Thank you for your consult at DoctorSpring.com
You seem to have developed stricture urethra secondary to prostate surgery. It is good to know that you have been dong well for last one year. Yearly checkup is desirable. Your disease process shall not get worsened with clearing away the tissue and hence I shall suggest you to get the check up done.
Castration shall not resolve your urethral issues and hence is not desirable. Kindly refrain from any such drastic step and just get the checkup done.
Hope this helps, please feel free to discuss further.
My apologies for the exceptional delay with the reply, Take care.
Dr Rajiv Goel
MS (AIIMS), MCh (AIIMS), DNB ( Uro)
Fellow, Urooncology and Robotic urology, Australia
Fellow, Laparoscopic urology, Germany
Patient replied :
Dear Dr Rajiv Goel Ji,
Thank you for your response regarding my
possible castration. I understand fully where you are coming from,
however I sent some additional things that could have been considered.
Firstly I am 76, I am a widower. I am greatly over sexed which is a
great embarrassment. I need to wear incontinent Plastic pants to
protect my outer clothing becoming wet. When I masturbate I do not get
an outward ejaculation. I feel that the semen go's into the bladder
increasing the need for bladder neck incision. My Urologist has tried
to get me to self Catheterise to keep the neck open. All this is to no
avail. I wonder whether this alters your opinion. If it does which
would be preferred chemical or surgical castration.
I have reviewed your history and all the complaints. Getting castration shall not serve for any of the complaints other than the oversexed problem.
I shall not advise castration as it is not indicated in yourself. Castration leads to weakness of bones, increased incidence of cardiac events and also earlier memory loss.
Dr Rajiv Goel