Merwe Andre van der, Zarrabi Amir, Zühlke Alexander, Barsdorf Nicola, Moosa Rafique
Division of Urology, Department of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa.
Division of Plastic and Reconstructive surgery, Department of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa.
J Mater Sci Mater Med. 2017 Feb;28(2):27. doi: 10.1007/s10856-016-5836-9. Epub 2017 Jan 10.
We performed a successful penis allotransplantation on 11 December 2014. Sharing the lessons learned might help more patients in need to be treated this way. We divided the project into manageable segments that was each overseen by an expert. The ethical review and conduct paved the way for a publically acceptable and successful project. Screening for a psychological stable recipient is important. The most difficult part of the project was finding a donor penis. This was successfully negotiated with the family of a brain dead donor by creating a neo-phallus for the donor, thereby maintaining the dignity of the donor. Working with transplant coordinators that are sympathetic to aphallic men is crucial. Surgeons versed in microvascular techniques is a critical part of the team. Transplant immunologists have to adapt to treat composite tissue transplantation patients.
2014年12月11日，我们成功实施了一例阴茎异体移植手术。分享所汲取的经验教训或许能帮助更多有需要的患者接受此类治疗。我们将该项目分成易于管理的部分，每个部分由一位专家负责监督。伦理审查和实施为一个公众可接受且成功的项目铺平了道路。筛选心理稳定的受者很重要。该项目最困难的部分是找到供体阴茎。通过为供体打造一个新阴茎，从而维护供体的尊严，我们与一名脑死亡供体的家属成功达成了协议。与同情阴茎缺失男性的移植协调员合作至关重要。精通微血管技术的外科医生是团队的关键组成部分。移植免疫学家必须做出调整以治疗复合组织移植患者。
