Castrated Sissy Husband

Castrated Sissy Husband
However,
a Bilateral Orchiectomy (removal of both testes) is a serious
alternative to antiandrogen therapy for androgen suppression in
preoperative transsexual women, and is now widely regarded as a
useful precursor to SRS in many cases.
Orchiectomy is
an operation for the surgical removal of the testes. Because the
vast majority of the male hormone testosterone is produced by the
testicles, an orchiectomy is an excellent way of stopping its
production and eliminating its masculinising effects on a body.

In an orchiectomy, the scrotum is cut open (A). Testicle covering is cut to expose

the testis and spermatic cord (B). The cord is tied and cut, removing the testis (C),

and the wound is repaired (D).

Because the testes
are conveniently located external to the body cavity, they are
relatively easy to remove and an orchiectomy is considered to be a quite
minor operation. Usually a small incision is made in the scrotum, the
sac that contains the testicles. The testicles are detached from blood
vessels and the vas deferens (the tube that carries sperm to
the prostate before ejaculation), and the sac is sewn back up.

A Bilateral orchiectomy being performed. Technically, the peri-testicular
fat-pedicle saving
trans-scrotal technique is being used If the patient later has
sex re-assignment surgery, the fat
pedicle can be used to support the formation of the Labia Majora area during vaginoplasty.

Orchiectomy can be
performed as an outpatient procedure under local anaesthesia, or under
general anaesthesia with an overnight stay in hospital.
A Bilateral
Orchiectomy is often a first stage toward full gender
reassignment surgery.  Orchiectomy also represents a viable
and very effective (though irreversible) treatment for gender dysphoric pre-pubertal
boys , preventing the onset of the masculinising changes of
adolescence.

The
result of a well healed
bilateral orchiectomy
Reasons that
may lead a transsexual women to request a bilateral
Orchiectomy include: eliminating male sexual urges; a
desire to prevent further physical masculinisation; concern
about liver damage due to prolonged use of anti-androgens;
avoidance of testicular discomfort when wearing tight
under-wear/swimwear; an inability to proceed with SRS for some reason.

Orchiectomy
is particularly valuable for transsexual women who find they are
intolerant to Cyproterone Acetate, whose unpleasant side effects
can include: weight
gain, fatigue, alteration of sleep patterns, mood swings,
headaches, depression, hot and cold sweats, and intolerance to
alcohol (particularly red wine on my experience!).
The effects of
Orchiectomy -some good, some bad - include:

It should be
noted that overall there may be a change in temperament with docility,
sluggishness and lethargy, as well as reduced energy, weight gain, and
after several years reduced face and body hair.
There is also a
long-term danger of Osteoporosis, a loss of bone mineral density where
the bones become thinner, more brittle, and at increased risk for
breaking. It is the same condition experienced by women in
menopause. Osteoporosis can be treated with oestrogen, calcium,
and vitamin D. An exercise program with progressive weight-bearing
activities will also help strengthen the bones, and help keep weight
down!

The results of
the operation vary in their intensity with several factors, primarily on
the age of the man at the time.  When a bilateral
orchiectomy is done before puberty, the results in terms of increased
physical feminisation and decreased masculinisation are much more
dramatic than when it is done after puberty. For example, the
voice remains high-pitched when the operation is performed before about
age 12, but does not change from the typical male low pitch when
performed after age 21.

[Please note that
the following information is mostly taking from the Looking
Glass website.]
A Bilateral
Orchiectomy offers several unique advantages over antiandrogen or
GnRH-agonist therapy for the transsexual woman:
Safety
The surgical procedure is simple and can be done under local
anaesthesia. After Orchiectomy, the patient is endocrinologically
equivalent to a post-operative subject and should take the appropriate
(lower) dosage of feminising hormones; there is no need for any further
antiandrogen therapy. This has clear safety advantages especially
in patients thought to be at elevated risk of thromboembolic
events. For long-term use (e.g. in patients who cannot afford SRS
for a considerable time, or for whom SRS is contraindicated by other
conditions), this is particularly significant.
Immediacy
It is generally impossible for a woman to obtain SRS without living
in role for at least a year. However this requirement does not apply to
an orchiectomy, which is not covered in the Harry
Benjamin Standards of Care .
Minimal
Side
Effects
Some women report transient lethargy as their body adapts to the
loss of androgens, but the side effects associated with taking antiandrogens or GnRH agonists are
avoided.
Improved
Feminisation
In a post-Orchiectomy woman, feminising hormones can act
unopposed. This produces more complete and more rapid feminisation than
is normally achievable with antiandrogens.
No
Reversion
When feminising hormones are withdrawn prior to any surgery,
or for any other reason, the patient will not revert towards male
biochemistry or appearance. This is of enormous psychological
benefit in many patients.
Psychological
Benefits
Transsexual women report a feeling of progress or
achievement, of "asserting their true nature over a physical
deformity", and of looking 'less masculine' in the genital
area. This can produce a significant improvement in
emotional well-being.
Incidental
Health Benefits
It is claimed that a bilateral Orchiectomy protects against
coronary artery disease, cerebrovascular disease and effectively
increases the life span by an average of 5 years.

