Intestine transplantation
March 22, 2019
Penis transplantation
March 22, 2019

Transplanted testicles

donating a testicle pros and cons

Transplanted testicles

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Technically testicle transplant is possible, but it is against Iranian rules and regulation which means that you are not able to have testicle transplant in Iran.

Transplanted testicles

Transplanted testicles will always make the donor's sperm. A veteran of the US Armed Forces has a new penis and scrotum after the most extensive penis transplant yet, Johns Hopkins Hospital announced this week.

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Can you get testicle transplant?

Technically a testicle transplant is possible, Cooney a plastic and reconstructive surgery professor at the Johns Hopkins University School of Medicine says, and would allow recipients to forego hormone replacement therapy. But the problem is that the transplanted organ could produce the donor’s genetic offspring. And without the deceased donor’s consent, that poses an ethical complication that Johns Hopkins wanted to avoid from the outset. “If you were to transplant testicles, that would effectively be making the donor not only a donor of body parts, but also a donor of sperm,” says Jeffrey Kahn, director of the Johns Hopkins Berman Institute of Bioethics. “It’s effectively a sperm donation without consent and that shouldn’t happen.”

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Transplanted testicles will always make the donor’s sperm.

A veteran of the US Armed Forces has a new penis and scrotum after the most extensive penis transplant yet, Johns Hopkins Hospital announced this week. Not included in the transplant? Testicles because the testicles would continue to make the donor’s sperm in the transplant recipient’s body.

The patient, who asked Johns Hopkins not to reveal his name, suffered a devastating injury to his penis, testicles, part of his lower abdomen, and his legs in Afghanistan when an improvised explosive device blew up, The New York Times reports. A team of 11 surgeons replaced the injured flesh of his genitals and lower abdomen with tissue from a deceased donor during a 14-hour surgery at the end of March, and the patient is recovering well, according to a news briefing on Monday. But the transplant didn’t include testicles something that the Johns Hopkins team decided early on was off the table, says Damon Cooney, a plastic and reconstructive surgery professor at the Johns Hopkins University School of Medicine.

While Cooney couldn’t discuss the particulars of the situation due to confidentiality, he said that generally people who lose their testicles opt to take testosterone to replace the hormones and receive testicular prostheses to restore the appearance. Technically a testicle transplant is possible, Cooney says, and would allow recipients to forego hormone replacement therapy.

But the problem is that the transplanted organ could produce the donor’s genetic offspring. And without the deceased donor’s consent, that poses an ethical complication that Johns Hopkins wanted to avoid from the outset. “If you were to transplant testicles, that would effectively be making the donor not only a donor of body parts, but also a donor of sperm,” says Jeffrey Kahn, director of the Johns Hopkins Berman Institute of Bioethics. “It’s effectively a sperm donation without consent and that shouldn’t happen.”

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To understand how that’s possible, it helps to know a little bit about the testicle’s plumbing. Early during an embryo’s development, the germ cells which are basically the cellular grandparents or great grandparents of sperm travel to the nascent gonads. These germ cells then divide to form stem cells that can produce more of themselves, and more of the cells that, through a series of divisions, make sperm. So, even if those testicles are transplanted into a new body, they’ll continue making sperm that carry the donor’s DNA, Michael Eisenberg, a urologist at Stanford University, explains.

“If someone using donated testicles was able to conceive a child, the genetic material would be from the donor,” Cooney says. “You can see why that raises ethical questions.”

Making sure that donors’ expectations align with reality is another reason why testicle transplants are off the table, at least for now. Most people who think of organ donation “think of donating their own tissues,” Cooney says. “They don’t think of donating genetic material that can be used to pass on genes to the next generation.”

Read more about One testicle fertility

The American Society for Reproductive Medicine has clear guidelines about this, explains Valarie Blake, an associate professor of law at West Virginia University. “They basically say don’t take reproductive material from a cadaver unless you have their consent,” she says. If the donor didn’t spell out permission in writing while still alive, the ASRM says that only the surviving spouse or partner can request that the sperm or eggs be harvested after death.

So without the donor’s permission during life, taking his testicles would have been especially appalling, Kahn says. “You’ve made that dead person a sperm donor without their knowing about it, so they could not have consented to it,” he says. “You’d cross a line: it’s not just restoring function sexual and urinary function you’ve granted a person the ability to reproduce, but with someone else’s gonads.”

Read more about Side effects of having one testicle removed

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Donating a testicle pros and cons

Pros:

Improves others' quality of life.

Cons:

testicle transplant is major surgery. All surgery comes with risks such as bleeding, infection, blood clots, allergic reactions, or damage to nearby organs and tissues. Although you will have anesthesia during the surgery as a living donor, you can have pain while you recover.  Scar in this place, not sure how it matters with SRS.

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10 common questions about Transplanted testicles

1Are testicular implants safe?
But testicle implants are not for everyone, and they are not without risks. Testicle implants were first used in the 1940s. Since then, they've been made of: A metal alloy.
2Can you have an artificial testicle?
You can have an artificial (prosthetic) testicle inserted into your scrotum so the appearance of your testicles is not greatly affected. The artificial testicle is usually made of silicone, a soft type of plastic. ... If only 1 testicle is removed, there should not be any lasting side effects.
3Is having one testicle a disability?
Originating in a man's testicles, testicular cancer usually occurs earlier than life than most forms of cancer. ... If testicular cancer has impacted your ability to work, you may be eligible to receive Social Security Disability Insurance (SSDI) benefits.
4Can testicular cancer go away by itself?
They may feel that it will go away by itself. They may have concerns about loss of sexuality, or becoming sterile. They may fear the treatment, cancer, or death. Most often, early medical attention will lead to the assurance that cancer is not present.
5What happens if you only have 1 testicle?
When one testicle is removed, there is usually no effect on a man's sexual function. Most of the time, the remaining testicle produces enough testosterone and sperm to compensate for the testicle that has been removed. Therefore, the man should still be able to get an erection and ejaculate as he did before.
6What happens if a testicle doesn't drop?
First, undescended testicles may not make sperm. Testicles are in the scrotum because the temperature there is cooler than it is inside the body. ... A man's ability to make sperm can be lost in early childhood if the testicle doesn't drop down into the scrotum.
7What happens if a man has only one testicle?
Can I still have children? Yes, in most cases, people with one testicle can get someone pregnant. Remember, one testicle can provide enough testosterone for you to get an erection and ejaculate. This is also enough to produce adequate sperm for fertilization.
8Do men's balls get bigger with age?
A male's testicle is about 1 cubic centimeter at birth and stays around that size until the testicles start growing about age 8. ... Testicles tend to grow at the same rate, though one may grow slightly larger and for a little longer than the other. It's also common for one testicle to hang a little lower than the other.
9Why is my left testicle hurting?
Pain in the scrotum can be the result of serious conditions like testicular torsion or a sexually transmitted infection (STI). ... Often, problems with the testicles cause abdominal or groin pain before pain in the testicle develops. Unexplained abdominal or groin pain should also be evaluated by your doctor.
10Why is the left testicle more important?
The left testicle is bigger than the right one; therefore, the left vein is longer than the right. Because the left vein is longer, it is subject to more difficulties when draining. ... This causes the blood to gather, leading to dilated (expanded) veins in the scrotum.

1 Comment

  1. Avatar jeff says:

    I have only 1 testicle and am considering getting a prosthetic one. Is this a good idea?

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