Does testicular cancer affect fertility?

Testicular Cancer Will Not Stop You From Experiencing Fatherhood: Tips From Fertility Expert Treatment of testicular cancer may affect hormone levels in men and cause infertility. So, it is advisable to consider consulting a fertility expert before you go for any treatment.

Written by Editorial Team | Updated : December 24, 2021 6:16 PM IST

This article is a repost which originally appeared on TheHealthSite

Edited for content

Cancer impacts the body physically and mentally in many ways. Treatment of cancer can also impact fertility among both men and women. While breast cancer and cervical cancer are common among women, men are affected by testicular cancer. With the correct treatment, testicular cancer can still be cured and, you may still have a chance to become a father.

What is testicular cancer?

Testicular cancer is a condition in which cancerous cells develop in testicles among men. In most cases, men only develop cancer in one testicle. However, in rare cases, both the testicles can be affected.

Symptoms of testicular cancer

  • Heaviness in the scrotum
  • Painless lump or swelling in either of the testicles
  • Fluid in scrotum
  • Dull pain in lower abdomen/groin
  • Chest pain, phlegm, and breathlessness (in later stages)

Risk factors of testicular cancer

  • Age: Testicular cancer mainly affects younger men between 15-35 years of age.
  • Family history: If anyone in your family has a history of testicular cancer, you stand at a higher risk.
  • Race: Testicular cancer is much more common among white and non-Hispanic men.
  • Infertility: Infertile men are more likely to develop testicular cancer.

Does testicular cancer affect fertility?

Treatment of testicular cancer can affect hormone levels in men and cause infertility. If cancer develops only in one testicle, the other one works normally and releases enough testosterone to lead a healthy life. However, if both the testicles have to be removed, you will have to take testosterone in the form of monthly injections to maintain normal levels in the body. Therefore, removing one testicle does not usually cause infertility among men. However, chemotherapy can cause infertility for some time during and after the treatment. It may also cause permanent damage to fertility among a few men. Chemotherapy can also reduce your sex drive for some time. Usually, if there is one testicle left, men can conceive after cancer has been treated or two years after chemotherapy is finished.

What options do men have?

According to a study, most men who suffer from testicular cancer can conceive biologically. Sperm banking is a good option for men in case of infertility caused by testicular cancer. Even if your chances of getting infertile are low, your physician will advise you for sperm banking, if you wish to conceive later in life. Before any cancer treatment, you can store your sperms so that they are not damaged due to radiation or chemotherapy.

Sperm banking is also a great option for boys who have passed puberty and wish to conceive a few years later. Sperms can be stored for longer periods.

Also, orchidectomy or removing a testicle will not affect your chances of conceiving, until your other testicle is healthy.

Whether you have less or high chances of being infertile after treatment of testicular cancer, you should always consider consulting a fertility expert before you go for any treatment. A fertility specialist will suggest you options like using a donor sperm.

How to prevent testicular cancer?

Many of the known risk factors of testicular cancer cannot be prevented. Because of this, testicular cancer cannot be prevented. Also, most of the cases are found accidentally. Therefore, men should examine their testicles, starting from puberty. See what feels normal, especially after a shower and bath. Consult with your physician if you notice any signs and symptoms of testicular cancer.

The article is contributed by Dr Lavanya R, Fertility Specialist, Nova IVF Fertility, Whitefield, Bangalore.

Penis health: Conditions, safety, lifestyle, and care

What to know about penis health

Medically reviewed by Kevin Martinez, M.D. — Written by Jenna Fletcher on April 2, 2020

This article is a repost which originally appeared on MEDICAL NEWS TODAY

Edited for content

A healthy penis should be free of lesions, warts, and abnormal discharge. In general, the penis should be roughly the same color as the surrounding skin, though it may be a shade darker or lighter.

Also, a person should not experience any pain in their penis when urinating or engaging in sexual activity.

A sudden change in the appearance, sensation, or function of the penis may signal an underlying issue that requires medical attention.

