice until the discharge goes away. You do not want the urine backing up into your old urethral tract creating a blind pouch or sac to harbor infections. Follow cleansing instructions for the area religiously.

If the area gets painful, becomes red, swollen or changes color seek medical help. You do not need a post op infection. Make sure that you follow with your doctor until he/she releases you.

Interesting Hash...I too have a split head and cannot pee standing up because of the spray/splatter zone..I just sit down..Have for years now..I like it...Makes me feel more ladylike...If I was offered it, I'd take everything you have...I have been contemplating going to Detroit this spring and getting castrated by that doctor there...I'd love to be ball-less and a eunuch...My little worthless cock just shrivelled and tiny...Glad to hear you're well...My guess is, the sealing of your penis should be a minor procedure...Good luck bro Jackie

I've started to pinch the glans hard to prevent urine from coming out through the tip of my penis when I urinate. I've been urinating through the new orifice and it's kind of fun and strange at the same time. Looks funny too, though you can't see much, but it appears as though there's excess folds of skin and I think these excess folds form a channel that still connect with the old urethra, which is why I still have urine coming out through the tip of my penis. It's not a strong stream coming through the tip of my penis and again it's because the majority of urine is pushing out through the new reroute.

I think this is the urologists fault, I kept asking for the permanent perenial uretheostomy (reroute) but she kept telling me that the temporary would be permanent unless I changed my mind, then it would be easier to put things back the way that it was. I kept telling her there was no reason for me to go back after the reroute, but she was stubborn. Anyways, it gives me some leverage when I talk to her again. I called in and reported the problem, we'll see what happens. She has not responded yet. Wonder if she suggests I go back under the knife if she'll remove the stupid bunched up scrotal skin?

I fully agree with this advice. i had an abscess and hematoma after my lingual removal. The pain was unbearable as well as the swelling. Follow the doctors orders and do not try to "forget" a step. I now have a nasty scar in my scrotum, as well as a fair amount of numbness as a result of the infection. DO WHAT THE DOC SAYS to avoid infection.

I agree. Make the uro fix it. My uro would not remove my entire ball after it was found with a cancerous tumor. Remove the bad tissue, put the healthy tissue back. BULL SHIT! He ended up going back and removing it all. I made sure he did a thorough job the second time. The post-op infection was a surprise! Now, i'm finally cured, but your doc needs to understand it's your body, and you are the boss. they listen, after a while...

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Hash (imported) wrote: Sun Jan 29, 2012 7:03 pm . Anyways, after getting home I sat to urinate again and lifted my penis out over the edge. I thought, "Well there's no urine coming out of it so why not lay it on top of the toilet seat while I pee?" Wrong! A little urine started spraying out the tip along with what was coming out the new reroute hole. I was not, am not, happy. I'll have to call the good doctor on Monday and tell her that she didn't totally seal off the urethra. Man, this is disturbing. I'm not sure what I'm going to do, I certainly don't want any additional surgery to fix the problem, I don't want to wear a catheter ever again, but we'll see what she says. That's about it for today. P.S. still have some numbness below the scrotum or what's left of my scrotum.

Seems to me that if she did a proper reroute there would not be any way for urine to exit from the penis. The urethra should exit the body with no connection to the remaining urethra segament in the penis.

HASH,

Before you even mentioned about the temporary`aspect of the reroute I expected the same. Just cutting a slit in the urethra is the easiest method of accomplishing a reroute as there are nerves that travel along the urethra. When a penectomy is done at the same time The urethra is usually severed and the end of it sutured to an opening in the skin, In that case since the penis is gone loosing sensation in the penis doesn't matter. The other aspect of using the slit method is that if you were to fore some reason change your mind the slit could be closed and you would regain normal function.

You are correct about the folds in the urethra that run along and in line with the urethra. I also experienced some urine coming out the tip of my penis when I did my reroute so I blocked off the end of my urethra. I was concerned about cleaning the unused portion for a while but I found that it cleans itself because of the folds. When I pee some urine still travels along the folds to the blockage and returns to the reroute opening keeping it clean. I have never had a problem with yeast building up or infection yet and I have had mine now for a couple years.

Your urologist may also be concerned about liability (or your best interest) if she blocked your urethra and you did change your mind.

NTL - I'm sure you will continue to have urine exit the old opening even after healing. The amount that comes out will be dependent on how the folds of skin are positioned at the time and how much restriction is present to push urine to the old opening. The other thing to consider is that since your reroute is below the scrotum and mine is above you would have a longer passage to keep clean. Your old urethra would have to either be sealed on both ends or for the entire length.