Health Care

22:23US Medical Team Conducts First Total Penis and Scrotum Transplant

22:23US Medical Team Conducts First Total Penis and Scrotum Transplant

According to W.P. Andrew Lee, MD, professor and director of plastic and reconstructive surgery at the John Hopkins University School of Medicine, the type of transplant used on the patient is called vascularised composite allotransplantation.

The soldier called his injury from an improvised explosive device "mind-boggling" and hard to accept. Details of the incident were not released. "An unprecedented number of USA service members sustained genitourinary injury while deployed to Operation Iraqi Freedom/Operation Enduring Freedom", the researchers, led by Dr. Steven Hudak of the San Antonio Military Medical Center, wrote.

It marks the third successful penis transplant and the first complex penis transplant, which is to say it involved the scrotum and surrounding tissue as well as the penis. They transplanted from a deceased donor the entire penis, scrotum (without testicles) and partial abdominal wall.

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They attached the urethra, arteries, blood vessels, muscles, nerves, and more to the patient.

"When I first woke up (after surgery), I felt finally more normal". He has recovered from the surgery and is expected to be discharged from the hospital this week.

The anonymous patient is a veteran who sustained injuries in Afghanistan. "Confidence. like finally I'm OK", he said in the statement.

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The Hopkins patient received an extra experimental step, an infusion of bone marrow from his donor that research suggests may help a recipient's immune system better tolerate a transplant.

Most organ transplants require the family to make a quick decision to donate after someone dies. The hospital said the patient regained all urinary, reproductive and sexual functions with his new penis.

About 1,367 male military members suffered genitourinary injuries from 2001 to 2013, according to data from the Department of Defense Trauma Registry cited by the Baltimore Sun. "As a family, we are very supportive of all the men and women who serve our country and grateful for the job you did for this nation". Redett also said that it will take about six months for sexual sensation and function to be regained. The surgery is estimated to have cost between $300,000 to $400,000, but in this case Hopkins paid for the bill and the surgical team worked for free, the Times said.

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"The testicles were not transplanted because we had made a decision early in the program to not transplant germline tissue, that is to say not transplant tissue that generates sperm because this would raise a number of ethical questions", said JHU plastic surgeon Damon Cooney.


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