Three years had passed. Three happy and fulfilling years. He was back in SriLanka, permanently. He had applied for, and got a government IT post in Colombo which was now his home. He had met Zoe, also an ‘ex pat’ and local school teacher who from the outset had no qualms regarding his altered sexuality. For over six months now they had been what most people would consider ‘An item’. She seemed happy to please him in every way possible without demanding anything herself. Even heavy petting which was the most he could offer, seemed to be something she enjoyed for his sake rather than her own. He often wondered about her background. Perhaps there was something religious, a vow of chastity maybe and his condition made her feel safe from her own human frailty. Even if her resolve failed in a moment of weakness there was no way he could penetrate her. Perhaps she had been abused as a child, or raped and felt secure in the knowledge that his ‘manhood’ presented no threat. Who knew ? Who cared? He didn’t pry. Nor did she pry into the reason for his genital modification. They just accepted each other, thanked their lucky stars and were happy.

Larry had begun to sense that subtle changes were taking place within his scrotum. The head of his penis didn’t always feel so detached, as it had in the past. When he became aroused and the glans moved forward beyond his testicles he sometimes thought he could feel them brushing against the shaft.

By the end of the year he was sure. His penis was definitely becoming more sensitive. The discomfort on ejaculating which he had learned to accept as a normal part of his orgasm was increasing, almost becoming painful. He also found that he could stimulate the head of his penis through his slacks and shorts. He’d been able to do that before the surgery of course, but his penis wasn’t inside his scrotum then. On Zoe’s insistence he phoned Dr Mendez.

“Just to be sure nothing sinister is going on”

His appointment was for the following afternoon and he was early. Dr Mendez secretary, it seemed to him always gave him a ‘knowing’ smile. As though she was fully aware of his secret down below and wanted him to know. He usually found it slightly arousing and returned as good as he got. But not today. When she saw the lack of response, she became serious and ushered him into the office.

“Hi! Larry. You’re looking well, take a seat”. After long association with Dr Mendez through his regular checkups, he didn’t mind him using his Christian name, but could never bring himself to call the man opposite anything other than Dr Mendez or Doc.

“What can I do for you.?”

Larry explained his concerns.

“O.K. let’s have a look. Drop your pants and lie on the couch”.

Dr Mendez did an exhaustive visual exam of Larry’s scrotum and declared nothing visually amiss.

“I’d like to palpate you if I may Larry”

“Sure doctor, anything you need to do”.

The Doctor carefully probed his scrotum and gently rolled his testicles between finger and thumb. When he began to feel along the length of Larry’s penis, almost immediately it began to respond. Even before he reached the glans.

“See what I mean Dr Mendez”.

“I certainly do Larry. It wasn’t reacting like that at your last exam. Your diagnosis of increased sensitivity seems correct. O.K. Get dressed”

“Well I can rule out two things that would really worry me. I thought maybe the increased discomfort when you climax might be because your scrotum was shrinking for some reason. I haven’t any historical data to compare it’s current size with, unfortunately, but I’m fairly certain it hasn’t shrunk. Would you agree ?”

“I’ve certainly no reason to think that, and Zoe hasn’t commented and she examines it every bit as thoroughly as you do”. he grinned.

“Good. The other worry was that your penis was getting bigger, maybe total immersion in fluid for so long was causing it to absorb and swell, like your skin does when you stay in the tub too long, but there’s no evidence of that either. What do you..and Zoe think ?” he said laughing.

Dr Mendez returned to his desk and pulled out some forms.

“I think we need to run some tests Larry. Some scans. I’d also like to take some fluid from inside your scrotum, we’ll numb it, it won’t hurt, and have it checked. Is that O.K ?”

"Sure." said Larry go ahead.

“I’ll fill out the scan requests now and take the fluid sample myself. My secretary will give you a ring when the scans are set up”.

“That’s fine doc I’ll wait to hear from you”. And with that he returned home.

A couple of weeks later the results were in and he was back in Dr Mendez’ office.

“The news is all good, at least I hope you think it is. This is absolutely fascinating. You would make a great research topic Larry. We ought to discuss it sometime”.

“If you don’t mind doc, I’d rather discuss what’s happening to my penis right now”.

