Entries in Penis (11)


Following Accident, Peruvian Teen to Undergo Genital Reconstruction

Jupiterimages/Thinkstock(MIAM) -- After an accident with his father's rifle when he was 9 years old left him without a penis, Luis Canelos, now 17, of Peru will soon be undergoing genital reconstruction surgery, thanks to the efforts of a Miami plastic surgeon and a Florida non-profit organization that provides medical care to children in need.

"I first admit I was a little unsure about the case," said Maria Luisa Chesa, executive director of International Kids Fund's Wonderfund, which helped to coordinate Canelos' surgery.  "But then I realized how important this surgery was for this young man, not just cosmetically.  It really goes beyond that to be something that will definitely change his life."

After Canelos, who has eight brothers and sisters, accidentally shot himself in the groin, he was transported to a hospital in Lima, nearly three hours away from his family's home in a remote village off the Amazon River.  Doctors worked to repair Canelos' intestinal damage, said Dr. Christopher Salgado, associate professor of surgery and section chief of plastic surgery at the University of Miami, but he'd "blown off his external genitalia except for a small portion of his right testicle."

"The goal of the operation is not just for him to have something that he can show off in a locker room," said Salgado.  "It's so, hopefully, he can father a family."

The 20-hour operation will take place at Holtz Children Hospital at University of Miami/Jackson Memorial Medical Center.  Salgado will lead the surgical team, which will include a microsurgeon and a pediatric urologist.

"This isn't a procedure that is done in every hospital," said Salgado.  "There are very few people that do this kind of reconstruction."

While doctors will be performing Canelos' surgery for free, Chesa said, IKF Wonderfund must still raise about $50,000 to cover hospital costs.

Salgado said that typically, phallus reconstruction, or phalloplasty, can cost anywhere from $35,000 to $50,000.

According to Dr. Andrew Panossian, an assistant professor of plastic and reconstructive surgery at USC Keck School of Medicine, phalloplasty is challenging and rare.

"It's a superspecialist kind of job," said Panossian.  "You're doing very fine work and it's all sort of minutia that make this life changing thing happen."

Panossian said the procedure is like creating a tube within a tube.  It requires a specific pattern of harvesting skin along with blood vessels and nerves to create a phallus.  Then, a separate tube must run within the new phallus for sperm and urine to leave the body, he explained.

Salgado said he planned to take tissue from Canelos' forearm and make a penis out if it by sewing the skin up to arteries, veins and nerves.

Canelos told ABC News that he was very nervous about his upcoming surgery but was hoping for a positive outcome.

"I want to have a family, yes.  I want to have a family by my side," he said.  "I am so happy.  I thank God for allowing me to come here with the non-profit.  I thank them for giving me this opportunity."

When he returns to Peru after his recovery, Canelos said he wanted to continue his schooling, and hopes one day to have a career as an agricultural engineer.

Copyright 2012 ABC News Radio


Diabetic Sues Doctor After Penis Amputation

Jupiterimages/Thinkstock(MIAMI) -- A man who elected to have a penile implant in a Florida hospital is now suing his doctor after a post-surgical infection resulted in the amputation of his organ.

Enrique Milla, 65, who was reportedly deported from the United States last year back to his native Peru, has been testifying in court via Skype that the medical procedure robbed him of his dignity and manhood.

In a medical malpractice trial that began this week, Milla claims that his doctors should have known that he was not a good candidate for the procedure because of his diabetes and high blood pressure.

"This has been devastating, painful and embarrassing," said Milla's attorney, Spencer Aronfeld of Coral Gables, according to ABC's affiliate WPLG.

Milla alleges that his anesthesiologist Dr. Laurentiu Boeru "failed to evaluate properly the risks of this procedure." He first filed the lawsuit in 2009, naming Boeru and Dr. Paul Perito, the urologist who performed the surgery.

According to the Miami Herald, which obtained records that are not publicly available, Perito settled the case out of court.

Penile implant surgery is most commonly performed after all other treatments for erectile dysfunction have failed. It is also used to treat some cases of Peyronie's disease, a condition that causes scarring inside the penis, leading to bent, painful erections.

Implant surgery comes with a risk of infection, which can occur at any time after surgery -- in rare cases, even years later, according to the Mayo Clinic.

Milla suffered from a number of medical conditions, including erectile dysfunction, according to court records. Milla, who had lived in Miami for 40 years working in a medical supply business, received the surgery in 2007 at Coral Gables Hospital. But two weeks after the operation, Milla developed an infection that eventually turned to gangrene. Amputation of his penis was necessary to save his life, according to his lawyer, who alleges Boeru didn't exercise proper care after the surgery.

