A 36-year-old man born without testicles received one donated by his brother – identical twin – in a complicated transplant, in an operation performed for the first time in Serbia and for the second time in the world.
The intervention, which lasted for six hours in a clinic in Belgrade, was carried out at the beginning of this December, according to local press. The patient recovers successfully and after a certain period you can have children, according to the Serbian Novosti newspaper.
Immunosuppressive therapy to avoid rejection it is not necessary in this case of transplant since it is identical twins and they have the same genetic material.
One of the identical brothers who was born with the two testicles donated one of them to his brother, who was born with an extremely small and All his life he had to undergo testosterone therapy. Within a few days of the operation your body has begun to produce testosterone by itself.
"The organ is vital and has begun to function. A proper functioning of the blood vessels has been established "explained Dr. Miroslav Djordjevic, who participated in the transplant.
Experts doubt that the procedure becomes usual
Possible candidates for a transplant of these characteristics could be people born without testicles or who lost them due to injury or cancer, but experts do not expect such operations to become routine.
"Among doctors there are dilemmas of whether these operations should be performed routinely," said Djordjevic. "After this operation, an ethical question arises: Whose child is conceived after the transplant? In addition, in cases where it is not identical twins (…), the transplant would mean the need for lifelong immunosuppressive therapy, and that could endanger the patient's life", he pointed.
Experts from Serbia and the United States participated in the operation.