一个21岁的男子发生了世界上第一个成功的阴茎移植。南非外科医生手术花了九小时的手术,并能使病人排尿正常,性功能正常。
每年都有成千上万的年轻人,主要来自南非科萨族传统仪式,有他们的包皮切除,有专家估计,大约有250人失去了,术后的并发症严重。
三年前的21岁男子,原因仍然不明,被迫截肢后,他的阴茎包皮环切术失败。手术是由斯坦陵布什大学和开普敦,南非Tygerberg医院外科医生进行,用从死者捐赠阴茎进行移植。医生表示,该手术允许个人在新移植的器官恢复功能。
弗兰克graewe教授,另一个医院的外科医生辅助操作上,说:“这是一个巨大的突破。我们已经证明这是可以做到的,我们可以给别人一个器官,只是为了他好。”
他补充说,找到一个供体器官是最重要的过程的一个主要的挑战,叫人把他的阴茎和他的家人,‘英雄’。
该过程是作为试点研究,开发一个阴茎移植手术可以在南非的一个典型的医院的一部分进行。本研究的计划和准备,开始在2010。经过广泛的研究教授Van der Merwe和他的手术团队决定使用开发的第一个面部移植技术。操作这种类型的过程中尝试一次,但在历史上第一次实现了成功的长期结果。
中国人接受了肾移植2005但那人问医生移除新器官的两周后。我们说教授Van der程序最终可能也会扩展到人谁失去了他们的阴茎从阴茎癌或重度勃起功能障碍由于药物的副作用最后的处理。南非政府称赞的手术的外科医生。从经验中我们知道,阴茎功能障碍和缺陷有着重大的不良心理对人的影响。”
A 21-year-old man has undergone the world's first successful penis transplant.
The 'ground-breaking' operation took South African surgeons nine hours to perform, and allowed the patient to urinate normally and become sexually active again.
Three years ago the man, who remains unidentified, was forced to have his penis amputated after a botched circumcision.
Each year thousands of young men, mainly from the Xhosa tribe in South Africa, have their foreskins removed in traditional rituals, with experts estimating around 250 losing their penises each year to medical complications.
The operation was carried out by surgeons from Stellenbosch University and Tygerberg Hospital in Cape Town, South Africa, using a penis donated from a deceased person.
They said the procedure allowed the man to regain all function in the newly transplanted organ.
Nine more patients will now receive penile transplants.
Professor André van der Merwe, head of the University's Division of Urology, said they were surprised by the patient's rapid recovery.
He said: 'Our goal was that he would be fully functional at two years and we are very surprised by his rapid recovery.
Professor Frank Graewe, another of the hospital's surgeons who assisted on the operation, said: 'It's a massive breakthrough. We've proved that it can be done – we can give someone an organ that is just as good as the one that he had.'
'It was a privilege to be part of this first successful penis transplant in the world.'
Professor van der Merwe said having a penis amputated is known to have a seriously adverse psychological effect on men.
'This is a very serious situation,' he said.
'For a young man of 18 or 19 years the loss of his penis can be deeply traumatic.
He doesn't necessarily have the psychological capability to process this. There are even reports of suicide among these young men.'
He added that finding a donor organ was one of the main challenges to the procedures, and called the man who donated his penis, and his family, 'heroes'.
The procedure was performed as part of a pilot study to develop a penile transplant procedure that could be performed in a typical South African hospital.
The planning and preparation for the study started in 2010.
After extensive research Professor Van der Merwe and his surgical team decided to use techniques developed for the first facial transplant.
The operation was the second time that this type of procedure was attempted, but the first time in history that a successful long-term result was achieved.
A man in China received a transplant in 2005 but that man asked surgeons to remove the new organ two weeks later.
Professor Van der Mewe said the procedure could eventually also be extended to men who have lost their penises from penile cancer or as a last-resort treatment for severe erectile dysfunction due to the side effects from medication.
The South African Government praised surgeons who performed the operation.
Dr Beth Engelbrecht, head of Western Cape Government Health, said: 'We are very proud to be part of this ground-breaking scientific achievement.
'It is good to know that a young man's life has been significantly changed with this very complex surgical feat.
'From experience we know that penile dysfunction and disfigurement has a major adverse psychological effect on people.'