Medical Forum / Diseases and Disorders / Prostate Cancer / October 2004
Surgical Castration
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Corey Hanson - 13 Oct 2004 16:41 GMT a friend is undergoing surgical castration
would someone have any links (URL) to pages which describe the aftercare, what will the days ahead require of the patient, the family, friends
what will pain levels be during recovery? any useful tips are appreciated
Steve Kramer - 13 Oct 2004 17:15 GMT My son required a single testical removed. He was pretty sore the first few days, but mostly because he wouldn't stay sitting. He was back to work light duty within a week to ten days (don't remember exactly). However, he had to wait a few weeks before full duty as a fireman/paramedic.
I doubt that two testicals would be any different.
 Signature Prostate Cancer Survivor (so far), not a doctor PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3bN0M0 PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron (1 mo) 07/21/2003 @ 48 PSA .07 .05 .06 Lupron (3 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50) non illegitimi carborundum
> a friend is undergoing surgical castration > [quoted text clipped - 3 lines] > what will pain levels be during recovery? > any useful tips are appreciated Allan Matthews - 13 Oct 2004 23:13 GMT >a friend is undergoing surgical castration > [quoted text clipped - 3 lines] >what will pain levels be during recovery? >any useful tips are appreciated I had bilateral oriectomy, (both testicles surgically removed) on April 1 of this year..some April Fool's Day???)
Surgery was in early afternoon, I left the hospital a few hours later and drove home...108 miles. I had no pain at all. Removed the restarining bag (bandage) the following day. Had two or three drops of bleeding each day for about three days. A week later was completely healed. It will turn entirely BLACK so tell you friend to be aware of this. Normal color returned in several days.. I have not have the horrible side effects I had before with chemical castration...Lupron for 25 months. Feel free to contact me by e-mail.
Allan
Stephen Jordan - 13 Oct 2004 23:42 GMT > a friend is undergoing surgical castration > [quoted text clipped - 3 lines] > what will pain levels be during recovery? > any useful tips are appreciated The procedure is called "orchiectomy."
If Corey Googles that word, he'll find a number of websites, including a couple for transexuals.
One of the more helpful is http://my.webmd.com/hw/prostate_cancer/hw77950.asp
Another method of castration, not involving surgery, is "chemical castration." Drugs used are, for example, Zoladex and Lupron. However, in the case of the drugs and where the condition treated is prostate cancer, they may become ineffective as against cancer cells over time.
Side effects are the same for either procedure. They include hot flashes, eventual loss of bone mass if not medicated, possible weight gain, possible breast growth (gynecomastia). But every man is different; YMMV.
Regards,
Steve J __ "Never give in--never, never, never, never, in nothing great or small, large or petty, never give in except to convictions of honour and good sense. Never yield to force; never yield to the apparently overwhelming might of the enemy.'' --Sir Winston Leonard Spencer Churchill
Allan Matthews - 14 Oct 2004 00:53 GMT >> a friend is undergoing surgical castration >> [quoted text clipped - 5 lines] >> >The procedure is called "orchiectomy." I believe my s[pelling of the word is correct. Allan
>If Corey Googles that word, he'll find a number of websites, >including a couple for transexuals. [quoted text clipped - 22 lines] >apparently overwhelming might of the enemy.'' >--Sir Winston Leonard Spencer Churchill Allan Matthews - 14 Oct 2004 00:55 GMT >>> a friend is undergoing surgical castration >>> [quoted text clipped - 8 lines] >I believe my s[pelling of the word is correct. >Allan Both spellings are correct.
>>If Corey Googles that word, he'll find a number of websites, >>including a couple for transexuals. [quoted text clipped - 22 lines] >>apparently overwhelming might of the enemy.'' >>--Sir Winston Leonard Spencer Churchill Stephen Jordan - 14 Oct 2004 01:52 GMT Quoting me, in pertinent part:
>>>The procedure is called "orchiectomy." He claimed:
>>I believe my s[pelling (sic) of the word is correct. He had earlier spelled it, "oriectomy."
He later posted:
> Both spellings are correct. First: well, folks, I spelled it the way WebMD does.
Second: the On-Line Medical Dictionary at http://cancerweb.ncl.ac.uk/cgi-bin/omd?query=+oriectomy&action=Search+OMD has no such word as "oriectomy" listed.
Third: according to the On-Line Medical Dictionary, the prefix "orchi" stems from the Greek "orchis", meaning "testis."
Fourth: a Google search of Allan's word shows it as used in the castration of dogs. Why? Damfino. There are three pages of articles on the subject of neutering dogs. It appears that every article is a duplicate of all the others. Reading it leads me to suspect, from the internal evidence, that the author made a spelling error.
And I suspect that Allan did, too.
I have nothing further to say on the subject.