This article describes certain lifestyle factors and health conditions that can affect penis health. It also outlines some possible symptoms of poor penis health and provides tips on penis care.

Lifestyle factors that affect penis health

Lifestyle factors that can affect penis health include sexual relationships, weight management, and alcohol use.

The sections below outline some common lifestyle factors that can affect penis health.

Sexual relationships

Sexually transmitted infections (STIs) can negatively affect penis health. Some of the most common STIs include:

  • human papillomavirus (HPV)
  • chlamydia
  • gonorrhea
  • herpes

The Centers for Disease Control and Prevention (CDC) recommend that people practice safe sex in order to reduce their risk of contracting an STI. This involves using barrier methods during sexual activity and getting vaccinated against hepatitis B and HPV.

The following can also help reduce the risk of spreading and contracting STIs:

  • limiting the number of sexual partners
  • maintaining a monogamous sexual relationship
  • abstaining from sexual activity

Often, people who contract an STI do not experience any symptoms. This is why it is important for people who are sexually active to attend regular sexual health screenings.

Weight management

Obesity can negatively affect many aspects of a person’s health, including penis function.

People with obesity may be more likely to experience erectile dysfunction, or impotence. This occurs when a person is unable to develop or maintain an erection during sexual activity.

According to the Obesity Action Coalition, obesity can contribute to erectile dysfunction by:

  • decreasing testosterone levels
  • causing inflammation throughout the body
  • damaging the blood vessels, including those that supply blood to the penis

However, one 2018 study suggests that the relationship between obesity and sexual health is not completely clear. Although obesity may contribute to erectile dysfunction, other factors may also give rise to poor sexual health. These include:

  • anxiety
  • stress
  • self-esteem issues


Eating a healthful, balanced diet can help prevent obesity and related sexual health problems.

A 2017 animal study investigated the potential link between diet, obesity, and erectile function. In this study, one group of rats consumed a calorie-rich diet, while a second group consumed a standard diet.

The rats that consumed the calorie-rich diet were more likely to develop obesity, and they also showed significantly poorer erectile function.

The types of food a person eats could also affect their penis health. For example, one 2016 study found that a diet rich in flavonoids was associated with a reduced risk of erectile dysfunction in men below the age of 70.

Flavonoids are chemicals that occur naturally in a range of vegetables, fruits, and grains. Some examples of flavonoid-rich foods include:

  • root vegetables
  • legumes
  • berries
  • grapes
  • citrus fruits
  • teas
  • chocolate


Exercise is important in helping a person maintain a moderate weight. This means that it also helps reduce the risk of obesity-related sexual health concerns.

Exercise may also benefit sexual health more directly. For example, one 2015 study investigated whether or not regular walking exercise could help improve erectile dysfunction in men who had recently had a heart attack.

Those who took part in the regular walking program reported a 71% decrease in erectile dysfunction symptoms. Those who did not take part in the program reported a 9% increase in erectile dysfunction symptoms.

The researchers conclude that regular exercise may help reduce symptoms of erectile dysfunction.

A 2011 meta-analysis investigated the effects of aerobic exercise on erectile dysfunction. The researchers analyzed five studies involving a total of 385 participants.

All the studies showed improvements in erectile dysfunction following aerobic activity. The researchers conclude that men with erectile dysfunction may benefit from aerobic training, though further studies are necessary to confirm this.

Alcohol and tobacco use

Drinking a lot of alcohol can negatively impact many aspects of a person’s health.

According to the CDC, excessive drinking can interfere with male hormone production, potentially contributing to impotence and infertility.

Alcohol also increases the likelihood that a person will engage in risky sexual behavior. Such behavior puts a person at increased risk of contracting or transmitting an STI.