There are some disadvantages to having an Orchiectomy.

Risk
Surgery, even a relatively simple procedure, carries risks related
to the anaesthesia and bleeding, and also possible post-operative
complications including abscess/infection and healing problems.
The following
disadvantages also apply which can be very significant for the not
completely committed transsexual woman who wishes to keep open the
option of reverting to being male:
Irreversibility
Infertility
Orchiectomy will cause a complete and irreversible loss of sperm
production, with permanent sterility. Male sex drive and sexual
function can in principle be restored by administration of testosterone
should the woman decide to revert to a male role.
Conversely, long-term female hormone/antiandrogen therapy is also not
truly reversible.
Shrinkage of
Scrotal Tissue
If SRS is not performed for a considerable period after
Orchiectomy (e.g. 3 years or more), there is a risk of atrophy and
shrinkage of the scrotal tissue, reducing the amount of donor material
available for eventual SRS. This may or may not cause a problem,
depending on the patient's anatomy and the surgeon's technique.
However, again long-term hormone/antiandrogen use can also produce
significant atrophy of penile and scrotal tissue, and surgeons normally
recommend 'stretching exercises' to limit this effect; this method can
equally be applied to scrotal tissue after Orchiectomy.
If you are
considering an orchiectomy as a preliminary to sex re-assignment
surgery, then it's important to note that some popular surgeons are very
reluctant to carry out SRS on patients who have already had an
orchiectomy.
Seven of the
group have now undergone SRS. The waiting time between
Orchiectomy and SRS varied between 3 months and 34 months, with an
average of 16.7 months. The study looked at whether Orchiectomy
increased or decreased the need for SRS. Seven said that it made no
difference, 5 said that it increased or confirmed their need for SRS,
and in 2 patients it decreased their need for SRS.
Of the patients
who subsequently underwent SRS none had surgical complications or
complaints about vaginal depth as a result of Orchiectomy.
Of the 50% of
patients who had not yet had SRS, 3 had not yet changed gender role. Two
are currently on the waiting list for SRS, and one is waiting for NHS
funding. The other does not wish to have SRS.

To some women,
one of the great advantages of Orchiectomy compared with SRS is the
much lower cost.
SRS
can cost anything from $8000 to over $20,000 for a top class surgeon
(and sadly, you often get what you pay for). In comparison, a
Bilateral Orchiectomy in the USA is available for as little as $1200
when done under local anaesthesia as a day case, going up to about $5000
with general anaesthesia and an overnight stay in hospital. In the
UK, Orchiectomy surgery is available privately for approximately £1500
($2200) when done under general anaesthesia with an overnight
stay.
Orchiectomy
surgery is also very cost-effective in comparison with long term
androgen suppression treatment, whose costs can easily amount to $1000
or more a year, depending on the drugs being taken.

There are several
"do-it-yourself methods for Orchiectomy. The following two
methods are intended on farm animals but there are reports from hospital
Accident and Emergency Departments of these being used by men on
themselves!

The very best
that can be said about these methods is that they are very dangerous and
DIY Orchiectomy is foolish in the extreme.
My friend Ellen
Rugowski has very generously provided the following account of her
Orchiectomy procedure for this page:

On July 7, 2001 at 8:50am, I underwent another step in my
gender transition; I had an Orchidechtomy. This procedure,
was done on an outpatient basis. My reasons for having an
Ochidechtomy were threefold:

1.) The
Gender program I am in (the Milwaukee Transgender Program in
Milwaukee, Wisconsin) recommends (although it does not enforce),
that if you haven't had SRS after 2 years of hormones, you
either discontinue hormones (to lower the risk of clotting), or
have an Orchidechtomy, and lower your hormone dosages (to lessen
clotting risks). I have been on hormones for almost two
years.

2.)
Unfortunately, in spite of almost two years of hormonal
usage, my testicles really never shrank. They were
oversized to begin with, which made them hard to conceal.
As I got further into transitioning, this became a matter of
concern to me. I hated the bulge between my legs (and the
testicles for that matter), and wanted it gone.

