Male genital organ transplant is really needed by a considerable category of patients who have suffered from cancer of the genital organ or have undergone serious injuries in the pelvic area. This procedure, despite the discoveries in the field of transplantology, has many difficulties.
The main positive result of male genital organ transplantation is the complete restoration of the urinary and reproductive functions of the organ.
Find out in the article on estet-portal.com about the main achievements of plastic and reconstructive surgery in the field of male genital organ transplantation from surgeon, specialist in urology at the Faculty of Surgery of Stellenbosch University (South Africa), Frank Graewe ).
Difficulties in male genital organ transplantation
FG: Let's start with the fact that the male genital organ consists of hollow and cavernous bodies, through it, in particular, the urethra passes, so it is necessary to sew, in particular, the urethra. And one of the most difficult stages − these are sutures of helical arteries, which are unique in the human body, because they are tuned to stretch and increase in the volume of the tissues of the penis.
Follow us on Instagram!
The problem of male genital organ transplantation is widespread in South Africa, where up to 250 men part with their organ every year due to rough circumcision. In South Africa, such operations are needed like nowhere else in the world, as many young people lose their penis after circumcision. The situation is very difficult. For young people 18-19 years old, the loss of a male sexual organ can be very traumatic. A person does not always have the psychological capacity to endure it. Even suicide cases are known among young people.
Correction of erectile dysfunction with non-surgical procedures
This is actually a highly requested operation, but also very expensive and has many potential complications because the immune system needs to be suppressed. Considering that mostly patients who need male genital organ transplant – these are young men, after the operation they receive immunosuppression for the rest of their lives.
In our country, this is provided by the state health care system and the private health care system. Mostly, patients who need a penis transplant suffer from the loss of their penis due to circumcision and complications from the procedure.
Availability of male genital organ transplantation
FG: Often such circumcised patients do not receive proper medical care, health insurance and do not have enough money for transplantation. Therefore, a male genital organ transplant in such a case must be paid for by the government or the public sector. Because, today, we have the concept of this procedure, which is quite successful and we are extremely pleased with the result. Financially, a male genital organ transplant is extremely expensive.
Male hormonal contraception: key features
It is also necessary that young people after the intervention remain for the rest of their lives on the severe suppression of the immune system that is currently being carried out. Taking into account the fact that people do not come on time, do not always comply with treatment, they may experience complications during treatment – it also incurs additional costs. They are afraid of all sorts of complications after treatment, then they get treated, and then they can be rejected.
So it's a complex thing, and also because it's a complex vascular allograft with many different structures, not just one organ or one of a pair, like in a heart transplant or a kidney transplant.
In the case of a male genital organ transplant, graft rejection is more severe, so immune suppression should be stronger and longer than with other interventions.
Preparation for male genital organ transplantation
FG: Particularly in male genital organ transplantation, the most difficult thing is to obtain a transplant, of course, first to obtain ethical approval and then to find an actual donor. Thus, it is necessary to find a family that would be prepared to give consent for a male genital organ transplant to another person. This is a very difficult stage in transplantation.
Requirements before performing a male genital organ transplant
FG: The usual requirements for a male genital organ transplant are: healthy condition of the donor organ, good blood supply and functioning, which is the most important. The psychological state of the recipient, his perception of this procedure is also very important. Before performing a male genital organ transplant, we do a psychological test to see if the patient can understand all this physical stress after the transplant, which is very important.
Change in sperm morphology: the cause of male infertility
Contraindications for male genital organ transplantation
FG: I would say that the absolute contraindications are vascular diseases that caused the organ to stop functioning earlier, as well as any conditions in which a male genital organ transplant is not possible .
Perspectives of male genital organ transplant
FG: It's really up to us because we expected the patient to take 6 months to fully recover from the transplant and we were completely stunned and surprised at how quickly it went recovery in our first and second case.
The first patient was discharged from the hospital after 5 weeks. 6 weeks after transplantation, the first sexual intercourse is possible. So we are absolutely stumped because we thought it would be much longer and require more recovery. It was very surprising how well the organ functions after the operation.
Injection correction of the penis with hyaluronic acid and auto fat
Anatomical features of male genital organ transplantation
FG: With the transplant we're doing, if we're looking at the penis as a whole organ, then I would say it's a partial male penis transplant. Since the patient uses only the outer part of the penis, while the rest of the organ, which is located in the perineum and is innervated by the pelvic plexus, is intact. Thus, the sympathetic fibers of the nerves and all the nerve currents to the vascular structures that cause an erection are not damaged.
Impotence or Erectile Dysfunction: Treating Impotence
But what about a patient who wants a sex change, what about a patient who wants a male sex organ transplant. This is not done yet, but I hope it will be possible in the future and the da Vinci apparatus is a good tool to make anastomoses between small branches of the pelvic plexus if possible. Therefore, until now, there has never been a complete transplant of the male genital organ.
Treatment of ureaplasmosis in men: all the features of therapy
Share:
Add a comment