Transplantation

[MoatazKad]

Not sure where to put this but I thought this piece of news was interesting:

World's First Successful Penis Transplant: Man Receives New Sex Organ After 9-Hour Surgery In South Africa

[bummedout]

This is weird to think about but is a possible viable alternative:

Doctors claim first successful penis transplant - CNN.com

[SunSeeker]

Hi I read this as well and asked my doctor's about it.

What they told me is that is has been done twice before but they had to remove the transplanted penis because in the first case the patients felt it as a foreign body and in the second case the partner of the patient could not bring herself to the idea of having sex with a dead person's penis.

Both of them ended up having complete phalloplasty's with penile prosthesis insertion.

[james1947]

As SunSeeker wrote, it is the third time. Just some exited reporters that are like always not precise.
I suppose if Dr. Atala was growing already penises from people own cells, the two first implanted penises were still in place.

James

[MoatazKad]

how did they decide on the penis of the donor ?

[George999]

https://news.vice.com/article/heres-why-the-worlds-first-successful-penis-transplant-was-conducted-in-south-africa

[Voltage]

A stem cell penis would be nice. Grow our limbs back in a lab and sew it together. Great for amputees, great for people like us. Sounds like a bright future.

[SunSeeker]

Hi Guys.

Dr Kuehhas and his team told me that they organised a conference this weekend and invited the guy who did the transplant and also a team from Denmark that they work with that offer stem cell treatments fro ED and potentially penis regeneration.

If you are interested I will ask him for presentations and post a linK when I see him this week for my pre-op consultations.

[james1947]

SunSeeker

Thank you for the information.
I think all of us will be very interested to get Dr. Kuehass opinion in the subject and will be more than happy to read a presentation from him in the subject.
Please talk with him on the subject

James

[Jack1909]

Great kuehhas, great..
I consider that transplanting a penis is already a old and obsolete procedure. In a few years we could have ours penises regenerated. Moreover, we don't considere as we should do what does it mean wearing a foreign penis. You have to undergo a huge therapy to prevent your body from rejecting the organ, months lied on a bed...and come on, everybody here is freighted about loss of length..

[james1947]

In a few years we could have ours penises regenerated

We can hope Jack, but I am far from sure even I am a very optimistic person.
More than 6 years following the subject, many talks, nothing done.

James

[Neverheardofthisb4]

Has any one seen any discussion of possible application of penis transplants for peyronies? The initial reports for a transplant recently performed in South Africa seem surprisingly positive.

https://news.vice.com/article/heres-why-the-worlds-first-successful-penis-transplant-was-conducted-in-south-africa

Penis transplantation - Wikipedia, the free encyclopedia

[james1947]

Neverheardofthisb4

Whatever we know, you can read on this topic, not too much

James

[Jack1909]

I read, and hope I'm wrong, that the guy who received the transplanted penis will take immunosuppressive drugs for the rest of his life.
Anyway, everybody's who is thinking about it and moreover about implants should read this.

Protesi del pene, è in arrivo il "Robot Penis". Il progetto della Scuola Superiore Sant'Anna (FOTO)

[james1947]

Jack you are not wrong.
After any transplant, for life, people are getting immune-repressive drugs not to reject the organ.

James  

[Jack1909]

Below it's a bad translation made by myself of the italian article. I keep on thinking that transplantation, in 2015, is old and out of time.

A robot to gain function penis back, and the sexual pleasure. In a few years, when the first robotic prothesis it will come true, it could represent the future for who until now has underwent falloplastic. It's the target Scuola Superiore Sant'Anna is working on, that this morning has illustrated its 'Robot Penis' to investors, in the last day of the High-tech business venturing. Through the use of erection mechanism, activated in a natural way and capable to gain sexual feeling back, the technology on development, according to Sergio Tarantino, Andrea Cafarelli e Alessandro Diodato, 'could be dominant in surgeries field, just in a little time'. 'Instruments gave by biorobotic - they explain - could allow the prothesis to being equipped by accurate movement system and sensorization. The target is to make the prothesis working as close as possible to the natural organ. The possibility to control the prothesis through thinking and arousal and nervous stimuluses, assuring sexual pleasure to the people who is wearing it, makes this system innovative. Right now, surgeries reconstruction provide to the patient just a little and limited sensation,ad moreover, erection has made just thought manual control and not similar to 'Robot Penis', where sexual desire happens. The using of innovative actualization principles, smart and biocompatible principles, will allow the prothesis development.
(...)
'We hope to come to a working prototype in 12 months and then to commercialization. Our target is to provide a new therapeutic approach, different from the traditional one, for who has underwent, because a cancer, a penectomy, or for those that desire to change sex'.

