Penile transplantation: finally, an effective option
Let's talk about sex

Penile transplantation: finally, an effective option

A urological team from Cape Town, South Africa recently published in the prestigious journal The Lancet a case report of Penile allotransplantation for penis amputation with 24 months of follow-up.

So far, four penile allotransplantations were published: one in Guangzhou, China, in 2005 (Unfortunately, removed after only 2 weeks), one in Boston and two in Cape Town. However, this is the first report of a penis transplant resulting in resuming penile function. The recipient first reported satisfactory sexual intercourse 5 weeks after surgery and subsequently, reported regular sexual intercourse from 3 months after the operation. Despite several acute complications, quality-of-life and physical health scores improved substantially after the operation. At 24 months, maximum urine flow rate was within normal range, and mostly, IIEF score was normal, confirming restoration of erectile function.

The authors recalled that in South Africa many men are rendered aphallic due to severe complications of traditional circumcisions. So far, the only available reconstructive surgeries after penile loss were phalloplasties and prostheses. This report shows that penile allotransplantation is now a feasible option that can give hope to many mutilated men.

Obviously, the benefit of a successful penile transplant must be weighed against the inevitable lifelong immunosuppression, laying the emphasis upon selection of the recipients, and the ethical issues pertaining to the procedure.

Eric Huyghe MD
Department of Urology, Toulouse Rangueil University Hospital, Toulouse, France

ESSM
Content written by ESSM View all ESSM contents
Bibliographical references

Van der Merwe A. et al, the lancet, sept 2017, vol 390, 1038-47

You may also like

Don’t be shy, couple therapy can save your relationship
News
Let's talk about sex

Don’t be shy, couple therapy can save your relationship

Sex, romance, and relationships, all go hand in hand and are integral to our health. A healthy sex life forms an integral part of our romantic relationships and while sex is not the most important component, sex-related problems remain one of the primary causes for unhappy or failing relationships.

How does occupational stress influence sexual life
News
Let's talk about sex

How does occupational stress influence sexual life

How does occupational stress impact on one's sex life? While it is a common assumption that occupational stress affects sex life, there is little relevant research data available today.

Urinary incontinence may result from aging or surgery
News
Benign Prostatic Hyperplasia

Urinary incontinence may result from aging or surgery

Urinary incontinence may result from aging or surgery and may occur at any time of the day or in connection with an effort (such as lift a weight or even sneezing or coughing), or in the sexual sphere, during foreplay or at the orgasm (climacturia).