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Title: Surgeons announce world’s first successful penis transplant
Source:
The Washington Post
URL Source: http://www.washingtonpost.com/news/ ... t-successful-penis-transplant/
Published: Mar 13, 2015
Author: Rachel Feltman
Post Date: 2015-03-13 11:48:20 by Willie Green
Keywords: None
Views: 2734
Comments: 19
In a nine-hour surgery, a South African medical team successfully transplanted the penis of a dead donor to a young man without one. Three months later, they say, the recipient, who lost his penis because of complications from a ritual circumcision, has a totally functional sexual organ. That makes him the first successful recipient of a donated penis. News24 Live's Jerusha Sukhdeo-Raath did some live tweeting from Friday's press briefing on the historic surgery: Yes, you read that right: To get the approval of the donor's family, doctors had to fashion a pseudo-penis for him out of abdominal skin. That way he could be buried with something resembling a penis. [Read More: Lab grown penises are on the horizon, scientists say] It's no small thing to reattach any organ, and sexual organs have added psychological implications. If the function (both urinary and sexual) and appearance aren't just right, the recipient has to deal with the implications of having a troublesome foreign object where his penis should be. Even if everything is working physically, the psychological trauma can sometimes be too much to bear. That's what happened to the Chinese patient who could have been the first successful recipient: In 2006, 10 days after a physically successful surgery, the man asked doctors to remove his new organ. [The military has high hopes for face transplants] But the unnamed 21-year-old in Cape Town, who lost his penis three years ago, is delighted, according to his surgical team. Click for Full Text!
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Begin Trace Mode for Comment # 3.
#2. To: Willie Green, sneakypete (#0)
Basic appearance and urinary function may be restored. Not nerve tissue. So sex won't have any pleasure. Children could only be conceived by using the technique they use to harvest sperm from a recent corpse. And it is still a transplant that will require anti-rejection drugs for life so it won't be attacked by the man's own immune system. To call this a success is overstating it a bit. It can never be a success in the way that a kidney or liver transplant is. I notice this transplant was needed because of...a botched circumcision.
Get out of town!
#5. To: Fred Mertz, TooConservative (#3)
Sounds fishy to me also, Fred.
Cases of post-mortem conception have occurred ever since human artificial insemination techniques were first developed, with sperm donated to a sperm bank being used following the death of the donor. While religious arguments have been brought against the process even under these circumstances, far more censure has arisen from a number of quarters with regards to invasive retrieval from fresh cadavers or patients either on life support or in a persistent vegetative state, particularly when the procedure is carried out without explicit consent from the donor. The first successful retrieval of sperm from a cadaver was reported in 1980, in a case involving a 30-year-old man who became brain dead following a motor vehicle accident and whose family requested sperm preservation.[2] The first successful conception using sperm retrieved post-mortem was reported in 1998, leading to a successful birth the following year.[3] Since 1980, a number of requests for the procedure have been made, with around one third approved and performed.[1] Gametes have been extracted through a variety of means, including removal of the epididymis, irrigation or aspiration of the vas deferens, and rectal probe electroejaculation.[3] Since the procedure is rarely performed, studies on the efficacy of the various methods have been fairly limited in scope. While medical literature recommends that extraction take place no later than 24 hours after death, motile sperm has been successfully obtained as late as 36 hours after death, generally regardless of the cause of death or method of extraction. Up to this limit, the procedure has a high success rate, with sperm retrieved in nearly 100% of cases, and motile sperm in 80–90%.[4] There is currently little precedent for successful insemination using sperm harvested after 36 hours. New technologies are being researched that could make this a routine reality, in turn creating new ethical dilemmas. [5] If the sperm is viable, fertilisation is generally achieved through intracytoplasmic sperm injection, a form of in vitro fertilisation. The success rate of in vitro fertilisation remains unchanged regardless of whether the sperm was retrieved from a living or dead donor.[4]
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#3. To: TooConservative (#2)
Children could only be conceived by using the technique they use to harvest sperm from a recent corpse.
Replies to Comment # 3.
A botched circumcision shouln't have affected the testicles...
unless infection set-in and his whole crotch started to rot away...But bathing and changing your undies every day will usually prevent that from happening... that, and you have to remember to dry yourself thoroughly with a clean bath towel and maybe spray yourself occasionally with a little Cruex...
#7. To: Fred Mertz (#3)
Get out of town!
Posthumous sperm retrieval (PSR) is a procedure in which spermatozoa are extracted from a man after he has been pronounced legally brain dead. There has been significant debate over the ethicality and legality of the procedure, and on the legal rights of the child and surviving parent if the gametes are used for impregnation.[1]
The rectal method is real nasty. Same method used to test bulls or collect semen from them for AI.
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