Penis transplant

[OhBeAFineGuyKissMe]

Given all the talk of the very complex uterus transplant I am wondering why there isn't the possibility of a penis and testicles transplant?

I'm sure men who are donor candidates wouldn't object and maybe some transwomen/ non-binary could donate theirs?

Interesting idea

I can think of a market for transplants, if they were to be successful as the necessary anatomy is in place. However, there's a scant history of them: this paper is a free download.

Since 2006, five penis transplants have been performed worldwide. Mixed outcomes have been reported, and two of the five penile transplants have required explantation. However, the long-term outcomes have been encouraging when compliance is implemented, whether standard induction and triple therapy maintenance, or single therapy maintenance. Follow-up monitoring of transplant recipients has enabled a synthesis of technical considerations for surgical success and has shown stable leukocyte counts and renal function after a donor bone-marrow-based immunomodulatory regimen followed by tacrolimus monotherapy as long as 3 years post-transplant, as well as continuous nerve regeneration of penile allografts 3 years post-transplant. Areas of uncertainty include the ethics of donor–recipient colour mismatch, surveillance for sexually transmitted infections and how to optimize patient compliance.

Lopez, C.D., Girard, A.O., Lake, I.V. et al. Lessons learned from the first 15 years of penile transplantation and updates to the Baltimore Criteria. Nat Rev Urol 20, 294–307 (2023). doi.org/10.1038/s41585-022-00699-7
https://www.nature.com/articles/s41585-022-00699-7

Implanting one for a transman would be very different for many anatomical and physiological reasons.

It's already been done.

www.hopkinsmedicine.org/news/articles/2018/04/first-ever-penis-and-scrotum-transplant-makes-history-at-johns-hopkins

In this case for a veteran who lost his penis and scrotum as a result of devastating IED injuries.

Thing is it requires donation also of part of the abdomen and urinary tract, so aside from the fact GRS often requires inversion of the penis to create a open internal cavity wound that needs constant dilation to keep it open I can't see TW being keen to donate the necessary tissue....

I came across this after reading about the uterus transplant:
https://www.nytimes.com/2019/12/06/health/testicles-transplant.html
Striking similarities- again a sibling donor, a rare condition and much made of how important this could be for transmen, rather than any other focus.

Transmen and transwomen could exchange these various parts... but I'm guessing there are issues with the transplants either find at too young an age or after puberty blockers which means the organs can't mature/ haven't matured.

So... they'll have to get these parts from people who don't have a gender identity... hmm...

The suggestion that uterus implants will be a thing is to shift the Overton Window to get people to accept that because there's no difference between male people and female people beyond an interchangeable set of parts, then TWAW. There's no point in shifting the Overton Window for transmen.

Agreed. The concept and misinformation will be sufficient to deceive people on this matter.

The Denton playbook is, unfortunately, remarkable.

stilltish published a "deep dive" on the infamous Denton's document, on Graham Linehan's website.

Part 1 grahamlinehan.substack.com/p/the-dentons-document

Part 2 grahamlinehan.substack.com/p/the-dentons-document-78d

Part 3 grahamlinehan.substack.com/p/the-dentons-document-part-3

Previous Mumsnet discussions here:

www.mumsnet.com/Talk/womens_rights/3756354-RollOnFriday-law-firm-writes-report-called-Only-adults-Good-practices-in-legal-gender-recognition-for-youth?pg=1

Discussion on Denton's document

www.rollonfriday.com/news-content/dentons-campaigns-kids-switch-gender-without-parental-approval

James Kirkup in The Spectator

www.spectator.co.uk/article/the-document-that-reveals-the-remarkable-tactics-of-trans-lobbyists/amp

Surely brain transplants would achieve the desired result? Btw I am not a doctor.

Yes this makes more sense. Given the entirety of trans ideology rests on the concept that we all have a gender identity within our brains, a gendered soul that for some people is in the wrong body, it makes much more sense to make one brain change rather than a multitude of body changes to realign this mismatch.

Maybe certain trans activists could volunteer for this?

Alternatively maybe they can focus their efforts on research into uploading/downloading consciousness by artificial means because surely that’s the future. I imagine trans people of 2123 will look back on their ancestors of 2023 and think they were pretty silly for making body modifications not brain modifications. “How primitive!” they’ll say!