"Post-operative period is about anywhere between six to 24 hours after surgery. It does not include either days or months," testified Boeru.

"This is an infection that occurred in this gentleman because he didn't do what he was supposed to do post-operatively nine days after the surgery," Boeru's lawyer Jay Chimpoulis, told WPLG.

He suggested that Milla ignored medical instructions to avoid sex and developed a fecal infection.

"There are any number of ways he could've gotten that. None of them had anything to do with [Boeru]," Chimpoulis said.

Dr. Pravin Rao, director of reproductive medicine and surgery at the Johns Hopkins Brady Urological Institute, said penile implants, called prostheses, are safe for patients who are in good health -- even those with diabetes, as long as the disease is "controlled." The risk rate is lower than three percent, according to Rao, who did not treat Milla.

Penile implants are among a "long algorithm of options" for those with erectile dysfunction, according to Rao. Urologists start with pills like Viagra -- the least invasive approach -- to vacuum erection devices and injection therapy. But sometimes those treatments fail because of the quality of the tissue in the penis or poor blood flow. The most common reason for ED is chronic disease that affects the vessels in the penis -- most often diabetes, hypertension, smoking or high cholesterol. Nerve damage, caused by spinal cord injuries, diabetes or radical prostate cancer surgery, can also trigger ED.

A poor candidate for a prosthesis is someone who is not in overall good health and may be at risk under anesthesia or not be able to withstand the blood loss of surgery.

"The number-one concern is infection, and that's why we make sure their overall health and immune status are good and their diabetes is under control," said Rao.

When infection does occur, the prosthesis must be immediately removed to clear the infection.

The prosthesis is an inflatable device that is inserted in the two tubes of the penis. The balloons can be filled up with fluid, creating an erection. A small pump is placed in the scrotum with a reservoir of fluid that connects to the tubing.

"When we first place it, we don't have it activated to create a full erection," said Rao. "Then after letting it heal for six weeks, [the patient] comes in and we teach them how to use the pump by squeezing it."

Patients are told not to have sex during that recuperative period.

Rao said that penile implants are "very successful and infection is not the norm."

Some studies of patients with diabetes and those without the disease had the same rate of infection. "But," he said, "we have to be prudent about picking the patient."
Copyright 2012 ABC News Radio


Baby Dies of Herpes in Ritual Circumcision by Orthodox Jews

iStockphoto/Thinkstock(NEW YORK) -- New York City is investigating the death last September of a baby who contracted herpes after a "ritual circumcision with oral suction" in an ultra-Orthodox Jewish ceremony known in Hebrew as metzitzah b'peh.

In a practice that takes place during a ceremony known as the bris, a circumcision practitioner, or mohel, removes the foreskin from a baby's penis, and with his mouth sucks the blood from the incision to cleanse the wound.

The district attorney's office in Kings County Brooklyn, which is investigating the death of the 2-week-old baby at Maimonides Hospital, would not disclose the name of the mohel or whether there would be prosecuted.

"We are looking into it, that's all I can say," a D.A. source told ABC News.

The 5,000-year-old religious practice is seen primarily in ultra-Orthodox and some orthodox communities, and has caused alarm among city health officials.  In 2003 and 2004, three babies, including a set of twins, were infected with Type 1 herpes.  The cases were linked to circumcision, and one boy died.

The mohel who performed the procedures, Yitzchok Fischer, was later banned from doing circumcisions, according to The New York Times.  It is not known if he was involved in this recent death.

"It's certainly not something any of us recommend in the modern infection-control era," said Dr. William Schaffner, chair of preventive medicine at Vanderbilt University.

"This is a ritual of historic Abraham that's come down through the ages, and now it has met modern science," he said.  "It was never a good idea, and there is a better way to do this."  (The modern Jewish community uses a sterile aspiration device to clean the wound in a circumcision.)

In the 2004 death and the most recent one, a mohel infected the penile wounds with Type 1 herpes I (HSV-1), which affects the mouth and throat.  It is different from Type 2 or genital herpes (HSV-2), which is a sexually transmitted disease and can cause deadly infections when a newborn passes through an infected birth canal.

Neonatal herpes is "almost always" a fatal infection, according to Schaffner.  "It's a bad virus.  [Infants] have no immunity and so it's a very serious illness.  Now we have another death -- an unnecessary, incredibly tragic death."

