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Home > Augmentation > Johns Hopkins Plans 60 Penis Transplants for Injured Veterans

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Home›Augmentation›Johns Hopkins Plans 60 Penis Transplants for Injured Veterans

Johns Hopkins Plans 60 Penis Transplants for Injured Veterans

By M. Christian
January 8, 2016
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A promising new surgical technique for male genitalia.

With almost daily technological developments in sex tech, it’s important not to overlook innovations that are not hardware or software—but rather exist in the very intimate world of medicine.

Male genitals diagram

Case in point: doctors Gerald Brandacher, W.P. Andrew Lee, and Richard J. Redett at the prestigious Johns Hopkins University School of Medicine in Baltimore are planning the first-ever penis transplant in the United States. It will be conducted in perhaps only a few months.

The operation will be performed on a wounded Afghanistan war veteran and, if all goes well, the patient should be able to have urinary function, feeling, and even the ability to eventually function sexually. Though doctors caution that total restoration, such as having the ability to father children, is unlikely at this time.

To date, two other attempts at penis transplants have taken place—with mixed results. The first was performed in 2006 in China and, unfortunately, was not a success.

However, another attempt in 2014 by professors Frank Graewe, André van der Merwe, and Rafique Moosa in Tygerberg Hospital, South Africa, did succeed—leading to the current project by Johns Hopkins.

Initially, the focus for the first attempt in the United States as well as plans for future transplants will be wounded soldiers.

Chairman of Plastic and Reconstructive Surgery at Johns Hopkins, Dr. W. P. Andrew Lee, said to The New York Times, “I think one would agree it is as devastating as anything that our wounded warriors suffer, for a young man to come home in his early 20s with the pelvic area completely destroyed.”

There are already discussions underway that, if the first operation meets all of the doctor and patient’s expectations, that it may be adapted for gender reassignment surgery.

Johns Hopkins bioethicist Jeffrey Kahn, speaking at the Intimacy After Injury Conference in 2014, said, “Once this becomes public and there’s some sense that this is successful and a good therapy, there will be all sorts of questions about whether you will do it for gender reassignment.”

The surgery

The operation itself is planned to take approximately 12 hours, involving connecting as many as six nerves, and seven arteries and veins using microsurgical techniques.

Previously, plastic surgery has been able to give patients a somewhat accurate version of a penis mostly involving skin grafts. But these techniques don’t offer many of the basic functions of a real sexual organ, most importantly sexual sensation.

Yet, while there is hope that penile transplant patients will regain much of their previous sexual lives, a transplant raises a few unique issues—not least of which being psychological.

Issues and concerns

On the donor’s side, one concern is how to approach the relatives of the deceased. Few organs, after all, carry with them such intimate significance as genitalia. This is an especially sensitive area as, for the transplant to be successful, it is preferable that the donor is healthy and young at the time of his passing.

The other emotional concern is from the person receiving the transplant. However, many have said that the benefit of being able to even partially restore sexual function will more than likely override any patient concerns.

Dr. Gerald Brandacher of the Johns Hopkins surgical team compared the penis transplant to his experiences with patients having undergone hand replacement surgery.

“I can tell you from all the patients—and I’ve been involved since 1998—every single one, after surgery, look at the graft, try to move it and they immediately call it ‘my hand.’ They immediately incorporate it as part of their body. I would assume, extrapolating, that this is going to be the same for this kind of transplant,” he said to The New York Times.

While this penis transplant procedure is untried, Johns Hopkins has given permission for the surgical team to conduct 60 of the operations this year if the initial trial is successful.

If all goes well, soon transplanting penises—and perhaps other human sexual/sensual organs—will be commonplace enough to both heal those who have suffered physical and emotional injuries and also provide an opportunity for others to become their true sexual selves.

Image source: Internet Archive Book Images, Johns Hopkins Medicine 

M. Christian

M.Christian (they/them) loves nothing better than exploring the intersections of sex and technology—and speculating on the future of both. A highly regarded erotica writer they have six novels,12 collections, 100+ short stories, and 25 anthologies as an editor to their name. Their non-fiction regularly appears in many sites, but they're most proud of being a regular contributor to Future of Sex.

Of their erotic fiction, Tristan Taormino said that “M.Christian is a literary stylist of the highest caliber: smart, funny, frightening, sexy—there's nothing [they] can't write about… and brilliantly.”

Reflecting their unique ability to sympathetically and convincingly write for a range of genders and sexual orientations, their stories have appeared in multiple editions of Best American Erotica, Best Gay Erotica, Best Lesbian Erotica, The Mammoth Books of Erotica, and others. Their collection of gay erotic fiction, Dirty Words, was a finalist for the Lambda Literary Award.

While a majority of their stories have been collected into books like Dirty Words, their fondness for combining sex and science fiction is clearly evident in collections that include Rude Mechanicals, Technorotica, Better Than The Real Thing, Skin Effect Effect, Bachelor Machine, and Hard Drive: The Best Sci-Fi Erotica of M.Christian.

As a novelist, M.Christian’s versatility is on full display with Running Dry, The Very Bloody Marys, Brushes, Painted Doll; and the somewhat controversial queer BDSM/horror/thrillers Finger's Breadth, and Me2.

M.Christian has worked on the industry’s production side as an Associate Publisher for Renaissance E Books and as a Publisher for Digital Parchment Services. The latter dedicated to celebrating the works of science-fiction legends such as William Rotsler, Jerome Bixby, Jody Scott, Arthur Byron Cover, Ernest Hogan, and James Van Hise.

Covering topics like BDSM safety, sexual education, senior sexuality concerns, queer and gender issues, plus reviewing a variety of sex tech products, M.Christian’s non-fiction has appeared on sites like Kinkly, Tickle.Life, Sexpert, Queer Majority, Sex for Every Body, and—of course—their ongoing work for Future of Sex.

If there’s anything M.Christian enjoys more than writing, it’s teaching. A featured presenter, sometimes with their friend Ralph Greco Jr, at national sex and BDSM events, they have lectured on kink play (with an emphasis on safety), polyamory, boosting sexual creativity, and erotica writing--for beginners or those wanting to go pro.

M.Christian is a cohost on two popular sex-education podcasts: Love’s Outer Limits with Dr. Amy Marsh and Licking Non-Vanilla with Ralph Greco, Jr.
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