Doctors at Johns Hopkins University said Monday they have performed the world’s first total penis and scrotum transplant on a US military serviceman who was wounded in Afghanistan.
The 14-hour operation took place on March 26, and was performed by a team of nine plastic surgeons and two urologic surgeons.
“We are optimistic that he will regain near-normal urinary and sexual functions following a full recovery,” W.P. Andrew Lee, professor and director of plastic and reconstructive surgery at the Johns Hopkins University School of Medicine, told reporters on a conference call.
The patient was severely injured by a blast from an improvised explosive device in Afghanistan several years ago, Lee said.
The entire penis, scrotum without testicles and partial abdominal wall came from a deceased donor.
“It’s a real mind-boggling injury to suffer; it is not an easy one to accept,” said a statement from the recipient, who asked to remain anonymous.
“When I first woke up, I felt finally more normal.”
He is now up and walking around, and is expected to be released from hospital this week.
The man lost his testicles in the explosion and did not get them restored as part of his transplant.
“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.
“In particular, the ability of the recipient of the transplant to have children would result in genetic material being transmitted from the donor of the transplanted tissue to the recipient’s offspring,” Cooney added.
“And we just felt there were too many unanswered ethical questions with that.”
Doctors said they are hopeful he will be able to urinate with his penis in the coming weeks, and that he will eventually regain enough sensation to achieve an erection.
The patient retained his prostate gland in the blast, but since he lost his testicles, he will not be able to ejaculate.
The extent of his sexual function will not be known for about six months, doctors said.
The first penis transplant in the world took place in China in 2006, but it was later removed due to “a severe psychological problem of the recipient and his wife,” doctors said.
Only four penis transplants have ever been done successfully, including the one announced Monday, doctors said.
Two have been done in South Africa, the nation that achieved the first such successful surgery in 2015. The United States performed its first successful penis transplant in 2016.
Lev Parnas’s lawyer declared ‘open war’ on AG Bill Barr during Maddow interview: attorney
The attorney for Rudy Giuliani associate Lev Parnas appears to be using a novel legal strategy, attorney Luppe Luppen explained on Friday.
Joseph Bondy, the attorney for Parnas, was interviewed Friday evening by Rachel Maddow, following the day's end of the Senate impeachment trial of President Donald Trump.
Luppen, who offers legal analysis on his popular @nycsouthpaw Twitter account, came to a conclusion that seemed to surprise him after watching the interview.
"I’ve never seen a lawyer sit on a cable panel show and make that much news," Luppen wrote.
Democratic prosecutors wrap up case against Trump
Democratic prosecutors on Friday wrapped up three days of arguments for seeking Donald Trump's removal from office, as the US president's lawyers prepared to take their turn presenting his defense in the Senate's historic impeachment trial.
For a final eight-hour stretch, the 100 senators listened as Democrats argued that Trump abused the power of the presidency in pressuring Ukraine to launch investigations that would help him politically and then sought to block efforts by Congress to investigate.
Democrats said they had met the burden of proof as they warned Republicans that Trump would remain a grave danger to the nation if left in office.
‘Give me a break’: Internet unleashes on ‘snowflakes’ Susan Collins and Lisa Murkowski for complaint about Schiff
CNN's Manu Raju revealed after the Senate adjourned that Sen. Susan Collins (R-ME) audibly disputed Rep. Adam Schiff's (D-CA) quotation of a CBS News report threatening senators.
"She shook her head and said, 'No they didn't. No, that's not true,'" Raju reported.
Sens. Tom Cotton (R-AR), Jim Risch (R-ID) Lisa Murkowski (R-AK) and John Barrasso also said that the report was false.