Doctors in a South African university teaching hospital have
successfully performed the world’s first penis transplant on a 21-year-old man
whose organ had been amputated three years ago after a failed circumcision.
The nine-hour operation, which took place in December 2014,
was part of a pilot study by Tygerberg Hospital in Cape Town and the University
of Stellenbosch to help the 250 or so young South African men who lose their
penises each year after coming-of-age rituals go wrong.
Doctors said the patient, who was not named, had already
recovered full urinary and reproductive functions, and that the procedure could
eventually be offered to men who have lost their penis to cancer or as a last
resort for severe erectile dysfunction.
Dr Andre van der Merwe, the head of the university’s urology
unit who led the operation, said “Our goal was that he would be fully
functional at two years and we are very surprised by his rapid recovery.”
He added that “this is a very serious situation. For a young
man of 18 or 19 years the loss of his penis can be deeply traumatic.” Another nine patients have now been lined up to have the
operation.
Each year thousands of young South African men, mainly from
the Xhosa tribe, mark their passage into manhood by shaving their heads and
smearing themselves with white clay from head to toe, living in special huts
away from the community for several weeks, and then undergoing ritual
circumcision.
But in May 2013, more than 20 youths died after initiation
rituals in the northerly Mpumalanga province, prompting rare cross-party calls
for reform of a traditional practice.
A few months later, police made several arrests on suspicion
of murder after 30 young men died in coming-of-age rituals in rural Eastern
Cape. Unlawful circumcisions have been known to injure up to 300 young men
across the province in the space of a week.
The South African government has promoted medical
circumcisions over the less safe traditional practices. Last year, the
Department of Health said it was studying a non-surgical, disposable
circumcision device that it believed could also provide a safer alternative.
The Israeli device, PrePex, has been endorsed by the World
Health Organisation.
It has been piloted at several non-profit sites across South
Africa but has not yet been introduced in government hospitals.
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