Tobacco smoking can also have a negative effect on penis health. According to the Truth Initiative, smoking may play a role in the following sexual health issues:

  • erectile dysfunction
  • infertility
  • decreased libido

Health conditions that may affect penis health

There are several health conditions that can directly affect penis health. Some of the more common ones include:

  • STIs, such as chlamydia, herpes, or genital warts
  • phimosis, which occurs when the foreskin cannot extend over the head of the penis
  • balanitis, which is inflammation of the head or foreskin of the penis

Other conditions not directly related to the penis can also affect its health. Many of these conditions may cause erectile dysfunction or issues with fertility. These include:

  • obesity
  • diabetes
  • high blood pressure
  • stress
  • certain heart conditions

When to see a doctor

Anyone who is sexually active should check for symptoms of STIs regularly. They should look for:

  • rashes, sores, or blisters on the penis
  • burning or itching sensations in the penis
  • abnormal discharge from the penis
  • a foul odor coming from the penis or groin area
  • pelvic pain
  • pain when urinating or passing stools

Anyone who thinks that they may have an STI should visit their doctor for a diagnosis and appropriate treatment.

Importantly, many people who contract an STI will not experience any symptoms. Regular sexual health screenings will help detect STIs that a person may not have noticed otherwise.

Anyone who thinks that they may have erectile dysfunction should also see their doctor, who will work to diagnose the cause.

How to care for the penis

A person should clean their penis at least once per day using a mild soap. Using abrasive or heavily scented soaps could irritate the skin of the penis.

A person should wash all parts of the penis, including:

  • the pubic hair
  • the scrotum
  • the area between the legs and scrotum
  • the penis shaft
  • the area underneath the foreskin, if uncircumcised

Tips for a healthy penis

The tips below can help a person keep their penis healthy:

  • using a barrier method during sex
  • limiting the number of sexual partners they have
  • undergoing a sexual health screening at least once per year if in a monogamous relationship
  • undergoing a sexual health screening as often as every 3–6 months if having sex with multiple partners
  • keeping the penis and genital area clean
  • limiting alcohol consumption
  • avoiding the use of tobacco products
  • exercising regularly
  • eating a healthful, balanced diet


A person can take several steps to maintain the health of their penis. This includes exercising regularly and eating a healthful diet. A person may also wish to avoid having unprotected sex, drinking a lot of alcohol, and using tobacco products.

To maintain a healthy penis, a person should thoroughly wash the penis at least once per day. Those who are sexually active should also go for sexual health screenings at least once per year and perform regular self-checks at home.

If a person has any concerns about their penis, they should talk to a doctor as soon as possible. The doctor will work to diagnose the cause of the issue and provide appropriate treatments.


Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Testicular Cancer’s High Cure Rate Eliminating Fear

Eliminating the Fear Factor

Testicular cancer’s high cure rates turn panic into promise

By Nancy Maes

This article is a repost which originally appeared on Chicago Health Online

Testicular cancer rarely makes the headlines. Because so few men are diagnosed with the disease each year — the American Cancer Society puts the number of new cases at 9,610 annually — many men don’t pay attention to it. But they should. The earlier testicular cancer is detected, the easier it is to cure.

Cancer of the testicles — the organ that produces sperm and testosterone — typically affects young men. The average age at diagnosis is 33, according the American Cancer Society. But the age range is wide: About 6% of cases are found in children and teenagers and about 8% in men over age 55.

“We do know that this is a cancer that is most common between the ages of 15 and 35, but we don’t know why,” says Britt Hanson, DO, a hematologist/oncologist at NorthShore University HealthSystem.

Some notable cases affecting young athletes have made headlines. Figure skating fans will remember Olympic medalist Scott Hamilton, who returned to the sport after being treated for testicular cancer at age 38. And cyclists may recall that Lance Armstrong was diagnosed with stage 3 testicular cancer when he was 25 years old. After Armstrong successfully underwent treatment for the disease — which had spread to his abdomen, lungs and brain — he continued to compete and have more children.

Effective treatment

Fortunately, the disease is rarely fatal. A man’s lifetime risk of dying from testicular cancer is about 1 in 5,000, according to the American Cancer Society.

“The earlier the disease is diagnosed, the easier it is to treat,” Hanson says, “and even if it travels to the brain or the lungs, it is curable.”