[itachi]

hi guys,
hope someone gonna read this and hope you won't consider me to rude but realistic.

Jack1909,
why are you saying that transplantation in 2015 is old and an obsolete procedure? First, just to re-implant your own penis (after self-amputation or traumatic amputation) is a very complicated surgery that the majority of urologists don't know how to do it. It's an unusual surgery, that has been done only in few cases by a few very skilled surgeons. That's what my urologist told me. And it's a surgery that involves many surgeons not only urologists surgeons. So the transplantation of an other man's penis is way more complicated, it's only has been done 2 times !!!! (and not three as SunSeeker said), one in China in 2006 but after 2 weeks the man decided to remove the penis because he and his wife couldn't deal with a foreign penis. So it was not enough time to let the guy recover erectile fonction. But we know it's possible because the second transplantation in south africa was a succes with the recovery of erectile function.
So an obsolete procedure to have transplantation of an other man's penis when it only has been done 2 times?! the south african urologist who did the surgery said that this surgery his something that won't be available after many years in the other countries and other hospitals. Because he said there are a lot of ethical issues about this surgery and it's very complicated, it cost a lot (including medical care and immunosuppressive drugs) and the difficulty to have the donor or his family's acceptance is a problem. The south african has 9 other surgeries programmed but after one year he still doesn't have do this surgery on an other amputed man! He refused an american patient because it's only a south african study which involve only south african citizens (if you want the article link i can give it to you). So ... till the time the other countries will accept to do this surgery it gonna take many years! At least 20! And it's gonna be only available only for a few selected people and absolutely not for men suffering from peyronie disease but for people without a penis . An american urologist said that the surgery that took place in south africa won't probably be available in US because the COST of medical care and immunosuppressive medication will be that expensive that the insurance companies will refuse to pay for this !! (IF you don't believe what i am saying i can find the link for this article took).
And about Atala's work, he said that to build an entire penis is that much complicated that it's not gonna be available in a near future. But they will begin with partial surgery, mostly smooth muscles and endothelial cells. Atala never said that he and his team are engineering tunica albuginea, neither that they will. I read an article where he talked about an experience done by other urologists (not of his team) but on pigs (not on humans) (Tissue Engineering of the Penis)
Atala also said that they will first treat soldiers (don't forget that their main budget comes from the army, about 200 millions $, that's why they'll begin with soldiers). For civilians it won't be available anytime soon !!!!!
Atala also said that they need a donor's penis, it's the only way to have a scaffold (because they won't use a 3d print for the moment). So they'll start with cadaveric penises. A foreign penis they will clean with a solution to remove all the foreign cells and in which they'll put the patient's his own cells on the remaining scaffold.
So we go back to one of the main problems, how to get the acceptance of the donor or of his family? The south african surgeon said it was a problem to have the penis of a donor because it's an intime part of the body.
So Jack1909, don't say it's an obsolete procedure or a old one. Because it's not even a new procedure, it's an experimental one. And Jack1909, you are talking about the frightening of loosing length with the transplantation of an other man's penis? i don't understand ... you won't loose length, you'll loose your entire penis and have an other man's penis's size (just hope is a big one ! LOL)

SunSeeker,
i don't know why you are saying that the guy (only 1) who got the foreign penis removed ended up with a phalloplasty? Where did you get this information? Because the chinese surgeons never talked about a phalloplasty surgery after the tansplanted penis removal. So where did you get this information? (an article link?)

[DELETED]

Dr Kuehhas and his team told me that they organised a conference this weekend and invited the guy who did the transplant and also a team from Denmark that they work with that offer stem cell treatments fro ED and potentially penis regeneration.

It's been a while ago, so is there any updates on this?