Copyright 2012 ABC News Radio


Sperm Test to Hit Drugstore Shelves

iStockphoto/Thinkstock(WASHINGTON) -- A home sperm test is set to join dozens of female fertility predictors on drug store shelves this spring.

Walgreen’s and CVS are already selling the sperm-counting kit, called SpermCheck Fertility, online. Now they’re banking on men -- and their mates -- favoring a quick pick-up at the drug store over a trip to the urologist.

“There is nothing like it on the shelf,” Maeve Egner of Fusion Marketing, the company hired to help market SpermCheck, told Bloomberg. “It’s plugging a gap.”

The $40 test is set to hit stores in April. To use it, a man mixes his semen with a solution in the kit and drops it onto a test strip. A reddish line means the sperm count is above 20 million per milliliter, which is considered normal. A negative test shows no color and means the man should, “should consult a physician about a complete fertility evaluation,” according to the kit’s instructions.

Studies have found that SpermCheck Fertility correctly counted sperm 96 percent of the time compared with laboratory sperm-counting methods. But some doctors say sperm count is only one aspect of male fertility.

“There are four major things we look for,” said Dr. James Goldfarb, a fertility specialist at UH Case Medical Center in Cleveland: The number of sperm; their shape; their mobility; and the volume of the ejaculate. “This test only measures one thing.”

While a low sperm count may signal a problem, Goldfarb said a count of 15 million per milliliter -- considered “low normal” by the latest criteria -- can be more than enough if the other three fertility factors are in place.

“The biggest risk of this test is that a guy who gets a very low sperm count might panic and end up getting more intervention than he really needed,” said Goldfarb. “It might reassure some couples, but it might scare some couples, too.”

Sperm counts can vary widely from week to week, Goldfarb said. So a man who rings in at 15 million per milliliter one week could hit 40 million the next. If the sperm count stays low, however, there are options.

“First we would look for anatomical problems,” said Goldfarb, describing varicose veins in the scrotum or blockages to the penis that thwart sperm release. “Then we can look at hormonal things…If the problem can’t be found or corrected, the simplest solution is to concentrate sperm and do intrauterine insemination. That way, there are more sperm getting closer to the fallopian tubes.”

And if that doesn’t work, in vitro fertilization allows a single sperm to fertilize an egg.

Copyright 2012 ABC News Radio


Penis Tattoo Leads to Permanent Erection

File photo. (Robert Ginn/Getty Images)(KERMANSHAH, Iran) -- A 21-year-old Iranian man has a permanent semi-erection after having “borow be salaamat” (good luck with your journeys) and the letter “M” (his girlfriend’s initial) tattooed on his penis.

The man, whose name is unknown, was diagnosed with nonischemic priapism — a condition resulting from the inability of blood to exit the penis. His case was detailed in the latest issue of the Journal of Sexual Medicine.

“In our case, most probably, the handheld needle penetrated the penis too deep, creating an arteriovenous fistula,” wrote the study authors from Kermanshah University of Medical Sciences in Kermanshah, Iran. A fistula is a connection between two organs or vessels — in this case an artery and a vein — that normally don’t connect.

“For eight days after tattooing, the penis was painful, and thus there were no erections,” the authors wrote. “After that, the patient noticed longer-than-usual sleep-related erections. This progressed, within a week, to a constantly half-rigid penis, day and night.”

Men are advised to seek medical attention for an erection lasting more than four hours.

During a normal erection, blood rushes into the penis through the arteries to build up pressure and later leaves through the veins. But in nonischemic priapism, blood continues to enter faster than it can leave, causing persistent pressure and a permanent erection. The problem resolves naturally 62 percent of the time, the researchers reported. And when it doesn’t, men have the option of selective arterial embolism — a procedure that blocks the offending artery.

Instead, the Iranian man chose to have a shunt implanted to drain the excess blood, according to the report.

“Predictably, the procedure was unsuccessful,” the authors wrote. “Because of the painless nature of erections, moderately good preservation of erectile function during intercourses, and disappointment with former surgery, the patient has declined to undergo further therapies, and lives with his condition.”

Despite his permanent erection, the man has no regrets over his penis tattoo, according to the report. Nevertheless, the report authors advise against the practice.

Copyright 2012 ABC News Radio


Transgender Chaz Bono Opts for Risky Surgery to Construct Penis

ABC/RICK ROWELL(NEW YORK) -- Chaz Bono wants to take the final step in his transition from female to male and have penile reconstruction, a complex procedure that can be risky.