Treatment is effective, says Michael McGuire, MD, a urologist at Northwestern Medicine. The five-year survival rate is 99% if the cancer hasn’t spread. “It is one of the greatest success stories in the history of medicine,” he says.

This is a disease that is emotionally scary. … But the reality is that we have the opportunity of getting [people] back to doing everything they did before treatment.”

While there are many forms of testicular cancer, more than 90% of cases are germ cell cancers that start in the cells that make sperm. Treatment depends on the stage, type and size of the cancer. Diagnosing the disease early opens up more treatment avenues, McGuire says.

“Earlier detection is important,” he says, “because it allows for more opportunity for options of treatment.”

Depending on the stage, physicians may recommend active surveillance to follow the individual regularly for any further signs of cancer. Usually, surgery is needed to remove the affected testicle.

And sometimes, doctors also remove lymph nodes in the abdomen to prevent future cancer. Chemotherapy is an option for a disease that has spread, McGuire says.

“We want to give men the best treatment with the least side effects,” McGuire says. “Sometimes we do chemotherapy, stem cell transplantation or immunotherapy for advanced disease, but most men don’t need anything that aggressive.”

Testicular Cancer's Fear Factor - Chicago Health Online

Emotional impact

While men who have a testicle removed may be concerned about their ability to have children, McGuire says the cancer does not affect fertility in most men. Even if one testicle is removed, another functioning one remains.

If necessary, there are ways to retain fertility. “We have the opportunity to store sperm, and we have a specialist who can get sperm from a testicle with cancer in it,” McGuire says.

Testicular cancer, however, doesn’t only have a physical effect; there’s an emotional effect, too. “This is a disease that is emotionally scary,” McGuire says. “Young men seeing their mortality is a shock, especially when it involves losing a part of their genitalia. But the reality is that we have the opportunity of getting them back to doing everything they did before treatment.”

To catch testicular cancer early, McGuire recommends that every man conduct a self-exam each month after puberty for signs of the disease. “Any hard spot in the testicles should be seen by a doctor,” he says. The problem is, he adds, even after feeling a lump, many men wait six to eight months before they see a physician.

“There’s no reason to wait, because the vast majority of the lumps and bumps that men feel in their testicles are not testicular cancer,” McGuire says. “Nothing makes me happier than to say, ‘This isn’t cancer. You have nothing to worry about.’”

But seeking medical attention early is key to a proper diagnosis. And with the good prognosis for testicular cancer, it’s possible to eliminate the fear factor.


Testes: Anatomy and Function, Diagram, Conditions, and Health Tips

Testes: Anatomy and Function, Diagram, Conditions, and Health Tips

Medically reviewed by Alana Biggers, MD on May 29, 2018 — Written by Tim Jewell

This article is a repost which originally appeared on HealthLine

Edited for content

What are testes?

The testes — also called testicles — are two oval-shaped organs in the male reproductive system. They’re contained in a sac of skin called the scrotum. The scrotum hangs outside the body in the front of the pelvic region near the upper thighs.

Structures within the testes are important for the production and storage of sperm until they’re mature enough for ejaculation. The testes also produce a hormone called testosterone. This hormone is responsible for sex drive, fertility, and the development of muscle and bone mass.

Anatomy and function of testes

The main function of the testes is producing and storing sperm. They’re also crucial for creating testosterone and other male hormones called androgens.

Testes get their ovular shape from tissues known as lobules. Lobules are made up of coiled tubes surrounded by dense connective tissues.

Seminiferous tubules

Seminiferous tubules are coiled tubes that make up most of each testis. The cells and tissues in the tubules are responsible for spermatogenesis, which is the process of creating sperm.

These tubules are lined with a layer of tissue called the epithelium. This layer is made up of Sertoli cells that aid in the production of hormones that generate sperm. Among the Sertoli cells are spermatogenic cells that divide and become spermatozoa, or sperm cells.

The tissues next to the tubules are called Leydig cells. These cells produce male hormones, such as testosterone and other androgens.

