Sal
Good morning Sal,
Assuming you are not a transgendered patient and that this has been a chronic problem refractory to many conservative measures, not based in neuropraxia above the level of the testes, and appropriate imaging and laboratory studies have been done… yes, we will consider doing an orchiectomy for men such as yourself for the reason of orchalgia.
As this is not conventional urological surgery, a letter of psychiatric clearance from 1 American Boarded psychiatrist is required. We want to be sure you will be a happy and more productive person after your orchiectomy, and most importantly that you will have no remorse.
The letter should also state if correct, that you have had no emotional problems or suicidal ideation. One resource would be to look up psychiatrists under Physicians and Surgeons in your yellow pages or any neighboring large city.
When you see me, an injection of local anesthesia will be administered to see if this reduces pain. Experience of other physicians as well as at our office with orchalgia as your describe show the reduction of pain on average is no better than 85% overall as other factors may be involved.
Fair to say, considering our the patients who have received orchiectomy, so far there have been none that regretted the procedure.,
Next, if you are married we will need a release from your wife. Remember this is an irreversible procedure and unless you sperm bank, you are forfeiting your right to pass on your excellent genetic potential to the next generation.
If there is further interest, we are available for consultation. Our fee is 250 for consultation and 2500 for the orchiectomy.
If you are over 40 or on medications, a letter of medical clearance with reference to an EKG is required. Routine lab work for all patients includes a CBC, platelet count, PT and PTT.
Typical scenario, day one consultation, day two orchiectomy, You will need to stay for two additional days with a generous amount of bed rest, and be seen before departure.
We recommend the Baltic Hotel in Miami Beach at 7643 Harding Avenue (phone 877-622-5842), where Christina the owner-manager takes a special interest in our patients.
Please no aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx (removed from the market for cardiac concerns) for a week before surgery. No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising.
Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let’s discuss it beforehand.
Boiron brand is available at Whole Foods and on the web at http://www.vitaminshoppe.com
for “pennies” and we do notice a difference. You will need 2 vials.
We hope to have the pleasure of serving you whenever your travel plans include the South Florida area.
Sincerely,
Harold M. Reed, M.D. FICS
305-865-2000
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America