Regards,
Steve J __ "There's nothing sadder than the brutal murder of a beautiful theory by a gang of ugly facts." --Unknown
Allan Matthews - 14 Oct 2004 11:43 GMT Stephen, I didn't mean to start a war over this.The spelling I had was from the internet, as you said. I found it spelled both ways and am sorry for correcting you the first time. Since I found it both ways, I assumed that it was correct both ways.
My original intent was to give info to the person who is going to ahve this done. I went through it April 1 of this year. I had no pain and was healed within a week. The thoughts of allowing this done went against everything in my body and I still wonder if I made the right choice. My doctor had given me three months to choose betwen going back on Lupron or having surgical castrastion. Since I had been on Lupron for 25 months before and had become depressed and suicidal I chose the surgery. My PSA had been very low after the Lupron and 41 radiation treatments, using a proton accelerator. In late 2003 it started doubling every two months and by March it was over 7.0 so I set the date up one month and made my choice. My PSA dropped to .43 and has remained there so far. I know that sometime in the future it will start to climb again and I will have to make new choices. I am now 70 years old and have been fighting this horrible thing since March 28, 2000 when my PSA was 39.6, gleason 7, inoperable. Have a good day, good luck to you and I am truly sorry that I goofed on the spelling thing. Allan
>Quoting me, in pertinent part: >>>> [quoted text clipped - 37 lines] >theory by a gang of ugly facts." >--Unknown c palmer - 14 Oct 2004 13:04 GMT hi allan - i had to chuckle about the way you wrote about the "april fools joke"
i remembered a cartoon and it was showing the ex-wife walking out of divorce court holding the bag with the family jewels in one hand and telling her girl friend, "yeah, i got those too!!"
but to a lot of guys, that's not an april fool's joke.
may you have a many, many .43 psa's.
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."
ButtercupsDad@dog.net - 14 Oct 2004 13:23 GMT Allan: Two comments (unsolicited advice, free for the asking, and worth every penny you paid). Sometimes you put your foot in the sh.t over some innocent comment (I learned that the hard way here). The only solution is "thick skin". Do not dwell on it. Let it go. Years from now some post graduate student working on a Ph.D. in internet newsgroups will wonder why anyone got hot over how to spel having one's balls cut off right.
On your comment about "and I still wonder if I made the right choice", there is an unwritten rule here. Make the decision, a life or death one in our case, take action, and never look back. There is no point of course. It is done. But the main reason is that the doubt is corrosive and just brings you down. No sense replacing one disease with another one. Reject the doubt. Think positive. Look ahead and enjoy every day. Good luck and God bless you. By the way, spelling orchiectomy is one thing, but how the heck do you pronounce it? Thank you. David S.
>Stephen, >I didn't mean to start a war over this.The spelling I had was from the [quoted text clipped - 62 lines] >>theory by a gang of ugly facts." >>--Unknown Stephen Jordan - 14 Oct 2004 15:44 GMT On October 14, Allan Matthews replied to me:
> I didn't mean to start a war over this.The spelling I had was from the > internet, as you said. I found it spelled both ways and am sorry for > correcting you the first time. Since I found it both ways, I assumed > that it was correct both ways. This was no war; it wasn't even a skirmish, so far as I'm concerned.
I'm sometimes a bit stiff and formal in my writing, and can inadvertently give the impression of anger. But if I'm angrily flaming, there will be no doubt what's happening.
In this case, I was just trying to be informative. Sorry if it looked like more than that.
> My original intent was to give info to the person who is going to ahve > this done. (snip)
And a laudible purpose, too.
I would not want to be forced to make such a choice as Allan had to make.
It is, as we all know, indeed horrible. I call the tumor "The Devil Within."
Regards,
Steve J __ "Never give in--never, never, never, never, in nothing great or small, large or petty, never give in except to convictions of honour and good sense. Never yield to force; never yield to the apparently overwhelming might of the enemy.'' --Sir Winston Leonard Spencer Churchill
Temporary452 - 14 Oct 2004 01:13 GMT Underwent orchiectomy on Friday before Christmas holidays about 2 years ago. It did not interfere with any holiday activities - OK, so there were no major physical activities planned. Went to work 1 day between Christmas and New Years - back to work full time after New Year holiday with no one at work being any the wiser. The scrotum was wrapped tightly with bandage so no pooling of blood. No real pain to speak of - Tylenol and ibuprofen were sufficient to keep everything going smoothly. Was told not to lift over 25 lbs for the next few weeks, but other than that nothing altered in day-to-day activities.
I felt this was a far better (and in the long run cheaper) alternative to pharmaceuticals to block production of testosterone.
I wish them the best of luck and other than the "psychological" aspects I found no down side to the procedure. The loss of libido will happen just the same if you take lupron or similar treatments.
Chin up.
Sam H. Kansas
>a friend is undergoing surgical castration > [quoted text clipped - 3 lines] > what will pain levels be during recovery? > any useful tips are appreciated
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