Prostate Removal During SRS

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In a conversation I just had with an ER Doctor, he asked me if during my SRS surgery, had the surgeon removed my Prostate Gland? Back in 2007, when mine was done, I do not think they were doing that because it was felt that the proceedure was too dangerous to the nerves and blood vessels.

Apparently some or all surgeons are now doing it orthoscopically as a part of SRS. Are any of you aware if this change in surgical procedure has been implemented or is the ER Doctor wrong?

Gwen

Comments

Prostate

littlerocksilver's picture

I'm not sure why they'd want to that. Removing the prostate can lead to incontinence. I'm speaking from experience here. It is a rather drastic surgery that requires reattaching the urethra to the bladder. All sorts of things can go wrong; again speaking from experience. With the removal of the testosterone producing testes, the chances of prostate cancer are greatly reduced. If there is little history in one's family I think that having the prostate removed would be a needless complication of the whole process. I see no reason for it unless you are really masochistic.

Portia

Dr Brassard does NOT ...

dawnfyre's picture

remove the prostate gland during surgery. He sees no medical need that outweighs the risks.

In the recovery booklet issued, they mention explicitly that the prostate can be felt through the neo-vagina as needed for patients health.
I would say the ER doctor is operating with bad information on this.

edit to add:

9 days from now it is exactly 3 months after my Gender Recognition Surgery, so my information is very current for one of the top surgeons for the surgery.


Stupidity is a capital offense. A summary not indictable.

Or in layman's terms...

erin's picture

...he needs a laxative.

Hugs,
Erin

= Give everyone the benefit of the doubt because certainty is a fragile thing that can be shattered by one overlooked fact.

I thought I read

I thought I read that the output of the prostrate so long a healthy was redirected to the top of the vagina to provide lubrication and to keep it from prolapse.

Am I miss remembering?

Dayna.

ps. Its also my understanding that the prostrate is normally only removed when cancerous and this cancer often effects the ureter and that can lead to incontinence... not the actual removable of the prostrate.

Don't know how they'd reroute it

Angharad's picture

it normally feeds into the urethra, the ureter runs from the kidney to the bladder. It's also where any climactic sensation is going to come from. After a long period on oestrogens, the prostate shrinks and any secretions are going to be so little they'd hardly lubricate anything. In prostate hypertrophy the gland obstructs the urethra and prevents micturition which is why some older men have incontinence problems being unable to empty their bladder because it's obstructed which can lead to infections and subsequent kidney problems. The hypertrophy may be benign or cancerous.

Angharad

My Vas Deferens

My own was rerouted that way in 2007, in Bangkok when I had the operation. I have heard rumors that new Robotic procedures now remove the prostrate. It is a walnut sized gland surrounding the Urethra and has lots of nerves and blood vessels surrounding it.

In my case, mine is affected by non-cancerous disease and contributing to repeated UTIs.

Gwen