Doctors are reporting success in a penis transplant for a veteran injured by an IED. The man received a new penis, scrotum and lower abdominal wall.
The veteran had arrived seeking a conventional penile reconstruction. In those cases, surgeons fashion a “neophallus” from fat and skin taken from the forearm or thigh. After incorporating a pump to facilitate erection, reconstructive surgeons attach the penis to an existing urethra, blood vessels and nerves.But Redett said the extent of this patient’s injuries made that approach impossible.
“It is harder to ask a family for a face or a penis,” Redett acknowledged. But often, he said, a shared connection between donor and recipient — say, professions or hobbies or military service — will prompt a family to say yes. The graft used in the transplant. It included the right and left external pudendal artery, a segment of the femoral artery, and the saphenous veins on both sides.
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