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Home / Health / Injured veteran receives first penis and scrotum transplant

Injured veteran receives first penis and scrotum transplant



(CNN) – The world's first successful total penile and scrotal transplant was completed at the Johns Hopkins Hospital on March 26, a press release released Monday said.

The procedure lasted 14 hours and included nine plastic surgeons, two urological surgeons and a team of anesthetists, nurses and surgeons, according to the publication. The transplant recipient, who wanted to remain anonymous, is a young US soldier who sustained injuries to his lower pelvis, lower abdominal wall, and lower extremities while serving in Afghanistan in an improvised explosive blast.

"While war wounds cause great suffering deformities and disabilities have also given rise to medical discoveries," Dr. WP Andrew Lee, chairman of the Department of Plastic and Reconstructive Surgery at Johns Hopkins University and one of the surgeons in this case, in a Briefing Briefing

"While limb amputations are visible and consequent obstruction evident, some war wounds are hiding and hers Influence is not appreciated by others, "added Lee. "Urogenital injuries in which the male genitalia are lost or severely damaged are one such" unspoken war injury. "

In order to perform the transplant, the team needed the necessary tissue ̵

1; consisting of a penis, scrotum, and a Part of the lower abdominal wall – from a deceased donor, to Dr. Rick Redett, clinical director of the Johns Hopkins urogenital transplant program and another surgeon on the case.

"To perform the transplant, we have procured the necessary tissue from the donor Redett said in a statement.

During the procedure, three arteries, four veins and two nerves were combined under microscopic guidance to ensure adequate blood flow sensation to the transplanted tissue, said Retett [19659002] However, the testes and semen were the donor – producing and transporting the seeds – not transplanted due to ethical concerns; Gerald Brandacher, scientific director of the Composite Tissue Allotransplantation Program at Johns Hopkins and a surgeon on the case.

"For ethical reasons, we do not want to transplant the germline from the donor, because that would mean that if the recipient fathered a child, the child's genetic background actually came from the donor rather than the recipient," Brandacher said. "But in a second step, the patient will get testicular prostheses."

According to Lee, the transplant is the culmination of over five years of research and collaboration between various medical disciplines at Johns Hopkins

"In 2013" We have assembled a team of plastic surgeons, urologists, transplant specialists, psychologists and bioethicists he began preparing for a urogenital transplant, "he said.

" We have performed several surgical transdermal cadaver transplants. We took notes of what we had learned, refined our techniques, and developed a plan for graft procurement and transplantation. "

In 2014, the first successful penile transplant in South Africa was conducted by a team of doctors at Stellenbosch University in Cape Town and Tygerberg Hospital, but the current case is the first to include a scrotum and lower abdominal wall graft, according to Lee

"Our surgical team, consisting of nine plastic surgeons and two urological surgeons, led the world's first total penile and scrotal grafting," said Lee. "I want the skills and dedication of the doctors, nurses and staff of Johns Hopkins acknowledged that it was essential for this breakthrough process. "

Transplantation is an example of a type of vascular composite allograft or VCA. VCA refers to the transplantation of multiple types of tissues such as skin, muscles and bones, according to the American Society of Transplantation often on the transplantation of body parts such as arms, hands, faces and – now – genitals.

"These life-altering VCA grafts can only occur when a donor family leaves their mourning behind and gives to someone in need," said Alexandra Glazier, president of New England Donor Services, in a statement.

New England Donor Services is an organization designated by the federal authorities, which, according to Glazier, helps to coordinate organ and tissue transplants in the northeast.

Since 2009, New England Donor Services has requested and received 13 families' approval for a VCA donation, resulting in the transplantation of 19 VCA grafts, "she added," in which case we worked closely with ours Colleagues at the Living Legacy Foundation, the organ care organization serving most of Maryland, to facilitate and coordinate the Hopkins team's recovery of this unique transplant donation. "

Johns Comprehensive Transplant Center Hopkins was a pioneer in many of the recent advances in VCA procedures. "Just over five years ago, the first quadruple amputee survivor in Iraq, US Army Sgt. Brendan Marrocco received a double-arm transplant at Johns Hopkins," Lee said . "And just over five months ago, our team transplanted two new arms into Army National Guard Sgt. Eric Lund, who lost both arms under a shoulder bomb in Afghanistan just under the shoulders. "

Almost one month after the procedure, the peni transplant recipient appears to have recovered well and is expected to be released later this week Redett.

" Our patient is recovering well from the transplant. It's running, and the graft shows no signs of infection or rejection, "said Redett." It's our hope that such a life-improving transplant will enable him to regain urinary and sexual function and lead a more normal life. "[19659002] In the coming months, the patient is expected to regain full sexual and urinary function, according to Brandacher, unable to produce sperm.

"All the research we've done and all the experience we've had our urologist colleagues clearly shows that he will regain the full function of the penis in terms of urinating … having an erection and having sexual intercourse, "said Brandacher.

After the announcement of the operation gave the donor family, which also was not mentioned by name, a statement in which she thanked the recipient for his service: "We are all very sto lz, that our lover could help a young man who served this land. We are so thankful to say that our beloved person would be proud and honored to know that he has made you a special gift. As a family, we support all the men and women who serve our country and are grateful for the work you have done for this nation. "


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