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One of the world leaders in gender reassignment surgery is developing a procedure that would match up patients, one male and one female, who wish to undergo surgery and would transfer their genitalia as part of their transition surgeries.
Miroslav Djordjevic, MD, PhD, a urogenital reconstructive surgeon at the Mount Sinai Center for Transgender Medicine and Surgery in New York City, hopes to soon be able to match one male-to-female patient and one female-to-male patient to transfer the organs between the live patients rather than discarding them as is currently done when individuals undergo such a procedure.
“This will result in a huge improvement over what we currently offer patients,” he says, according to the hospital’s website. “We are striving to find a way to use all genital organs that are planned for removal in transition surgery to improve the lives of others who request this surgery and enable them to lead a normal life.”
Dr. Djordjevic, originally from Serbia, is one of the leading authorities on transgender surgeries and has issued warnings in the past that many patients are not given proper screening prior to going under the knife and that he had seen reversals in his home country rising.
“What I will be looking for is a possible genetic match between two candidates that would minimize the need to administer immunosuppressants, or a candidate who has undergone transplant surgery and is doing well on immunosuppressant therapy because the risk of rejection will be much lower,” he explains of his envisioned new surgical procedure.
In 2017, he performed his first uterus transplant and in 2019, the second testicular transplant ever.
“Through the procedures I have done, I have demonstrated to the world that it is possible to successfully perform uterine and penile transplantation,” he says.
His aspirations are certainly high.
“Ultimately, I would like to see us reach the point where a patient is able to conceive and deliver a baby after transplantation of a uterus and ovaries, or has a functioning, anatomically acceptable penis with normal erection and voiding,” he explains. “By pioneering these procedures, we are one step closer to enabling people to live the lives they want to live.”
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