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.
US ‘lies’ slammed after Mike Pompeo blames Iran for drone attacks without proof
Iranian Foreign Ministry Spokesman Abbas Mousavi forcefully rejected Sunday unsubstantiated charges by by US Secretary of State Mike Pompeo and US Sen. Lindsey Graham (R-SC) regarding the recent drone attacks that caused serious damage to two crucial Saudi Arabian oil installations.
“It has been around 5 years that the Saudi-led coalition has kept the flames of war alive in the region by repeatedly launching aggression against Yemen and committing different types of war crimes, and the Yemenis have also shown that they are standing up to war and aggression,” Seyyed Abbas Mousavi said in a statement.
Why are college students so stressed out? It’s not because they’re ‘snowflakes’
Across the country, college classes are well underway, the excitement of the start of the year is waning and student stress is on the rise. Frantic calls home and panicked visits to student health services will start to dramatically increase. And before long, parents and observers will start wondering what is wrong with these kids. Why can’t they handle the pressures of college and just pull it together?
College student stress is nothing new. Anxieties over homesickness, social pressures, challenging course loads and more have been a common feature of the U.S. college experience for decades. But, without question, student stress levels and psychological distress are measurably worse than before. According to a national study published earlier this year in the Journal of Abnormal Psychology, major depression among young adults (18-25) rose 63 percent between 2009 and 2017. They also report that the rate of young adults with suicidal thoughts or other suicide-related outcomes increased 47 percent from 2008 to 2017.
Kaiser healthcare workers plan for nation’s largest strike since 1997
More than 80,000 Kaiser Permanente emergency medical technicians, nurses, respiratory therapists and other staffers are threatening to walk out of work next month, in what could be the nation's largest strike since 1997.
The authorization to strike, approved by 98% of the union members who voted, does not mean a walk out will happen, but it does allow union leaders to call one as early as Oct. 1, giving them leverage ahead of negotiations with the California-based health care giant. Kaiser Permanente, comprised of 39 hospitals and nearly 700 medical officers, serves more than 12 million members in seven states across the country.