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The 64-year-old who lost most of his penis to cancer, is recovering well after undergoing United States&China injection molds039; first penis transplant operation. Thomas Manning, the 64-year-old. (Photo: AFP) The 64-year-old who lost most of his penis to cancer, is recovering well after undergoing United States' first penis transplant operation.A 64-year-old cancer patient has received the nation’s first penis transplant , a groundbreaking operation that may also help accident victims and some of the many US veterans maimed by roadside bombs.In a case that represents the latest frontier in the growing field of reconstructive transplants, Thomas Manning of Halifax, Massachusetts, is faring well after the 15-hour operation last week, Massachusetts General Hospital said on Monday.His doctors said they are cautiously optimistic that Manning eventually will be able to urinate normally and function ***ually again for the first time since aggressive penile cancer led to the amputation of the former bank courier’s genitals in 2012. They said his psychological state will play a big role in his recovery.“Emotionally he’s doing amazing. I’m really impressed with how he’s handling things. He’s just a positive person,” Dr Curtis Cetrulo, who was among the lead surgeons on a team of more than 50, said at a news conference.

“He wants to be whole again. He does not want to be in the shadows.”Manning, who is single and has no children, did not appear at the news conference but said in a statement: “Today I begin a new chapter filled with personal hope and hope for others who have suffered genital injuries. In sharing this success with all of you, it is my # hope we can usher in a bright future for this type of transplantation.”The identity of the deceased donor was not released.The operation is highly experimental — only one other patient, in South Africa, has a transplanted penis. But four additional hospitals around the country have permission from the United Network for Organ Sharing, which oversees the nation’s transplant system, to attempt the delicate surgery.The loss of a penis, whether from cancer, accident or war injury, is emotionally traumatic, affecting urination, ***ual intimacy and the ability to conceive a child. Many patients suffer in silence because of the stigma their injuries sometimes carry; Cetrulo said many become isolated and despondent.Unlike traditional life-saving transplants of hearts, kidneys or livers, reconstructive transplants are done to improve quality of life. And while a penis transplant may sound radical, it follows transplants of faces, hands and even the uterus.

“This is a logical next step,” said Dr. WP Andrew Lee, chairman of plastic and reconstructive surgery at Johns Hopkins University School of Medicine.His hospital is preparing for a penis transplant in a wounded veteran soon, and Lee said this new field is important for “people who want to feel whole again after the loss of important body parts”.Still, candidates face some serious risks: rejection of the tissue, and side effects from the anti-rejection drugs that must be taken for life. Doctors are working to reduce the medication needed.Penis transplants have generated intense interest among veterans from Iraq and Afghanistan, but they will require more extensive surgery since their injuries, often from roadside bombs, tend to be more extensive, with damage to blood vessels, nerves and pelvic tissue that also will need repair, Lee noted.The Department of Defense Trauma Registry has recorded 1,367 male service members who survived with genito-urinary injuries between 2001 and 2013. It’s not clear how many victims lost all or part of the penis.A man in China received a penis transplant in 2005. But doctors said he asked them to remove his new organ two weeks later because he and his wife were having psychological problems.In December 2014, a 21-year-old man in South Africa whose penis had been amputated following complications from circumcision in his late teens received a transplant.Dr. Andre van der Merwe of the University of Stellenbosch told The Associated Press that the man is healthy, has normal ***ual function and was able to conceive, although the baby was stillborn.

