Born without a penis, 39-year-old Andrew Wardle will soon undergo surgery to create a functioning organ using skin and tissue from his arm.
WEDNESDAY, March 20, 2013 — A British man born without a penis is preparing to go under the knife in a surgery that would create a functioning penis using skin and tissue taken from his arm.
Andrew Wardle, a 39-year-old from London, was born with testicles but without a penis, and with an ectopic bladder, meaning it formed outside his body, according to The Sun.
Growing up, he had kidney problems and infections, and underwent 15 operations to build a tube from his bladder so he could urinate.
“I never thought this day would come, and I still can’t believe it is possible for me to actually have a fully functioning penis,” Wardle told The Sun.
Surgery to construct a penis has been done in the United States, but is not common, said Christopher M. Gonzalez, MD, professor of urology at Northwestern University in Evanston, Ill.
“There are people here [in the United States] more than capable of doing [this type of procedure]. We do a lot of reconstructive work, but we don’t see a lot of people with this type of surgery,” said Dr. Gonzalez.
How Penis Reconstruction Surgery Works
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Gonzalez explained that the surgery, called a forearm free-flap procedure, involves taking a piece of tissue from the inside of the forearm, as well as the radial artery that runs along the forearm. The artery can be put in place in the area underneath the scrotum to provide blood supply, then the tissue, muscle, and skin from the forearm can be formed into a penis.
There are a few potentially serious complications from the surgery. The skin could die or the tissue could refuse to take, for example. Rarely, blood clots could occur, Gonzalez said. Some patients have permanent scars on their arm from which the tissue was taken, but for the most part there aren’t many complaints from patients about scarring, he added.
Wardle is opting for an additional surgery to build a tube from his bladder so he could urinate normally, though there are other options, said Gonzalez. One is to to create a hole under the scrotum from which a man could urinate.
Additional procedures could be done so the reconstructed penis could ejaculate, and even become erect. For ejaculation to be possible, a surgeon could form a tube inside the flap to create a urethra from the prostate, Gonzalez said.
Sex Life After Surgery?
If you’re wondering whether a person who has had penis reconstruction surgery can have an erection and be sexually intimate with a partner, the answer is yes, but it’ll take more than Viagra. While many men who have had such surgery have feeling in their reconstructed penises, the tissue that's used to form the penis — like that from the forearm — lacks erectile tissue. Therefore, having an erection would require some type of prosthesis.
“You have two options: A malleable penile prosthesis, which involves a couple of cylinders in the penis you would bend up or down when you want it to become erect, or an inflatable prosthesis that fills with saline that you could pump and then deflate when you don’t want an erection,” said Gonzalez.
Like Sex Change Surgery
The reconstructive surgery Wardle is undergoing is the same that a female would face if she wanted to become a male, said Gonzalez. “For women who want sex changes, this is what they would do,” he said.
Penis reconstruction surgery isn’t common because there aren’t many men born with Wardle’s rare condition. Other candidates for this type of surgery: Men needing construction after penile cancer, or someone who had a traumatic accident and had their penis amputated. “We see that once in a while, but it’s pretty rare,” Gonzalez said.
Wardle is an ideal patient for this type of surgery, according to Gonzalez, because he’s older and can deal with the psychological issues that come along with the surgery.
“I think he is a good index patient for something like this,” Gonzalez said. “With proper psychological counseling, I think he would certainly benefit.”
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