Short of death, it is perhaps the combat injury most feared by servicemen who have deployed to Iraq and Afghanistan: a blast that robs him of his genitals.
For one such wounded warrior, a real shot at renewed sexual health and happiness has come with a transplanted penis, scrotum and lower abdominal wall. The transplant, which also included many of the nerves, muscles and blood vessels that serve those organs, is described in Thursday's edition of the New England Journal of Medicine.
The recipient is a young serviceman who lost his penis, scrotum, both testes and most of both legs when he stepped on a roadside bomb in Afghanistan.
Now, roughly 19 months after his penis transplant, the veteran can urinate while standing up on his prosthetic legs and enjoys what his doctors at the Johns Hopkins School of Medicine described as a "strong stream." He also has normal sensation on both the shaft and the tip of his new penis, near-normal erections and can achieve orgasm.
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