Born Chastity, the son of '60s pop icons Sonny and Cher, Bono says he knew from an early age that he was born in the wrong body.  Since going public in 2009, he has injected himself with testosterone, grown body hair and surgically removed his breasts.

Now, the Dancing With the Stars contestant has told Rolling Stone magazine that, "within a short while he will finally be able to afford to get himself a penis."

Bono said that he is saving up for surgery, either the simplest procedure that uses clitoral tissue to build a micro-penis or a full phalloplasty where surgeons take skin from another part of the body and roll it to create a phallus that is attached to the groin.

Medical experts say that less than half of all who are transgender will ever go on to have genital surgery.  And those who transition from female to male are even less likely to take that step because it is complicated, expensive and not always successful.

About one-quarter to 1 percent of the population is born transgender, according to the National Center for Transgender Equality.  Medical experts say that many know by the age of 6 that their physical gender does not match their identity.

"Most people describe rejecting those feelings and they can get depressed with the sense that they are living a lie," said Dr. Jeffrey Spiegel, chief of facial plastic surgery at Boston University School of Medicine.  "But with therapy and information, they come to see that it is a disorder."

"For many people, the goal is to transition in a way that they disappear from special scrutiny," he said.  "The goal is to blend in."

Copyright 2012 ABC News Radio


Male Circumcision Is Medically Beneficial, Experts Say

David De Lossy/Digital Vision(NEW YORK) -- Male circumcision continues to be debated in America.

This spring ABC News tracked the war waged on the procedure in San Francisco as anti-circumcision “inactivitsts” attempted to ban infant circumcision altogether. This summer Colorado became the 19th state to defund Medicaid coverage for infant circumcision, following in the footsteps of South Carolina, which made the cut in February.

With more states considering defunding as a way to cut health care costs, two Johns Hopkins epidemiologists decided it was time to speak up for circumcision. In an editorial published Tuesday in the Journal of the American Medical Association, Dr. Aaron Tobian and Dr. Ronald Gray argue for the medical benefits of circumcising boys in infanthood, citing several observational studies and recent clinical trials that show it reduces the transmission of sexually transmitted diseases such as HIV, HPV and herpes by about a third in both men and their female sexual partners.

“This is a simple surgery that’s been performed for over 6,000 years.  Clearly it’s safe to perform, and it has clear medical benefits,” says Tobian.

Just 20 years ago as many as 67 percent of all male infants born in U.S. hospitals were circumcised. Today, that number hovers around 32 percent, in part due to decreased funding for the poor and a rise in controversy over the ethics of the practice. Opponents claim circumcision is a form of genital mutilation without medical benefit.

“The foreskin is there for a reason,” Lloyd Schofield, who spearheaded the San Francisco anti-circumcision bill, told ABC News in May.  Shofield called circumcision an “unnecessary surgery” with no “sound medical evidence” behind it.

Recent studies suggests otherwise, Gray and Tobian argue.

Copyright 2011 ABC News Radio


Penis Amputee Receives No Damages in Kentucky Trial

Comstock/Thinkstock(SHELBY COUNTY, Ky.) -- A unanimous jury ruled in favor of the Kentucky doctor who amputated a portion of Phillip Seaton's penis during an October 2007 circumcision to treat inflammation.

The jury unanimously found that Dr. John Patterson exercised appropriate care when he removed a portion of Seaton's penis after finding cancer and ruled 10-2 against Seaton's claim that Patterson did not properly obtain consent to him before removing his penis.

"We feel the interest of justice has been served," Clay Robinson, Patterson's attorney, told ABC News. "When you hear about someone going in for a circumcision and it turned into a partial amputation, there's going to be a reaction, but it was a pretty clear-cut case. There was no liability here."

Seaton signed a consent form for a routine circumcision. Within the signed forms, a disclaimer included language that recognized Patterson's right to perform any further surgery he deemed necessary if unforeseen conditions arose, Robinson said.

Seaton, 64, sued Patterson in 2008 for removing part of his penis without his permission. The trial got under way Monday in Shelby County, Ky., Circuit Court. Seaton and his wife, Deborah, sought more than $16 million in damages for "loss of service, love and affection."

But Robinson said the surgeon felt he had no other options but to remove the penis immediately.

The tip of Seaton's penis "had the appearance of rotten cauliflower" because it was so inundated with cancer, Robinson told the courtroom on Monday. The defense attorney also told the jury that Patterson only removed about an inch of the penis during the initial surgery before another surgeon removed the rest of his penis at a later date.

