An Indian man has had his penis reconstructed using tissue from his arm, 16 years after it was burnt off by an electric shock.
The 25-year-old man, known as Ramesh, underwent a gruelling eight hour operation where surgeons took tissue with blood vessels and nerves from his hand and forearm so that the penis would have full feeling.
Ramesh, a government civil servant, will have implants inserted into the penis, which will enable an erection.
It is not clear how his love life was affected by the accident, but surgeons say that when he is recovered from the operation he is expected to enjoy full sexual function.
Implants, which act like small pumps which can inflate the penis, are a life-changing procedure for men who have debilitating injuries or birth defects.
For Ramesh, it's 'nothing less than a miracle' that surgeons were able to restore his genitals' functions.
He was bullied and labelled as 'kinnar' by other children, which means a man that identifies as a woman.
A 25-year-old Indian man has had his penis reconstructed using tissue from his arm, 16 years after it was burnt off from an electric shock. Stock photo
The Times of India reported that Ramesh, whose named has been changed, was nine years old when he was burnt from head to toe.
He had been shocked by a high powered electric transmission line in his small village of Madhya Pradesh's Barwani district.
Ramesh said he was constantly depressed as a child because doing every day activities was difficult.
He couldn't stand and urinate like other boys because his penis was so damaged. Doing so would leave him in soaked clothes.
Ramesh had a phalloplasty, which is the construction or reconstruction of a penis.
Normally a phalloplasty is a common for transgender and nonbinary people, as well as for people who have had their penis damaged in trauma, cancer, or congenital defect.
Ramesh had what is known as a radial forearm free-flap (RFF) phalloplasty. During this procedure, a flap of skin, normally from the forearm, is used to build the shaft of the penis.
The tissue, with all of it's blood vessels and nerves in tact, is used to make a tube-within-a-tube structure. The larger tube is rolled up around the inside tube.
A phalloplasty can include a number of separate procedures, which include a vaginectomy or vaginal mucosal ablation to remove or partially remove the vagina, a phalloplasty to turn a flap of donor skin into a phallus, or a scrotectomy to turn the labia majora into a scrotum, either with or without testicular implants.
Ramesh will also have penile implants to allow for erection.
Normally in this procedure, there are three parts that are connected by tubing - two