Breaking News
August 15, 2018 - IgG3 antibody stops B cells from fighting pathogens in HIV patients
August 15, 2018 - Scientists discover key vulnerability of mixed lineage leukemia
August 15, 2018 - College students may experience pressures from secondary exposure to opioid abuse
August 15, 2018 - Powerful new microscope reveals inner workings of human cells with unprecedented clarity
August 15, 2018 - Married people who fight nastily more likely to suffer from leaky guts, study suggests
August 15, 2018 - Working Out After Baby – Drugs.com MedNews
August 15, 2018 - Rheumatoid Factor (RF) Test: MedlinePlus Lab Test Information
August 15, 2018 - ADHD linked to an increased risk of injury in children, study finds
August 15, 2018 - UIC researchers receive NIH funding to develop a better way to regenerate bone or tissues
August 15, 2018 - Study reveals how immune cells in the brain influence sexual behavior
August 15, 2018 - Researchers move closer to finding potential soft spot in drug-resistant tuberculosis
August 15, 2018 - Real-time dynamic monitoring of cell’s nucleus for effective cancer screening
August 15, 2018 - Lower rates of Medicare preventive care visits found in racial, ethnic minority older adults
August 15, 2018 - Scientists identify stress hormone as key factor in failure of immune system to inhibit leukemia
August 15, 2018 - Cytoplan introduces three new nutritional supplements
August 15, 2018 - Effective hemorrhage control critical for survival after motorsport accidents
August 15, 2018 - Sygnature Discovery announces ambitious expansion plan with addition of Alderley Park facility
August 15, 2018 - Dietary carbohydrates could lead to osteoarthritis, new study finds
August 15, 2018 - Male tobacco smokers have decreased number of cannabinoid CB1 receptors, study reveals
August 15, 2018 - Scientists explore ways for drug therapies to reach deadly brain tumors
August 15, 2018 - Rethinking fundamental rule of stroke care: ‘Time is brain!’
August 15, 2018 - Scientists reveal role of ‘junk DNA’ in cancer dissemination
August 15, 2018 - Google’s DeepMind AI could soon be diagnosing eye conditions
August 15, 2018 - Scientists trick the brain to embody the prosthetic limb
August 15, 2018 - Researchers focus on uncoupling obesity from diabetes
August 15, 2018 - Clinical study shows how EarlySense system effectively detects opioid-induced respiratory depression
August 15, 2018 - A class of proteins shown to be effective in reducing drug-seeking behaviors
August 15, 2018 - FundamentalVR launches first-of-its-kind SaaS software platform for surgical simulation
August 15, 2018 - Gemphire Announces Termination of Phase 2a Clinical Trial of Gemcabene in Pediatric NAFLD
August 15, 2018 - Rheumatoid arthritis in pregnancy associated with low birth weight and premature birth
August 15, 2018 - Study may help increase effectiveness of antibiotics against drug-resistant bacteria
August 15, 2018 - Analyzing resident-to-resident incidents in dementia may hold the key to reducing future fatalities
August 15, 2018 - Robotic walking frame aims to help maintain mobility of older adults
August 15, 2018 - Simple intervention during routine care reduces alcohol consumption in men with HIV
August 15, 2018 - Genetics Home Reference: gout
August 15, 2018 - Scientists ID genesis of disease, focus efforts on shape-shifting tau
August 15, 2018 - OncoThira and NDSU enter into license agreement to develop, market cancer compounds
August 15, 2018 - Scientists unravel the mystery behind ovarian cancer with high-grade serous carcinoma
August 15, 2018 - Common signs that indicate vision problems in children
August 15, 2018 - Removing the cancer label – overhaul in cancer classification proposed
August 15, 2018 - Prams may expose babies and toddlers to more air pollution finds study
August 15, 2018 - Duke researchers track missing T-cells in glioblastoma patients
August 15, 2018 - Cardiac Profiles Up With Exercise, Less Sitting in Early Old Age
August 15, 2018 - Precision medicine offers a glimmer of hope for Alzheimer’s disease
August 15, 2018 - Immunovia’s new blood-based testing platform accurately detects non-small cell lung cancer
August 15, 2018 - New method provides a ‘big picture’ of genetic influences on traits and diseases
August 15, 2018 - Early Onset Type 1 Diabetes Linked to Heart Disease, Shorter Life
August 14, 2018 - SMURF1 provides targeted approach to preventing cocaine addiction relapse
August 14, 2018 - Genetic testing pushed for hereditary high cholesterol disease
August 14, 2018 - Researchers discover new genes involved in Alzheimer’s Disease
August 14, 2018 - Medicare to overhaul ACOs but critics fear fewer participants
August 14, 2018 - Adolescent health projects receive meager percentage of global funding, study finds
August 14, 2018 - University Hospitals Seidman Cancer Center launches new CAR-T therapy trial
August 14, 2018 - In the addiction battle, is forced rehab the solution?
August 14, 2018 - Busting myths about milk – Scope
August 14, 2018 - Platelet-rich plasma does not enhance cartilage formation capabilities of stem cells
August 14, 2018 - Wearable devices and ‘mhealth’ technology emerge as promising tools for better health
August 14, 2018 - Johns Hopkins expert panel develops first set of operation-specific opioid prescribing guidelines
August 14, 2018 - Clinical study suggests new treatment direction for head and neck cancer in heavy smokers
August 14, 2018 - Phase 2 Clinical Data Published Showing Summit’s Ridinilazole Preserved Gut Microbiome of Patients with CDI
August 14, 2018 - Cardiac progenitor cells undergo a cell fate switch to build coronary arteries
August 14, 2018 - Study identifies potential guidance to treat gastric cancer patients
August 14, 2018 - Revealed: The molecular mechanism underlying hypertrophic cardiomyopathy, or “workaholic heart”
August 14, 2018 - Diabetes epidemic in Guatemala driven by aging, not obesity
August 14, 2018 - New technology shows potential to streamline the analysis of proteins
August 14, 2018 - Rethinking the stroke rule ‘time is brain’
August 14, 2018 - Incidence of coronary artery compression in children may be more common than previously thought
August 14, 2018 - Study helps to better understand disease caused by Alpha-1 antitrypsin deficiency
August 14, 2018 - AI platform identifies acute neurological illnesses faster than human diagnosis
August 14, 2018 - American College of Rheumatology receives grants to support development of lupus clinical trials
August 14, 2018 - New study explains why women get more migraines than men
August 14, 2018 - American Heart Association Urges Screen Time Limits for Youth
August 14, 2018 - Brief interventions during routine care reduce alcohol use among men with HIV
August 14, 2018 - New genome analysis could identify people at higher risk of common deadly diseases
August 14, 2018 - NIH grant for Mount Sinai to study use of inhaled corticosteroids for treatment of sickle cell disease
August 14, 2018 - Daicel supplies free nanodiamond samples to international researchers
August 14, 2018 - Switching anti-psychotic drugs in first-episode schizophrenia patients does not improve clinical outcomes
August 14, 2018 - Study to examine whether modulating gut bacteria can improve cardiac function in heart failure patients
August 14, 2018 - AI technology could hold key to improving health services
August 14, 2018 - One out of two children not getting enough nutrients needed for their health
Injured U.S. Vet Receives World’s First Penis/Scrotum Transplant