Partial penectomy, or a partial removal of the penis; Mohs surgery, a precise surgery used to remove several types of skin cancer; laser and radiation therapies were all options when treating penile cancer, said Dr. David Crawford, a professor of surgery at the University of Colorado Health Sciences Center.

Because the surgeon said the cancer was so severe, Robinson told the courtroom that Patterson could treat it only by surgically removing the organ.

Seaton also sued Louisville's Jewish Hospital, where the surgery was performed. The hospital settled out of court for an undisclosed amount.

Copyright 2011 ABC News Radio


Trial Begins in Amputated Penis Case

Comstock/Thinkstock(SHELBY COUNTY, Ky.) -- Phillip Seaton went to the hospital in October 2007 for a routine circumcision to treat inflammation but left the operating room without a penis.

Seaton sued his surgeon, Dr. John Patterson, for removing his penis without his permission, and the trial got under way Monday in Shelby County (Kentucky) Circuit Court. Seaton and his wife, Deborah, seek damages for "loss of service, love and affection."

Patterson said he found cancer while performing the routine circumcision, and Patterson's defense attorney, Clay Robinson, said the surgeon had no other options but to remove the penis immediately, according to court documents.

Judge Charles Hickman instructed both lawyers to refrain from commenting on the case because it is ongoing.

Despite the alleged seriousness of Seaton's penile cancer, experts contacted by ABC News said that the doctor needed consent from the patient before surgically removing his sex organ.

"I think the doctor made a big mistake, and will not win the case," said Dr. David Crawford, a professor of surgery at the University of Colorado Health Sciences Center.

Partial penectomy, or a partial removal of the penis, Mohs surgery, a precise surgery used to remove several types of skin cancer, laser and radiation therapies were all options when treating penile cancer, said Crawford.

Because the surgeon had said the cancer was so severe, Robinson told the courtroom that Patterson could treat it only by surgically removing the organ.

Nevertheless, "a surgical consent is needed to do this," said Dr. Glenn Bubley, associate professor of medicine at Harvard Medical School. "This is the standard of care. There would be no reason to breach standard of care in this case."

Seaton also sued Louisville's Jewish Hospital, where the surgery was performed. The hospital settled out of court for an undisclosed amount.

Copyright 2011 ABC News Radio


Gay Men's Sexual Health Study Called Waste of Taxpayer Money YORK) -- A study on gay men's penis size and sexual health made headlines this week -- not because of its findings but rather its funding source: taxpayers.

The study, which linked penis size to sexual position preference as well as physical and psychological well-being, was published in the June 2010 issue of Archives of Sexual Behavior.  But more than a year later, the Traditional Values Coalition, The Daily Caller and Fox News condemned the study as a frivolous use of taxpayer money.

"We've got nameless, faceless bureaucrats who thought this was a good use of taxpayer money," Andrea Lafferty, president of the Traditional Values Coalition, told the Daily Caller.  "But, at the end of the day, it was the NIH [National Institutes of Health] directors who signed off on it.  These nameless, faceless bureacrats [sic] seem to think the American taxpayers are a limitless ATM machine."

The NIH maintains it did not directly fund the study, nor did it approve the research.  It did, however, provide a training grant for research into AIDS and HIV prevention for the study's lead author, Christian Grov.

"This study was funded by the Hunter College Center for HIV/AIDS Educational Studies and Training," a spokeswoman for the NIH told ABC News in an email.  "Dr. Christian Grov was supported as a postdoctoral research fellow at the time the research was conducted by a National Institute on Drug Abuse (NIDA)-funded training grant, which focuses on preparing behavioral scientists, especially racial/ethnic minorities, to conduct research in the areas of drug abuse, HIV/AIDS, and crime.  These funds can only be used to support expenses like stipends, tuition and fees.  These funds cannot be used to support research projects."

The training grant supported Grov while he studied a range of sexual health issues among men who have sex with men -- a group that it is disproportionately impacted by HIV and AIDS.

Now an assistant professor of health and nutrition services at City University of New York's Brooklyn College, Grov defended his research, explaining that it has important implications for reducing HIV transmission.

"At the moment, the male latex condom is the best barrier to prevent transmitting HIV and [sexually transmitted infections]," he said.  "The one-size-fits-all approach to condom distribution may not meet the needs of men who fall outside the range of the typical condom."

Copyright 2011 ABC News Radio

ABC News Radio