“Oh sure. Sorry. Well the scans show a change in density and texture of the penile tissue and the fluid sample I took was really exciting. There was an extremely low level of squamous cells, far lower than we would expect. Let me explain. Squamous cells are skin. Your penis is covered in skin and like any other organ sheds and replaces cells regularly. In your case the old cells are shed into your scrotal fluid and ultimately broken down and reabsorbed into your body. But there aren’t enough of them. What we found were more mucosal type cells, the cells lining your mouth and nose, or a female vagina. The results can indicate only one thing. Your penis is changing and adapting to it’s new environment. It no longer needs ‘outside skin’ to protect it so it is gradually replacing it with the type of covering found in ‘internal organs’. It doesn’t need protection from the external environment so it’s shedding it’s armour so to speak . That’s why it’s more sensitive. The glans, the head, is becoming more sensitive for a similar reason. You were circumcised, and as I’m sure you know, circumcised men lose sensitivity in the exposed head as a result of friction with clothing etc. Well your glans has been protected from all that, for over four years, and so it’s sensitivity is returning”.

“The only cloud on the horizon is that I don’t think that your penis in it’s present state would survive outside your scrotum. We have passed ‘a point of no return’. I don’t think the modification could now be reversed without losing your penis”.

“Thats’ a lot to take in doc. I’m not worried about the point of no return thing. I’ve never for a moment wanted to be back the way I was. The only cloud on my horizon is will the changes stop. At the moment I’m mostly enjoying the increased sensitivity, but much more and it could become a painful problem”.

“Oh yes Larry your penis will stabilise at it’s optimum for the environment it’s in, in terms of tissue structure. I can’t say when that will be, but now we know, we can monitor it’s progess via fluid samples, and measure the rate of change. I’d like another sample now if that’s O.K.”

As Larry walked down the hospital steps he felt his testicles gently rubbing the shaft of his penis, and the head gently pushing at the inside of his scrotum. His penis was now so sensitive he was almost constantly aware of it.

“How much more sensitive could it get?”, he wondered..and worried slightly.

The sensitivity very gradually continued to increase. In fact it was now so sensitive that the slightest movement caused a reaction, thus when he walked for instance, his penis was permanently erect to a degree.

He also found it increasingly necessary to orgasm to obtain relief from the almost constant sensation in his scrotum. He was also finding that reaching a climax was taking longer, and he was making increasingly frequent demands on Zoe. He could do it himself of course, but with her help relief came quicker, and consequently the pain, the discomfort he had always felt in the latter stages just before ejaculation was now quite definitely pain, didn’t last as long.

The distraction due to the activity inside his scrotum was lowering his performance at work and both colleagues and management were noticing. At the moment they were attributing it to overwork, or maybe a little stress, but it was showing.

He began to drink, just a little, because the effect of the alcohol lowered his libido and he was less conscious of the sensation in his genitals. Nocturnal erections though were a different matter. He now awoke moaning with the pain until the erection subsided. He began taking sedatives. Was the dream becoming a nightmare ? It was time to call Dr Mendez.

He was in Dr Mendez office on the couch. Dr Mendez immediately saw Larry's condition. Instead of the gentle mound toward the top of his scrotum which in earlier times had indicated the resting place of his flaccid penis within, he could now clearly see the distension of the lower part of his scrotum caused by the pressure from inside.

"Ok Larry. get dressed" he said thoughtfully. "I have some good news. The rate of tissue change is quite obviously slowing. Your penis must be nearing the optimum in terms of tissue structure. Once that happens, and the sensitivity stops increasing things may settle. In a manner analagous the lack of sensitivity in the uncircumcised penis caused by constant contact with clothing etc., this process is presumably going on within your scrotum, albeit more slowly due to the lubrication in there and the nature of the tissue with which it is in contact. At the moment it is being 'thwarted' so to speak, or counteracted by the increasing sensitivity which is currently occurring due to the tissue changes".

He looked at Larry sympathetically. "Is it intolerable Larry ?" he asked gently.

"Not quite doc. The pain towards the end of an orgasm when it's pushing at it's hardest, and the subsequent 'ejaculation' is the worst, but pain and pleasure often go together and I can tolerate it at the moment, but not if it got much worse".

“OK Larry,” Dr Mendez replied.”We’ll keep up our regular sessions but if it becomes intolerable in the meantime you have my number”.

