Procedures
Orchiectomy
​This web site was developed to make the standard male aware of an available procedure for those interested in achieving an alternative persona. Men often find that many of their regular work and recreational activities are disrupted or diminished by recurring thoughts of sexual activity or unwanted urges which cannot be satisfied during these activities. As a solution we have a procedure offered here called orchiectomy, often referred to as castration. The penis and scrotum are left intact. This permanent surgical solution is achieved by removal of the testes. This is the most common procedure I perform at this time on standard males to provide them the lifestyle adjustment they want to control their sexual obsessions and in many cases just to allow them to have a more calm and stable way of life as an alternative male. Some standard males may seek temporary relief with medications to evaluate the benefits before orchiectomy. While not appropriate for everyone, if you think orchiectomy can help you achieve your desired objectives, we will be happy to discuss any goals or related questions you may have about the procedure, which is performed in a local hospital as an outpatient under general anesthesia, and patients can expect to return to regular activities in one to two weeks.
While an orchiectomy will provide the lifestyle changes listed above, there are possible side effects such as reduced muscle strength or the acquisition of some feminine physical traits such as body hair loss that can occur. However, each neutered male will have his unique experience. Orchiectomy will stop most of the body’s production of testosterone, which prostate cancer needs in order to grow. Orchiectomy will cause sudden hormone changes in the body, and likely side effects from those changes in addition to sterility are reduced sexual interest, erection problems, hot flashes, larger breasts, weight gain, loss of muscle mass, and thin or brittle bones. However, each neutered male will have his unique experience. We can discuss the possibilities with you prior to your commitment.
Requirements
Before we can schedule your procedure, you need to write a letter to Dr. Movagharnia explaining why you are asking to have an orchiectomy. In that letter, you must to be honest and truthful and indicate the true reasons for such a request. Dr. Movagharnia needs to be convinced that your desire is sincere in order to perform your surgery. You must also write that you are aware and understand all the complications associated with the orchiectomy surgery including the risk of not having your testicles both in the short and long term. You must also understand and declare that you know this procedure is NOT reversible, and in order to replace the missing testosterone not available because or orchiectomy, you will need to be on hormonal replacement therapy.
Patients who would like to be castrated can contact my office at 770-951-7595 for more information and cost of the procedure.
SCROTAL SKIN RESECTION: AN OPTION IN MTF TRANSITION PROCESS
What is Scrotal Skin Reduction?
Scrotal Skin reduction is surgical removal of loose and redundant scrotal skin. This procedure is often performed in conjunction with both testicle removal, bilateral orchiectomy, for transgender women. Patients have reported increased ease and comfort with daily tucking, since the extra stretchy scrotal skin and subcutaneous tissue is eliminated.
This redundant skin removal allows for more room when tucking the penis, since there is less volume of tissue between the thighs and buttocks and patients are more comfortable. This often eliminates the need for taping, multiple clothing layers, and super tight undergarments, which can cause skin irritation and injury. The incision is placed below the stretchy, redundant area of the scrotum following the natural line on the scrotum, in a pattern that allows for optimal healing and pelvic mobility after healing.
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We offer many other cosmetic body and facial feminizations procedures (please visit our other website at http://www.ccrsatlanta.com) that can be done in conjunction with orchiectomy or separately.
Also refer to the links below to get an idea about the risks and complications of orchiectomy that you need to know for the letter.
http://www.webmd.com/prostate-cancer/orchiectomy-surgery
http://www.tc-cancer.com/orch.html
http://sherrylanina.tripod.com/orchiectomytrans.htm
Additional Information