Rete testis

After sperm is created in the seminiferous tubules, sperm cells travel toward the epididymis through the rete testis. The rete testis helps to mix sperm cells around in the fluid secreted by Sertoli cells. The body reabsorbs this fluid as sperm cells travel from the seminiferous tubules to the epididymis.

Before sperm can get to the epididymis, they can’t move. Millions of tiny projections in the rete testis, known as microvilli, help move sperm along to the efferent tubules.

Efferent ducts

The efferent ducts are a series of tubes that join the rete testis to the epididymis. The epididymis stores sperm cells until they’re mature and ready for ejaculation.

These ducts are lined with hair-like projections called cilia. Along with a layer of smooth muscle, cilia help move the sperm into the epididymis.

The efferent ducts also absorb most of the fluid that helps to move sperm cells. This results in a higher concentration of sperm in ejaculate fluid.

Tunica: Vasculosa, albuginea, and vaginalis

The testes are surrounded by several layers of tissue. They are the:

  • tunica vasculosa
  • tunica albuginea
  • tunica vaginalis

Tunica vasculosa is the first thin layer of blood vessels. This layer shields the tubular interior of each testicle from further layers of tissue around the outer testicle.

The next layer is called the tunica albuginea. It’s a thick, protective layer made of densely packed fibers that further protect the testes.

The outermost layers of tissue are called the tunica vaginalis. The tunica vaginalis consists of three layers:

  • Visceral layer. This layer surrounds the tunica albuginea that shields the seminiferous tubules.
  • Cavum vaginale. This layer is an empty space between the visceral layer and the outermost layer of the tunica vaginalis.
  • Parietal layer. This layer is the outermost protective layer that surrounds almost the entire testicular structure.

What conditions affect the testes?

Many conditions can affect the testes. Here’s a list of some of the most common ones.


A hydrocele happens when excess fluid builds up in the cavities around one of your testicles. This is sometimes present at birth, but it can also result from an injury or inflammation.

Hydrocele symptoms include:

  • testicular swelling that gets more noticeable as the day goes on
  • a dull ache in your scrotum
  • feeling heaviness in your scrotum

Hydroceles usually don’t require treatment unless they’re very large or painful. Most go away on their own, but more severe cases might require surgical removal.

Testicular torsion

Testicular torsion means that your testicle has rotated in the scrotum. This can wind up the spermatic cord, cutting off blood supply, nerve function, and sperm transport to your scrotum.

Symptoms of testicular torsion include:

  • severe scrotum pain
  • swelling of the testicle
  • lower abdominal pain
  • feeling nauseous
  • vomiting
  • feeling like the testicle is out of place
  • urinating more than usual

Several things can cause testicular torsion, including:

  • injury to the scrotum
  • exercising too long or hard
  • being exposed to cold temperatures
  • free movement of the testicle in the scrotum caused by a genetic condition

Your doctor can treat testicular torsion by moving the testicle by hand. Some cases might require surgery to untwist the spermatic cord.


Orchitis refers to a swollen or inflamed testicle. Like epididymitis, orchitis often results from an infection caused by an STI.

Orchitis symptoms include:

  • testicular pain and tenderness
  • a swollen testicle
  • fever
  • feeling nauseous
  • vomiting

Both bacterial and viral infections can cause orchitis. A combination of antibiotics or antiviral medication, along with nonsteroidal anti-inflammatory drugs or cold packs can help reduce discomfort and pain. Orchitis usually disappears in 7-10 days.


Hypogonadism happens when your body doesn’t make enough testosterone. It can result from a testicular issue or because your brain doesn’t properly stimulate hormone production.

You can be born with this condition. It can also happen due to an injury, infection, or other condition that affects testosterone production.