But his recovery was difficult, with blood clots and infections, the doctor said.For congenital abnormalities or transgender surgery, doctors can fashion the form of a penis from a patient’s own skin, using implants to achieve erection. But transplanting a functional penis requires connecting tiny blood vessels and nerves.A bigger challenge than the surgery itself is finding donor organs.“People are still reluctant to donate,” van der Merwe said. “There are huge psychological issues about donating your relative’s penis.”In the US, people or their families who agree to donate organs such as the heart or lung must be asked separately about also donating a penis, hand or other body part, said Dr. Scott Levin, a hand transplant surgeon at the University of Pennsylvania and vice chairman of UNOS’ committee on reconstructive transplants.In Boston, Cetrulo said the transplanted penis has good blood flow and so far shows no signs of rejection. He said that Manning should be released from the hospital soon, and that the surgery had three aims: ensuring the transplanted penis looks natural, is capable of normal urination — which he hopes will resume in a few weeks — and eventually normal ***ual function.Reproduction won’t be possible, he said, since Manning did not receive new testes.Dr. Dicken Ko, who directs the hospital’s urology program, said Manning has been shown post-operation photos but hasn’t actually seen his new penis, since it is still bandaged. A big test, Ko said, will be when reconnected nerves start to take hold, bringing feeling back to the organ.“We don’t know how he would feel until that times comes,” he said.

This has led to a better lifestyle for them — something that Aravind strives to improve in the following years. I can’t reveal much about this operation as details remain confidential but on the whole, we’re training police in scuba diving and educating them about various types of boats and sea vessels.The oceans have always been Aravind’s home and protecting them is a passion. Puducherry is now home to a 500-metre-long artificial reef built rock-by-rock by him and his team.“In addition to this, we’re recultivating the corals because most of them have been killed or washed away by the floods. Aravind Tharunsri

When one thinks of scuba or deep sea diving, Andaman or Thailand come to mind.That entire marine reserve is the brainchild of Aravind Tharunsri, director, Temple Adventures.Some of the species they’re cultivating include peacock corals, seafans and the manta ray.“There’s really a lot going on underwater, it’s a fascinating world.He plans to engage them in other vocational activities as well. Right from organising oceanfloor cleanups to buildings reefs, protecting endangered species, training the marine police to increasing security and even educating fishermen about the safe use of trawlers, he is a man with many pursuits. “The aim is to reduce coastal terrorism. Even until 10 years ago, pearl divers used to practice holding their breath underwater — it was like a form of meditation or pranayama.In addition to this, Aravind says that he’s begun to train the marine police in and around Tamil Nadu in order to increase safety measures. So far, they’ve recovered nearly 200 kilos of plastic bags, bottles and fishing nets.

The artificial reefs we’ve built using beer bottles help this cause, because the glass doesn’t hamper their growth.”In 2016, he wants to assemble a team of 20-30 divers from across the state and train them so that in cases of emergencies or floods, the team can take part in rescue ops along with the NDRF (the National Disaster Response Force). He has also increased the width of the artificial reef from 200 to 500 metres, inviting more marine life to breed. But we now have a dive site that’s home to more than a million aquatic species, just hours away from Chennai. An increase in the number of fish means a better income for small-time fisherfolk. In fact, it also provides a safe breeding ground for fish,” he adds. So in order to prevent this, I’ve started classes for rural fishing communities on the proper use of diving equipment,” says Aravind. Using nearly 25 tonne of boulders, huge cement blocks, steel rods and even beer bottles, this reef is home to barracudas, stingrays, parrot fish, gorgonian sea fans, the rare pink coral and much more. I just hope people gain automotive interior and exterior molds Suppliers enough sense to stop polluting our water bodies.

“There is no use of promoting scuba diving or tourism if we don’t look after the fishing communities too,” says Aravind. And he has an action plan for this as well.”.When one thinks of scuba or deep sea diving, Andaman or Thailand come to mind. But we now have a dive site that’s home to more than a million aquatic species, just hours away from Chennai.“The most important issue now is to clean the seabed — the recent floods in Chennai have deposited unimaginable amounts of garbage into the sea,” says Aravind about his plans for this year. But today, pearl divers use compressors without proper knowledge and this practice is leading to nearly 200 deaths every year. Over the past year, he has been educating fisherfolk on how to avoid disturbing the manmade reefs. “It’s not enough if a fisherman knows how to fish, he should know the right methods