Seriously, why can't modern medicine perform scroto transplants yet?

Question

I have erectile dysfunction for about 2 years now. viagra works very poorly, I am not anywhere near satisfied with that pump. I know there's psychiatry, a tubular implant that can be pushed and pulled into different sizes, and another implant that make your erection as big as the skin will stretch., but it stays that way even when you're asleep.That I'm not worried about. I know I cannot enter into another sexual relationship without the ability to become erect. NOTE: by scroto transplant I mean the sac, testies, and penis. I assume the surgeons can unite the vas defrens. so why not?

Answer 1

The testes have nothing to do with erection, nor does the scrotal sack. The process of erection (or "tumescence") involves the mechanics of some blood vessels into the penis and spongy blood filled tissue. It's controlled by a network of autonomic nerves. When stimulated by the sympathetic nerves, the bloodflow in these vessels increases and this tends to pressurize the spongy tissue with blood, and actually compress it's own outflow veins, thereby maintaining erection with hydraulic pressure supplied by the heart. When it's time to "de-tumesce", the parasympathetic nerves take over and stimulate blood vessel contraction. The inflow of blood is reduced, and the pressure begins to escape. Once the pressure drops enough that the veins are no longer compressed, the outflow increases and the erection becomes flaccid.

Transplantation of organs involves sewing tissue together and making sure the blood supply and venous drainage is properly hooked up. This is made possible by powerful medications that are available for supressing the immune response which would destroy the transplanted tissue if allowed. The side effects of these medications are enormous. Only in those cases where life is impossible without organ function replacement do these medications make sense.

In the transplantation of organs, there is no provision for connecting nerves. We do not have a method for effectively connecting nerve endings surgically . There are some situations where LARGE nerves are injured and are repaired, however the result has variable success. These nerves are ENORMOUS compared to the microfibers that control the tiny blood vessels supplying the penis. This doesn't even include a consideration of the sensory nerves to the penis, without which it would be numb.

I am personally unaware of the case of the penis transplant mentioned in someone elses answer. Whether or not that was actually done, the effect would not be of a penis that by itself is capable of being involved in sexual intercourse. It would basically be a flaccid, numb, urine hose. In order to make it sexually viable, it would require implants, or perhaps injectable medication to be used every time. It would bring the owner no physical pleasure.

The hippocratic oath includes a statement that goes, "Primum non nocere" or, "Above all else, do no harm." As a surgeon, I stretch that to the limit by doing massively invasive procedures which I can justify because the strong expectation based on solid research and experience is that the outcome of the procedure will be ultimately in the patient's interest. The risks are strongly outweighed by the expected benefits.

However, complications happen. Not everyone enjoys the intended benefits. This is reality.

In general, the minimal disruption of tissue, the least risk, and the strongest use of behavioral and lifestyle modification should be used when solving medical problems. Bypassing the attempt at non-invasive solutions is a very dangerous choice that can lead to irreversable failure, and life-long regrets.

I hope that helps answer your question.

Answer 2

Surely you jest. The amount of anti-immune drugs you would have to take would be huge, firstly. Since this is not a life threatening 'disease', unless you yourself were willing to pay for such an experimental surgery, it won't happen via this medical system.........your sexual life is not really the utmost in your survival, as it would be had your two kidneys stopped functioning. And there are some things that you may be able to do to get your ability to have sex again.

1. If you are overweight, loose it...loose it all. Shoot for a BMI of not much more than 22.
2. If you do not exercise, start.
3. If you diet is poor with too much animal protein, "high test carbs", change it to an anti-inflammatory diet. See some things by Andrew Weil, MD... He really is the real deal. Read his book, Healthy Aging. You ought to have foods that are colorful... red, blue, yellow, green, orange, and exclude things that are overly process or white --- cookies, flour, white potatoes. Avoid fast foods. The only oil you ought to be eating is olive oil.... skip stuff that is "man made" (pasta, white bread, etc.)
4. take one baby aspirin every day,
eat lots of walnuts, salmon, blue berries, berries in general. A breakfast of cooked steel cut oats, (sometimes called Scottish oats) with a little brown sugar, walnuts and ground flax seed and skim milk will lower your cholesterol 30 points in just 2 months!!!!

If you are under 70 you still have time. If you have had uncontrolled diabetes and you have carried lots of weight for years, probably the small blood vessels all over everywhere are damaged....it is a systemic disease... You can stop it from proceeding by some of the above, but it may never entirely get better..... And diabetes is rampant in this country.

If all else fails, the implant does work quite well for most men. The only downside appears to be infection, usually controllable.

Helpful?

Answer 3

i worked in surgery as an OR tech for 9 years. BellyDoc is telling you very strait about the situation.

One of the surgeries I was involved with was to implant penile pumps with what would provide erections when pumped up and there was a release mechanism deflate the tubes inserted into the penis.

I don't know how well these worked, or the longevity of the hardware, but that might be a better alternative.

chose your options carefully

Answer 4

They performed a successful penis transplant in China a couple of years ago, but the man had it removed because it made his wife uncomfortable. The problem is there is always the possibility of tissue rejection, which would leave you with nothing down there.
Besides, the vast majority of ED is caused by psych issues, or by conditions like high blood pressure that are not directly related to or caused by the reproductive organs.

Answer 5

A man with your problem could not find testis donors. So the surgeon transplanted dog`s testes, and followed on . The patient felt fine for having dog`s duration. There was only one hitch. Every time he pissed his left leg reflexly rised up.

Answer 6

who cares about your penile dysfunction?
i've had part of my brain taken out and am waiting for the ability/potential to be who I used to be

which is more vain?

Answer 7

your mind not your dick is the one with the problem, viagra only does what your mind wont, it sends the pump blood signal..............................................