Surgery that reconstructs genitalia and restores sexual function by transplanting penis and scrotum will be the first in the world

A male soldier who damaged genitalia in the war reconstructed genitalia by transplanting penis, scrotum, abdominal wall, etc., and performed surgery to restore voiding function and sexual function.

Johns Hopkins Performs First Total Penis and Scrotum Transplant in the World - 04/23/2018
https://www.hopkinsmedicine.org/news/media/releases/johns_hopkins_performs_first_total_penis_and_scrotum_transplant_in_the_world

US soldier gets world's first penis and scrotum transplant - BBC News
http://www.bbc.com/news/world-us-canada-43873058

Many of the soldiers who went to the battlefield are subject to scratches that can be seen and invisible wounds. SometimesInstant explosive deviceThere are also people who lose some or all of the genitals by 2016, and penile transplant surgerySucceeded, A transplant operation of a whole genital organs including penis and scrotum was performed by Johns Hopkins University newly.

The team of W.P. Andrew Lee's team comprised nine plastic surgeons and two urologistic doctors and on March 26, 14 hours of surgery was successful. Transplanted from the donor to the patient are the penis, the scrotum except the testicles, and the partial abdominal wall. The testicles were not transplanted due to ethical problems.


A man of a retired soldier who was injured in Afghanistan and underwent surgery, "This was a really deep wound and it was not easy to accept," "When I regained consciousness for the first time after surgery, I finally regained myself, I felt that I was able to become normal. " The man is recovering and he plans to leave the hospital soon. It is considered to be fully recoverable from 6 months to 12 months.

Reconstruction of the penis can be done using tissues of other parts of the body, but an erection requires an artificial implant and the infection rate also increases. In addition, it is said that some of the soldiers have difficulties in transplanting because there are scars on other parts of the body.

In the case of "transplantation of complex tissue with vascular pattern" which transplant body parts and tissues from the body of other people, rejection reaction is problematic as it includes skin, muscle, tendons, nerves, bones, blood vessels and the like in the transplant parts As it becomes necessary, we need immunosuppressants. Lee's team has developed an immunomodulation protocol to minimize the amount of these immunosuppressive drugs.

According to Lee Doctor of plastic surgeons, the fact that soldiers damage genitals exists as "hidden wounds" in war. I heard from my spouse, family and caregiver how the damage of the genital organs the soldier owed by the soldier at 2014 symposium injured his / her identity, self-esteem, relationship with others was linked to this transplant surgery It seems to be.

The second man from the left is Lee's doctor.


"I hope that by transplant surgery you can restore the normal urinary function and sexual function of this young man."