3.) I also
had my Orchidechtomy for economic reasons:
   A.) My Spiranolactone (a.k.a. Aldactone, an
anti androgen) dosage was (and until I see
my     doctor, still is) rather high,
300 mg a day. This was partially for the teststosterone
blocking effect, and also to control my blood pressure (which
was borderline high before I went on hormones, and became
elevated from taking hormones). My drug prescription plan
(through my place of employment), only charges me 4 dollars (2.8
pounds) per refill for spiranolactone, instead of the about 300
dollars (212 pounds) I would pay out of my own pocket for the
same 3 month supply (refill) of the anti androgen. If I
ever lost my job, (or went to work at a company with an inferior
drug prescription plan), I would have a hard time paying
for my Spiranolactone.
   B.) While Spiranolactone does a
relatively good job of blocking testosterone, it is not 100
percent effective. I had a heavy amount of facial hair
that I had to get rid of. For awhile, I was having 6 hours
of electrolysis a week, at a cost of 220 dollars (155
pounds). In recent months, this has gone down to about 4
hours a week, at a cost of 150 dollars (106 pounds), better than
6 hours a week, but still a little pricey. My
electrologist (and other people) told me that when I had my
Orchidechtomy, my facial hair growth (or in my case regrowth,
since my face has been cleared of 5 o'clock shadow since October
2000) would markedly decrease (which of course would mean a
reduction in electrolysis expenses).


I arrived at the Urologist's office for my Orchiectomy, at
8:20pm. While I was waiting to go into the surgical area
for the Orchidechtomy, I talked with a pre-op friend of mine
named Brenda, who was waiting for Crystal (also a pre-op MTF
friend of mine), the patient before me, to finish with her
Orchidechtomy. It is not recommended for patients, to
drive themselves home after an Orchidechtomy, so Brenda was
driving Crystal home, after her surgery was done. I was
feeling quite nervous (like I used to feel when I was a
competition runner; you're sure you're going to feel rotten
after the whole affair is over with).


At around 8:40am, Crystal came out to the waiting room.
She looked a little pale, and had a sheen of sweat on her
face. This made me even more nervous! The surgical
nurse assisting the doctor took my blood pressure at this time,
it was 150 over 100! I paid the doctor for the
Orchidechtomy. The basic cost is 1100 dollars (780
pounds). Mine cost a bit more, due to the fact that it was
discovered during my initial consultation appointment on May 31,
that I had a varicose vein on one of my testicles, which would
have to be tied off during the surgery, to prevent
bleeding. At that time, I paid the doctor 300 dollars (212
pounds). I was also charged the basic fee mentioned above,
which is what I paid on the day of my Orchidechtomy. So,
my total cost, was 1400 dollars (990 pounds).


I was then sent into the surgical room, told to take off my
sandals, disrobe from the waist down, and lay down on the
operating table. Several minutes later, the doctor
arrived, told me to relax (I was pretty nervous at this time)
and spread my legs. She then placed her surgical
instrument kit between my spread legs. I was then given an
injection of a nerve blocking type of local anesthetic, at two
points on either side of, and roughly at the level of the
penis. The doctor then waited about three or four minutes
for the anesthetic to take effect, and the surgery began.

The surgical
method used, involved making two incisions, one on each side of
the penis, in the upper part of the scrotal sac. Each
testicle, was removed, one at a time. The first testicle
removed, was the left one (as viewed from looking at me head
on). An incision was made, and the doctor used her fingers
to create a passageway (called a blunt dissection- this is the
same way, the vaginal opening is started, during SRS), that the
testicle could be pushed through. The doctor was surprised
to discover that I had three very large varicose veins on the
left testicle. These had not been detected during the
initial consultation appointment. They were quite large,
and had to be tied off to prevent bleeding. Once the
varicose veins were tied off, and the ligaments holding the left
testicle in the scrotal sac were cut, the testicle was pushed
out of the scrotal sac. It was only attached to the
spermatic cord. The testicle was then pulled on, until the
spermatic cord was taut, and the spermatic cord was cut (the
tautness in the cord, caused the stump of the cut cord, to snap
back into the abdominal cavity, where it wouldn't protrude next
to the skin, and be subject to painful feeling bumps).
When the spermatic cord was pulled taut, I could feel my upper
groin area tense up. The incision was then closed up, and the
doctor proceeded to remove the right testicle (as viewed from
head on).

The procedure to
remove the right testicle, was the same as the procedure to
remove the left testicle. This was the testicle, that the
doctor had discovered the varicose vein on, during my
consultation appointment on May 31. When the incision was made,
this testicle was found to have two additional varicose veins on
it, for a total of three varicose veins! All of them were
quite large according to the doctor. As on the left
testicle, the veins had to be tied off. The right testicle
was then removed (with me once again feeling a pulling sensation
in my upper groin area, when spermatic cord was pulled
taut). At t
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