I've long thought that head transplants, onto donor bodies, would be a "rational" goal to aim for in maybe being feasible in terms of end result. But it always makes me feel nauseous. Like now.

Does anyone know if tissue matching for transplants is harder if the donor is one sex and the recipient is the other sex?

I know that for many transplants where you can have a living donor (such as kidney donation) that a relative has a better chance of being a good tissue match. So maybe biological sex doesn't come into it?

'Surely brain transplants would achieve the desired result? Btw I am not a doctor'.

😂Great comment!

I can see two issues.

1. The average (10% IIRC) size difference between male and female skulls and brains. So one transplaned brain would be 'rattling around' (not a technical term as IANAD either) and the other would be a bit squished in its new home.

1. Connecting the brain up to the rest of its new body. So connecting the brain stem to the new spinal cord.

I had read about the case in BreadInCaptivity's post before. I think it must have been a different article though as I'm sure the one I read dicussed why the option of a phalloplasty was rejected for that patient.

I don't know exactly why, I need to think about it more but I do feel differently about fixing an injury with a transplant. It is less worrying somehow and I think it's to do with the donor. The report about the uterus transplant made me very concerned about the donor's health and also the prospect of coercion in regard to future donors. I guess I just don't see the same coercion being applied to males.

At least in the case of a head / brain transplant you would be replacing something that was meant to be there. In the case of trying to transplant a uterus into a male or a penis onto a female, the rest of the physiology required to make them work isn't available.

Why anyone would think a successful transplant of a uterus into a woman has any relation to it being an option for a man baffles me.

I'm guessing you don't know what they do with the penis when trans women have their operation?

I'm guessing you don't know what they do with the penis when trans women have their operation?

For the # of posters on the AIBU UTx thread who claim that they're indifferent to what happens to their uterus after death, I wonder how men on a similar forum would claim to be indifferent to donating the penis after death?

I'm guessing you don't know what they do with the penis when trans women have their operation?

Not always. Recently I read about a man who had an operation to create a "vagina" while retaining a functioning penis.

Most transwomen don't have an operation. They keep them.

Surely brain transplants would achieve the desired result? Btw I am not a doctor.

You’d need a suitable euphemism for it, as any fule doctor kno.

”Top surgery” is taken. “Super surgery”?

Peer to peer grey matter exchange. PTPGME. Quite trips off the tongue!

Great idea for a thread.

I think it should be bumped every time womb transplants come up.

Surely a penis - external, noticeable and iconic (cock and balls graffiti) as they are - is at least equally important to a womb and far more likely to be vaguely functional.

I'm not dysphoric but I'd have loved a penis at recent camping holidays and festivals. Would have made weeing in the night and when the toilets were trashed so much easier.

Id surgery seems to fit the bill…

So, so uplifting, wouldn't you agree?
As in, only yesterday we learned ANYBODY could get
pregnant, barring some minor technical inconveniences (no womb/vagina/general gestational plumbing, etc.)
No, fret not. It's only a matter of time.
This leads me beautifully to this point: I want to
have a penis and pronto, please!
I'm not going to wait for its arrival
for god knows how long! My life's at stake here.
I've no clue what possible use I'll have for it yet, but
It's my human right to get one now and ponder the
benefits for ages to come.
I'm already feeling 'creatively inspired', you know.

Wouldn’t it just be easier to crochet one?

Alternatively maybe they can focus their efforts on research into uploading/downloading consciousness by artificial means

Pretty sure VR a la Avatar is the closest we'll get to that. I don't think we'll get to actually transfer consciousness into different bodies and throw away our old ones.

Uploading/downloading isn't transferring, it is copying a software pattern from one place to another. The copy would pick up your life with your memories and as far as it is concerned it would be you, but would you - your individual consciousness - experience any continuation of life as that copy, or would you continue to exist in the original body? I can't see how the subjective consciousness itself would transfer just because the state of the mind can.

You are locked in your physical brain. VR etc just moves your senses out of your body. The place those senses report back to is still the same seat of consciousness within your original and only body.

Sorry for the derail, it's a bit of a hobby horse of mine. I'm pretty sure VR / consciousness upload/download would only work as a transfer of the same living consciousness if there's a "home base" as it were to maintain the continuity of a single subjective mind.

Ironically, this brings the Wachowski siblings' Matrix scenario very much to the fore!

I just love you!
Kurwa jasna!