The process went on until one night he awoke screaming in pain and Zoe called Dr Mendez. He came and gave a Larry a knockout shot.

“We have to do something Mrs Soames. Pain is natures way of telling us to stop. There could be permanent damage occurring in his scrotum which could have implications for the rest of his system”.

“What can you do Dr ? You said yourself his penis couldn’t now survive outside his scrotum even if you removed it. If you did he would lose it altogether.”

“Maybe that’s a price he’ll have to consider paying for the six years he’s had living his dream”. I’ll call by tomorrow when the sedative has worn off and talk to him. Goodnight for now Mrs Soames,”, and with that he left.

Zoe looked down at her partner, and went to replace the covers which were still where Dr Mendez had left them after his exam. The tension in Larry’s scrotum was gone, but the bulk of the still partially erect penis inside was clearly visible. Even heavy sedation couldn’t completely reverse the tumescence. A tear rolled down her cheek as she gently covered him and turned out the light.

Larry was awake but still in bed when Dr Mendez arrived. He gave him a quick ‘once over’. then sat on the edge of the bed.

“You can’t carry on like this Larry. Zoe tells me you’re in almost constant pain to some degree, and that you’re having to masturbate daily, if not more, to get any sort of relief. You’re drinking and taking sedatives too. You’re doing yourself real harm Larry. Its not just your penis. This almost permanent erection is putting pressure on your testicles too.”.

Larry realised that Dr mendez was right. “What now then doc ?”.

“I’ve been thinking about this for a while, it was obvious that some form of intervention would probably be needed. Even though your penis seems to have stabilised, it will be a while before it becomes desensitised. Hear what I have to say and don’t interrupt. I want you to let me remove one of your testicles. Yours are a bit larger than average, maybe a hangover from your hydrocele, some tissue thickening, perhaps. Also some tissue from the thickened membrane which once covered them will be there too, and I can remove that, along with the spermatic duct and any other redundant plumbing I can find in there. I can also get a first hand look at what’s happened to your penis. With unnecessary organs and tissue gone, There just might be enough extra room in there to make things more comfortable”.

Larry thought and replied. “I hadn’t planned on castration as a solution doc . If I can’t enjoy my situation you may as well take the whole lot”.

“I’m not talking castration Larry. You won’t miss one testicle, apart from the relief you’ll get from being able to move around in there. You’ll be able to enjoy you’re situation again, instead of painfully tolerating it. The remaining testicle will be more than enough to maintain normal libido.”

“I don’t have any choice do I doc”. He smiled.

“Not unless you want me to remove your penis, or give you female hormone to remove your sex drive entirely”.

“Take the testicle doc. When do you want it ?”.

“Tomorrow larry”. I’ll book the room and time in the operating room as soon as I get back there.

With the decision made, and the prospect of relief Larry felt more relaxed than he could remember, relaxed at least apart from his penis, which he felt stirring once more. He called for Zoe. When they were through he asked for the phone. “I’d better book some sick leave” he said.

Three weeks later and he was speaking to Dr Mendez. ”Well how are things Larry “.

“Just great doc. My penis is still sensitive and tumescent a lot of the time but there’s room for it now. I think also getting stimulation from contact with only one testicle is arousing it less. I’m back at work tomorrow and looking forward to it.”

Over the coming months things just kept on getting better. The sensitivity of his penis subsided to a tolerable level. His sexual responses were back under his, and Zoe’s control, and his penis spent most of his waking hours nestling snugly above his one remaining ball in the top of his scrotum. His health, his relationships, his life were restored, and everyone said how glad they were he’d come through the stress, which they believed he’d been suffering.

The pain during the final moments before orgasm was still there of course, but if anything it only added to the pleasure, maybe BDSM had something going for it, he once joked.

His meetings with Dr Mendez had become little more than old friends chewing the fat, until one afternoon he almost blurted out, “I want an implant Doc”.

Caught by surprise Dr Mendez hesitated and asked “Why?”

“I, we, Zoe and I miss the symmetry. I miss it when I look in the mirror, I miss the contact with that side of my shaft, I even miss it’s weight. I never wanted to lose anything as part of the modification and It doesn’t feel, well, complete. It may sound trivial but to me it’s important”.

