SurgeView Postons from Johns Hopkins Medicine in Baltimore, MD, have successfully performed the world’s first total penis and scrotum transplant, which they hope will restore urinary and sexual function to the recipient.
The medicine of transplant help to restore healthy bodily functions and confidence to the recipients, many of whom have been faced with many severe health issues or the loss of body parts due to injury.
The process is often goes with difficulties from the lack of donated organs and tissue to the complication of finding a matching donor so that the system of the recipient will not reject the transplant.
Some of the most difficult transplants are those of male genital organs — not just because the surgery is so difficult, but also due to ethical and practical organ collection concerns.
Only two successful penile transplants had been completed last year in which only the penis was transplanted.
However now, for the first time ever, a team of surgeons has managed to transplant the penis and the scrotum from a deceased donor to a recipient who had lost his genital organs during armed service.
The surgeons had been planning such an intervention since 2013. In the telebriefing statement of the institution’s genitourinary program, the program’s clinical director, Dr. Rick Redett, calls the procedure “the culmination of more than 5 years of research and collaboration across multiple disciplines.”
The Intricate Procedure Lasted for 14 hours
The successful transplant was performed on a United States war veteran last month, who lost his genital organs after the unexpected explosion of an improvised explosive device.
“It’s a real mind-boggling injury to suffer, it is not an easy one to accept,” confesses the recipient, who did not wish for his identity to be revealed.
The recipient confessed that the transplant finally gives him back a measure of self-confidence and stability.
“When I first woke up after the intervention, I felt finally more normal… [and with] a level of confidence as well. Confidence… like finally I’m okay now,” he explains.
The surgery, which lasted 14 hours, was performed by a large team of doctors, anesthetists, and nurses led by Dr. W. P. Andrew Lee, the director of plastic and reconstructive surgery at the Johns Hopkins University School of Medicine.
During the procedure, the penis, surrounding tissue, and scrotum, though not the testicles of a deceased donor were grafted onto the recipient. This complex type of transplant surgery is called “vascularized composite allotransplantation.”
In his telebriefing, Dr. Redett says “the damaged and scarred tissues were removed from our patient and the necessary blood vessels and nerves were identified.”
“For the transplant, three arteries, four veins, and two nerves were connected under the microscope to provide complete blood perfusion and sensation to the transplanted tissue,” says Dr. Redett.
Dr. Lee stated that the recipient is recuperating well, and that he is following an immune modulation protocol which also involved a bone marrow transplant from the donor in order to make certain that his body does not reject the transplanted organ and tissue.
The surgeon also expresses his hope that the patient will make a good recovery, and that he might finally regain both urinary and sexual function, almost to the full extent.
“We are hopeful that this transplant will help restore near-normal urinary and sexual functions for this young man.”
Dr. W. P. Andrew Lee
The family of the deceased donor have released a statement, expressing their wishes that the recipient would make a full and steady recovery, and saying that they are glad to know that their loved one has contributed to changing someone’s life for the better.
“We are all very proud that our loved one was able to help a young man that served this country. And addressing the recipient, the family of the deceased donor stated, “We hope you can return to better health very soon and we continue to wish you a speedy recovery.”