Symptoms of hypogonadism vary depending on age:

  • In infants. The genitals might not be clearly male, or both sets of genitals might be present.
  • In teenagers. Symptoms may include:
    • a lack of muscle development
    • little body hair growth
    • no voice deepening
    • unusual arm and leg growth relative to the rest of the body
  • In adults. Symptoms may include:
    • a lack of fertility
    • loss of body hair
    • growth of breast tissue
    • loss of bone density
    • an inability to get an erection

Hypogonadism is usually treated with hormone replacement therapy. It’s aimed at either the brain or testes, depending on the source of low testosterone production.

Testicular cancer

Testicular cancer happens when cancerous cells multiply within the tissue of your testicles. It commonly starts in the tubular testicle structures that help produce sperm.

The cause of testicular cancer isn’t always clear.

Symptoms of testicular cancer can include:

  • a lump in your testicle
  • feeling heaviness in your scrotum
  • fluids in your scrotum
  • testicular pain
  • abdominal or back pain
  • swollen or tender breast tissue

Sometimes, your doctor can surgically remove the affected tissue. In other cases, you may need to have an entire testicle removed. Radiation therapy or chemotherapy can also help destroy cancer cells.

What are common symptoms of a testicular condition?

See your doctor if you notice any of the following symptoms in one or both of your testes:

  • long-term pain that’s either dull or sharp
  • swelling
  • tenderness
  • a sensation of heaviness

Other symptoms of a problem with the testes include:

  • feeling sick
  • throwing up
  • abnormal abdominal or back pain
  • having to pee frequently
  • abnormal growth of breast tissue

Tips for healthy testes

Try the following to keep your scrotum in good health:

Do a monthly testicular self-exam

Roll each testicle around in your scrotum using your fingers. Check for lumps and swollen or tender areas.

Bathe regularly

Take a shower or bath every day to keep your entire genital area clean. This reduces your risk of infections that can cause other complications. Keep your penis and scrotal area dry after bathing. Moisture trapped in the area can quickly become a breeding ground for bacteria.

Wear loose, comfortable clothing

Try to avoid wearing tight underwear and pants. Allow your scrotum to hang naturally from your body to help keep the scrotal temperature low and prevent injury.

Wear protection when you have sex

Wear a condom when doing any kind of sexual activity involving your penis. This helps to prevent sexually transmitted diseases that affect your scrotum and testicles.

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Optimize Multi-Angle Manual Stretching Method- By Dr. Richard R Howard II

Optimize Multi-Angle Manual Stretching Method

Article courtesy of Dr Richard R Howard II of

Copyright @ 2020, please respect the authors copyright, with special permission given to PEGym.

The optimized manual stretching method can be performed any time of the day that is convenient, your choice. Let’s assume that you’re lying down or sitting up in bed or a chair, to optimize or minimize the energy expenditure. You can also perform with or without the bundle or rotation. The three categories for manual stretching are straight down, BTC (between the cheeks or buttock), and straight up to the sternum.

1. Straight down between your legs. With the using an overhand grip, thumb pointing down, with your hand immediately behind the glands, start with right hand, pull your penis straight between your legs, pointing down to your toes, so to speak. The time can be variable but for illustration sake, a time of one minute for each sequence can be used. For this entire exercise, you will start with a total of 12 different angles, which equates to approximately 12 minutes of stretching to begin with.

To continue, perform straight between the legs with your right hand for one minute (elbows locked if possible), and then with your left hand for one minute, then with your right hand under the right leg for one minute then with your left hand under the left leg for one minute. This stretches the shaft and the ligaments. The degree of bundling can be increased very gradually with practice. I do not particularly feel that any more than 360° is necessary and for starters 180°. A bundle is where the penis is turned in a corkscrew fashion either clockwise or counterclockwise. The amount of bundling can be your choice. To avoid over bundling, check your PIs, generally I am inclined to bundle less of a rotation as I personally found the PIs are better this way. Experiment with this

2. BTC category or between the cheeks. Your hand would be overhand grip holding the penis from behind the glands and pull it between your legs. Performed in like manner sequentially to number one, this accentuates the ligaments somewhat more, but also the shaft.

