Castration of men: What is it and why is it conducted?
- How and why castration is carried out?
- Castration for medical
- Preparation and carrying out surgical castration
- Features chemical castration
- Complications after castration
- Treatment postcastration syndrome
Currently castrationmen held in most cases on medical grounds.In some countries, chemical castration, or even surgical removal of the testes are used as a punishment of sex offenders.In organisms castrated male is undergoing serious changes and possible development of a number of complications, so use any of the methods of castration possible only if there is good reason for this, and there are no other options to solve the problem.
How and why castration is carried out?
Before studying the procedure of chemical or surgical castration of men, it is necessary to understand what it is and what could be castration.So, distinguish partial and complete castration.After partial castration in m
Adult males are castrated when it detects a bilateral testicular tumors and prostate cancer.If the patient, surgical removal of the eggs, such operation is called orchiectomy.Patients with prostate cancer are not fully carry out the removal of the testicles, and appoint enucleation procedure, during which removed their parenchyma.As complete removal of the eggs and removing the testes parenchymal alone may be accomplished only after the confirmation of the presence of prostate cancer by biopsy.
Castration leads to a number of changes in the male body:
- The man begins to actively and quickly develop subcutaneous fat, he is gaining weight.
- marked growth of hair and distribute it on the female type.
- drastically reduces sexual desire.
- atrophy of the prostate.
If castration was performed before the beginning of puberty, the boy is a noticeable change in bone structure, namely:
- He lengthen long bones.
- skull size is relatively small.
- There is a pronounced brow ridge, and the development of the jaws.
As a result of chemical castration, or after a surgical procedure in the male endocrine disruptors.
Castration for medical
As noted, one of the indications for castration is prostate cancer.In most cases the tumor starts to develop under the influence of testosterone and dihydrotestosterone.These hormones contribute to the growth of normal and pathogenic cells.And this decline in testosterone levels is one of the main treatment options for prostate cancer.
Surgical removal of eggs can reduce the testosterone concentration by 85-95%.The operation can be performed under general, regional or the epidural (an analgesic when injected into the spinal cord area through the spine) anesthesia.A particular embodiment is selected with the doctor, the anesthesiologist and patient.
However, in the case of treatment of prostate cancer complete surgical removal of the egg is replaced in most cases enucleation procedure, during which the removal of a parenchymal.
Preparation and carrying out surgical castration
Before performing surgical castration, the physician must verify the presence of cancer by biopsy.In addition, the patient delivers a number of additional analyzes and runs special surveys, namely:
- general urine and blood.
- Biochemical blood test, which measures the concentration of bilirubin, urea, creatinine, total protein, etc.
- blood test for hepatitis of different forms, syphilis and HIV / AIDS.
- fluorography and electrocardiogram.
- If required a man sent for consultation therapist and other doctors.
For some time prior to surgery (usually 1-2 weeks, concrete term the doctor says), the patient should stop taking drugs that affect blood clotting.On the peculiarities of taking other medications and generally living in the preparatory period the doctor will tell already during the personal consultation, taking into account the individual characteristics and needs of the patient.
Surgical castration is a relatively simple procedure.After anesthesia and other preparations for the doctor makes an incision of the skin and subcutaneous tissue in the scrotum, then sprains testicle and spermatic cord in the cut.Running the firmware, ligation and dissection of ligaments, omit the egg.The vas deferens after prior removal of the spermatic cord is dissected and ligated.After that surgeons perform suturing, tying and cutting the remaining elements of the spermatic cord.At the end closed with stitches.
There are also more complex kind of surgery, which allows you to keep the protein shell of the testicles, and provides a more acceptable cosmetic result.The operation takes a little time.Complications hardly occur during the operation.Most patients go home on the day of surgery.
chemical castration Chemical castration - a kind of alternative to the surgical procedure.The main advantage of chemical castration is that it does not cause such serious harm to the physical and mental health of the person, as the surgery.This technique is used in most cases to punish sex offenders, or if there is suspicion that the sexual behavior of men can be dangerous for other people.
main task is to suppress the chemical castration of sexual function.After some time, sexual function is restored.The procedure is performed by introducing into the male body preparation containing a modified form of testosterone.This drug is almost completely reduces sperm production.It stops the production of testosterone.As a result chemical castration leads to a decrease in sexual function, but is temporary and less radical than surgery manner.
Complications after castration
Many men after developing so-called castrationpost-castration syndrome.It is expressed by a list of facilities.There have endocrine, vascular and autonomic nervous and mental disorders.
manifests itself in a variety of symptoms, the nature and extent of which are most dependent on the patient's age, state of health and compensatory reactions.
So, among the most common vegetative-vascular disorders are so-calledflushing, palpitations, excessive sweating, and frequent without any reason.After castration, these symptoms begin to appear after an average of 1 month and reached its peak in 2-3 months after surgery.In addition, one of the most common symptoms postcastration period are recurrent headaches that occur mainly in the temples and neck.In addition to headaches, there is increased pressure and pain in the heart.
necessary to take into account the fact that there are a range of symptoms that doctors sometimes mistaken for a manifestation of other diseases.In the case of post-castration syndrome such symptoms are pain in the heart, rapid weight gain, pain in the joints, the lower back and head, fainting, dizziness and so on.
In adult males, the last procedure of surgical castration, often appear nervous and mental disorders,almost always develops hypertension.
Many men constantly feel weak and tired, they may occur without cause physical and mental stress.Another characteristic symptom postcastration syndrome is a memory impairment.A man becomes more difficult to memorize the events, to the extent that he could not recall events just read a book or scanned film.Many patients appear periodically depressed, they become indifferent to what was interesting to them to castration.Some state indifference comes to such an extent that they begin to appear suicidal thoughts.
Among exchange-endocrine disorders frequently develop atherosclerosis and obesity.In addition, the possible loss of hair, or the beginning of their growth on the female type, the appearance of fatty deposits on the female type, reduced sex drive.
In most cases, men with post-castration syndrome is more pronounced any one type of characteristic of this state violations.
Treatment postcastration syndrome
First of all, the doctor should make sure that the cause of the existing manifestations is precisely the post-castration syndrome, and not other diseases.To do this, we study the history of the patient, it may be referred for additional tests and examinations.It all depends on the individual characteristics of men in each individual case.
Treatment postcastration syndrome necessarily complex.It should include receiving medicinal products that contribute to the normalization of the function of certain brain regions.The order of treatment can vary.As a rule, it all starts with a course of sedatives and bracing means.The patient necessarily engaged in physical therapy, sessions held water treatments, ultraviolet radiation, etc.In addition, the complex therapy necessarily includes vitamins, tranquilizers and neuroleptics.The duration of treatment depends on the severity of the patient's condition.prolonged hormone therapy may be scheduled.Start taking any drugs can only be prescribed by a doctor.
Many experts strongly recommend to carry out an appropriate psychotherapeutic training men to expect it to change before castration.The patient should know what he needs to be ready after such a procedure.It is important to consult a doctor promptly becausesome men in this state have thoughts of suicide.