Injured U.S. Vet Receives World’s First Penis/Scrotum Transplant

image_pdfDownload PDFimage_print

MONDAY, April 23, 2018 — The world’s first total penis and scrotum transplant was performed about a month ago on a U.S. veteran who was injured in Afghanistan, doctors say.

“We are hopeful that this transplant will help restore near-normal urinary and sexual functions for this young man,” said surgical team member Dr. W.P. Andrew Lee. He’s professor and director of plastic and reconstructive surgery at Johns Hopkins University School of Medicine, in Baltimore.

According to a Hopkins news release, nine plastic surgeons and two urological surgeons conducted the 14-hour surgery on March 26. The transplant from a deceased donor included the entire penis, scrotum (without testicles) and partial abdominal wall.

The surgery involved transplanting skin, muscles, tendons, nerves, bone and blood vessels.

“It’s a real mind-boggling injury to suffer; it is not an easy one to accept,” said the recipient, who wishes to remain anonymous. “When I first woke up, I felt finally more normal [with] a level of confidence, as well. Confidence like, finally, I’m OK now,” he said in the news release.

The man has recovered from the transplant surgery and is expected to leave the hospital this week.

Speaking to The New York Times, the veteran described his anguish from his injuries, which occurred after he stepped on a hidden bomb. He lost both legs above the knee, but the genital injury was even more devastating.

“That injury, I felt like it banished me from a relationship,” he told the Times last week. “Like, that’s it, you’re done, you’re by yourself for the rest of your life. I struggled with even viewing myself as a man for a long time.”

He asked that his name not be published due to stigma surrounding genital injuries.

Lee told the newspaper, “We’re hopeful we can restore sexual function in terms of spontaneous erection and orgasm.”

However, the transplant recipient did not receive the donor’s testes as part of the transplant. Receiving those organs might have enabled the patient to go on to father children with the donor’s sperm, something deemed medically unethical.

The patient is currently receiving testosterone to compensate for the lack of testes, as well as the erectile dysfunction drug Cialis, to encourage erectile function.

As with any transplant surgery, rejection of the patient’s transplanted tissue is a concern, so he is also receiving immune system-suppressing drugs to reduce the risk of rejection.

It’s possible to reconstruct a penis using tissue from other parts of the body, but an implant is necessary to enable erections, which poses a much higher risk of infection, Lee explained.

Lee also noted that due to other injuries, soldiers often don’t have enough usable tissue from other parts of their bodies for penis reconstruction, so transplant was the only good option. The veteran in this case waited more than a year for a viable donor. 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.

The exact need for these types of surgeries remains unclear, but the newspaper said that Department of Defense data shows that more than 1,300 men have sustained genitourinary injuries in Iraq or Afghanistan, with close to one-third of injuries involving the penis.

The patient said he went through tough times emotionally after the injury, and kept the loss of his genitalia a secret from all but a few.

“There were times you’d be hanging out and guys would be talking about getting hurt, and that’s one of the first things when they get blown up, to check down there, and they would say things like, ‘If I lost mine I’d just kill myself,'” he told the Times. “And I’m sitting there. They didn’t know, and I know they didn’t mean any offense, but it kind of hits you in the gut.”

Thoughts of suicide crossed his mind, he said, but “when I would actually think about killing myself, I would think, ‘Am I really just gonna kill myself over a penis?'”

So, he underwent physical therapy, learned to walk on prosthetic legs, and even earned a college degree in the years after the injury. He is now making plans to attend medical school.

But intimate relationships seemed out of the question, because he feared disclosing his injury.

However, the future looks brighter now, the man told the Times.

His goals? “To do well in school, to go to medical school and follow my career as a doctor, find my niche in the field and just excel at it. Maybe settle down and maybe eventually find someone, and get into a relationship, maybe. Just that normal stuff.”

More information

The U.S. Centers for Disease Control and Prevention has more on explosions and blast injuries.

© 2018 HealthDay. All rights reserved.

Posted: April 2018

Tagged with:

About author

Related Articles