An US army veteran who lost his legs and genitals in a roadside bomb explosion says he "feels normal again", after undergoing the first full penis and scrotum transplant.
The man suffered a devastating injury several years ago from an improvised explosive device while serving in Afghanistan.
He underwent the 14-hour procedure at the Johns Hopkins Hospital in Maryland in March last year.
This repaired his abdominal wall, gave him a new scrotum and attached a donor penis.
It involved a team of nine plastic surgeons and two urological surgeons.
But doctors chose not to give the patient testicles after concerns that the sperm-generating tissue would have the potential for having children with genetic material from the donor.
The team's provided an update on his condition in the New England Journal of Medicine - revealing how the former soldier had returned to school and was able to live independently.
As well as an almost complete return of sexual capabilities, full urinary function has also been restored.