Thursday, September 21, 2006

Penis transplants, rejection and dick stumps, who could ask for more?

I am back. I could not get connected yesterday so here is the post I was going to do yesterday. I have noticed in looking back on previous posts that I have missed words and such. Damn typos. My brain is obviously faster than my fingers. The ideas are not lost, so it is functionally no big deal.

I came across this gem of a story in the news. Read it and enjoy.

Penis transplant reported in China
By MARILYNN MARCHIONE, AP Medical Writer
Chinese doctors say they successfully transplanted a penis on a man who lost his own in an accident, but had to remove it two weeks later because of psychological problems experienced by the man and his wife.
The case appears to be the first such transplant reported in a medical journal — European Urology, published by the European Association of Urology.
The Chinese doctors could not be reached for comment, and their report does not explain how the 44-year-old man lost his penis. It says only that "an unfortunate traumatic accident" left him with a small stump, unable to urinate or have sex normally.
Surgeons led by Dr. Hu Weilie at Guangzhou General Hospital performed the transplant in September 2005, a hospital spokesperson said Tuesday. The penis came from a 22-year-old brain-dead man whose parents agreed to donate his organ.
"There was a strong demand from both the patient and his wife" for a transplant, and the operation "was discussed again and again" and approved by the hospital's ethics committee, Hu writes in the journal.
Despite how shocking and radical the operation sounds, it involves standard microsurgery techniques to reconnect blood vessels and nerves.
From a medical point of view, "the main hurdle is the functional recovery," said Dr. W.P. Andrew Lee, chief of plastic surgery at the University of Pittsburgh Medical Center.
From arm and leg reattachments, it's known that nerve regrowth occurs at a rate of about an inch a month and often is insufficient to allow normal use, he said.
However, the ethical and psychological challenges in such cases can be even more paramount, as this and other recent transplants involving hands and faces illustrate.
"Some of the considerations for a penile transplant are the same as for a hand or face transplant," such as the need to take lifelong immune-suppressing drugs to prevent rejection of the new organ, Lee said.
The drugs can cause kidney and other damage, acceptable risks when the transplant involves a vital organ such as a liver or heart, but more ethically perilous when the operation is aimed at improving quality of life rather than extending it, Dr. Yoram Vardi, a neurology and urology specialist at the Rambam Medical Center in Haifa, Israel, writes in an accompanying commentary in the urology journal.
Psychological issues are keenly important. The world's first hand transplant recipient stopped taking immune suppression drugs and later requested that the hand be amputated.
Lee recalled speaking with the recipient of the world's first double-hand transplant in France, who told him it took months for him to accept his new hands and stop referring to one as "it."
Fourteen days after the penis transplant, the recipient and his wife requested that the organ be removed "because of the wife's psychological rejection as well as the swollen shape of the transplanted penis," the surgeons report in the journal.
Lab examination showed no sign of rejection, the doctors report.
If adequate attention had been paid to the need for counseling and other psychological concerns surrounding the transplant, "the need for penile amputation could probably have been avoided," Vardi wrote in his commentary.

How freaky is this? What kind of accident causes you to lose your penis???!!!!! Did the dude tie a string to it with a hook and use it as a fishing rod? I am having trouble getting my head, pardon the pun, around how he lost his penis. I really have to know. I want to be sure that I am not involved in some sort of high risk (of losing my penis) activities. I am pretty attached to it, and it me. In fact, I find it hard (damn puns and double entendres) to call my penis an "it". My penis is part of me and I am a part of my penis. Actually, I am walking blood supply for Mr. Happy, but I am treated well by he (now, I have gone and given my penis personhood, what is up with that?).

Now, I have to wonder why I have chosen to post on the topic of a penis and more specifically my penis. It is mine, the only one I have and hopefully the only one I will ever have. We are happy, make that content, together. We treat each other well. I give him blood and air and he performs well for me when called upon. That can never change.

It got me to thinking of a certain somebody, who while we were on frat road trips, never seemed to shower amongst the others. He seemed to do it alone, if at all. We, Willie, JLC and I, surmised that he had his penis shot off, or blown off, in 'Nam. He was left with a dick stump. He lisped so the running joke was that he also had a sister, named Sally. We were a fucking cruel and immature bunch. I did outgrow all that. I am no longer cruel. Anyway, we would cry out, never in his presence, of course, (that would have been too forward and really cruel) "Thally thaw me naked! Thally thaw my dick thtump!" It was funny twenty two years ago, maybe not as funny now. Oh well.

Now we have the story of a Chinese dude who does have a dick stump as a result of some undisclosed incident or accident. What was it? Did he stick it in a vacuum cleaner to get "sucked" off (in which case, I guess it was severed and sucked clear off). I really need to know. I would really be pissed if one day, going about my business, some accident would occur and I would lose my penis. I think I have mentioned that already but it can NEVER be stated enough as far as I am concerned.

Now, he gets a "new" penis, but both and he and his wife have trouble adjusting. For him, I can see it being tough. It just would not look right and would not fit like the old one. I dig that. For her, I can see and upside and downside. I mean, there is the excitement and sense of a "new" penis for her pleasure. That is always cool. It is new without the awkwardness of making a new a physical connection. Yet, she too had trouble with it. But two weeks??? That is hardly enough time to get to know it. Besides, I think it would be tender and swollen (damn) still from the microsurgery. What were they thinking?(I am now fucking Dr. Phil. I am not physically fucking him, blahhh, I mean I am sounding like him).

Oh yeah, I love how they described the dude has having suffered an "unfortunate traumatic accident". "Unfortunate"! "Traumatic"! Ya think? I would say losing my penis would be unfortunate and traumatic. Thank you Dr. Obvious!

Now, it got me to thinking about having another penis added in the middle of my chest. It would make slow dancing with the wife really enjoyable. Slow dancing and a little titty fuck at the same time. How cool would that be? I would have to clear it with my wife first, of course, but I am sure I could make a convincing case for it. She may even get off straddling my chest. Then again, with vigorous bouncing I would run the risk of having ribs cracked and sternum broken, so maybe I should scrap that idea. Forget the penis in the chest idea.

Chew on that story for a while. Ciao!

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