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Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.
↵i Surgical castration may refer either to testicular or pulpectomy if parts of the core of the testes are removed or orchidectomy in which the testes are fully removed.
↵ii The following information about Mr T is based on my personal observations and experience acquired through monitoring him since 1998. Mr T has consented to the publication of this information and has read and approved the text insofar as it relates to him.