The doctor considered. “Have you ever thought that increasing the stimulation of your penis this way may cause a reversion to the permanently aroused state we have treated ? We removed your testicle because of insufficient space, why would you want take up the room we made with a prosthesis ?”

“That was when it was permanently erect doc. Space was always tight during orgasm and I handled it, no enjoyed it. It was the permanent state I couldn't tolerate. I feel back to square one now, or minus one". he joked feebly.

“Wait until our next meeting. I’ll think about it. I promise”.

A month later and they met again. “I’ve thought over what you said. Hear me out. An implant will need another incision. Every incision leaves scar tissue which compromises your scrotum’s elasticity and flexibility, and hence it’s ability to accommodate your erection when you have one. You already have three scars. The one from your hydrocele reduction, your penis insertion scar, and the one where I removed your testicle. I cannot open you up at any of these sites again as the resulting thickening of scar tissue would be unacceptable. I can make one more incision without compromising your scrotums natural properties too much, but it would be the last. Any future problems requiring surgical intervention would be restricted to removing your penis, which as you know, because of it’s current constitution would mean losing it altogether. Your playing your last card larry”.

“Let’s play it doc” he replied.

“On one condition. You let me implant a prosthesis slightly smaller than the testicle I removed. Because I removed some ancillary organs along with your testicle, that plus a smaller implant will still leave a little more room than you had before”.

“Half a testicle is better than none at all I suppose.” Larry replied.

“Oh I wasn’t thinking quite that small, maybe 75 or eighty percent of the original”.

Larry brightened. “Let’s do it doc”.

The surgery was only an overnight affair. two days later and he and Zoe had decided to take a holiday to celebrate being as near ‘normal’ as he could ever expect to be.

He visited Dr Mendez on his return. “Everything OK Larry?”.

“Great doc. As far as sensation in my penis goes I really can’t tell much difference between my real testicle and the implant. If I feel them through my scrotum I can feel a slight difference but not much. The extra stimulation hasn’t excessively roused the beast either, unless I or Zoe want it to.” He grinned.

“Well let’s hope this is the end of the climb. It’s been over six years since we started but we’ve learned a lot. If I perform this procedure in future I’ll remove a testicle at the same time, as standard protocol”.

Dr Mendez opened a drawer and removed a DVD. “I thought you might like to see this” He said, slotting it into the PC on his desk. He turned the monitor so Larry could see.”While I was doing the implant I decided to have a look around with an endoscope. It’s absolutely fascinating what has happened in there. I had the recorder going so here it is.”

He gasped when he saw his penis. The last time he had seen it so many years ago it had been covered in wrinkled skin the same tone as the rest of his body, maybe a little darker. Now, slightly erect it was pink and glistening smooth along it’s length. It seemed so benign, incapable of inflicting the agonies he had suffered as it metamorphosed within him. It appeared to be covered in a thin almost transparent membrane, remarkably like a condom he thought.

”Wow” he exclaimed.”That is just beautiful. It looks like that’s where it’s always belonged. Freeze frame doc, just for a minute.” He stared in awe at the image. “I often fantasise about what it looks like but I never imagined anything that could produced the sensations It is capable of when roused could look so gentle and docile when relaxed. Beautiful, just beautiful, complete with it’s own contraceptive”.

“I thought you’d like it. I doubt that the membrane serves any contraceptive purpose . Although I do believe it is the reason for for the stabilisation in it's sensitivity. Having lost all protection as it lost it’s usual dermal covering,the mebrane developed probably as a result of prolonged contact with your testicles and inner scrotum. Like hands which develop callouses as a result of years swinging and axe. Or the thickened skin on the feet of people who habitually go barefoot.”

“Pity it couldn’t have developed a bit quicker”. replied Larry smiling ruefully.

“You paid the price for being a pioneer. But you’ve conquered the mountain at last, and what we learned will help those who come after”.

Handing the DVD to Larry he said. “Maybe Zoe would like to see it”.

Dr Mendez continued. “We’ve come a long way larry as I said before. I think I know you better than anyone else I know. These meetings now serve no clinical purpose. Can we continue our relationship as friends rather than Doctor and patient?”

“I’d like that doc”. Larry replied.

“My name is Enrico”. He smile proffering his hand.

The nightmare it seemed was finally over and he was back in dreamland.