Department of Urology, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou 510010, China.
Asian J Androl. 2010 Nov;12(6):795-800. doi: 10.1038/aja.2010.88. Epub 2010 Sep 13.
This article provides an overview of the ethical issues associated with penile transplantation, a form of composite tissue allografting. There is only one reported case of human penile transplantation, and, as such, this technique is considered to be experimental. The ethical issues at stake involve both the graft donor and the graft recipient. With regard to the recipient, there are significant concerns relating to surgical risks and benefits, informed consent, body image (including surgical expectations and outcomes) and compliance. Donor issues may include family consent and privacy, as well as graft harvesting (leaving the donor cadaver without a penis). Many of these ethical issues can be explored during the recipient's assessment and consent process. Because no medium-term or long-term outcome data for this procedure exist-only one such operation has ever been performed-the burdens and ethical issues concerning penile transplantation remain unknown.
本文概述了与阴茎移植相关的伦理问题，阴茎移植是一种复合组织同种异体移植。目前仅有一例人类阴茎移植的报道，因此该技术被认为是实验性的。涉及的伦理问题不仅涉及供体，还涉及受体。对于受体，手术风险和益处、知情同意、身体形象（包括手术预期和结果）和依从性都存在重大问题。供体问题可能包括家属同意和隐私问题，以及移植物的获取（使供体尸体没有阴茎）。这些伦理问题中的许多都可以在受体的评估和同意过程中进行探讨。由于这种手术只有一例，没有中期或长期的结果数据，因此有关阴茎移植的负担和伦理问题仍然未知。