3. Straight up (pointing to your sternum). This is performed in like manner to number one, except that you are pulling your penis in the direction of your sternum, first the right hand for one minute then with the left-hand for one minute pointing to your sternum. Then, with the right hand over the top of your right leg and then with your left hand over your left leg is implemented. Generally I try to lock the elbows per your arm whenever possible to minimize energy consumption; this is not always possible in the straight up configuration.

Again, I would start with no more than one minute for each position; you can use the timer on your phone, or such devices which will notify you after each minute is over. Time may be increased based on your kinesthetic sense or intuition, take your time to increase the tension and time, always be safe.

4. Scrotal stretching. After you acclimate to the first three exercise groups above, scrotal stretching or ball stretching can be initiated. With an overhand grip and ok configuration consisting of your thumb and pointer finger, squeeze gently around the base of your scrotum where it is connected to the shaft regarding the grip. This will cause the testicles to protrude. When you perform this you can also perform a testicular massage. The main principle is with the right hand you can perform this and pull gently outward on the testicles to begin to stretch the scrotum in this particular area. Then you can switch to the left-hand and perform in like manner.

5. Penis and scrotal stretch. This exercise may be performed as follows: repeat number four with the right hand pulling the scrotum, and with left hand pulling the penis, in other words, you are pulling each component in the opposite direction consisting of an integrated penis scrotum stretch, remember to be gentle and then with experience you can progress, never the overzealous with this until your reached expert level. After you have done this for one minute change hands so that the left-hand will be pulling on the scrotum and the right hand pulling on the penis again in opposite direction (penis will be pointing to the right). This may also be performed after some experience, with a bundle configuration of the penis, initially you pull the penis configured so that it is straight rather bundled.

This observation has been taken from experience over time and the success such has brought about. The above exercise can be used with almost any mechanical device, though it is somewhat more specific for the lengthening devices. The general categories of lengthening devices would be weighted hangers, clamp or vacuum, and extenders. Any questions?

Best regards,

Dr. Richard R Howard II of

Penis-and-scrotum transplant patient reports near-normal erections, orgasms

Penis-and-scrotum transplant patient reports near-normal erections, orgasms

The update is good news for others in need of sensitive transplants.


This article is a repost which originally appeared on ARS Technica

More than a year after undergoing a 14-hour operation to transplant a penis, scrotum, and lower abdominal wall, a severely injured veteran reports that he has regained normal sensation and function of his new body parts.

The young man now has “near-normal” erections, the ability to achieve orgasms, and normal sensation in the shaft and tip of his transplanted penis, according to his medical team at Johns Hopkins School of Medicine. He urinates while standing up with a “strong stream” and no issues with urgency or straining. (The transplant did not include donor testicles, to avoid the possibility of fathering non-genetically related children.)

The doctors reported the update on their patient November 7 in the New England Journal of Medicine.

The man—who wished to remain anonymous—was the first to undergo such a complex genital transplant and only the third in the world to have a successful penis transplant (a fourth has since been carried out). The transplant repaired a traumatic injury from an improvised explosive device (IED), which destroyed the man’s penis and scrotum and caused substantial tissue loss in his lower abdominal wall. It also led to above-knee amputations of both his legs.

The transplant of organs and tissues from a closely age-matched donor was an immensely difficult one, requiring surgeons to develop a whole new revascularization technique to ensure a proper blood supply. But it appears to have been a success by all measures.

Since the transplant, the man has reported improvement on self-reported pleasure scores, as well as reporting an improved self-image and “feeling whole” again. The man has returned to school, is living independently with leg prostheses, and is “very satisfied” with his transplant and his outlook for the future.

The success of the man’s transplant is encouraging news for the others in need of such a sensitive reconstruction. According to the Department of Defense Trauma registry, 1,367 men—nearly all under the age of 35—returned from Iraq and Afghanistan with genital injuries between 2001 and 2013.

The surgical team at Johns Hopkins had plans to undertake 60 penis transplants. They estimate that this first, complex transplant cost $300,000 to $400,000, though surgeons performed the operation for free.