A man has finally had his new penis attached to its correct place after living with it on his arm for six years.
Malcom MacDonald, 47, had his member amputated in 2014 after a blood infection caused it to decay — though his testicles remained intact.
Believing he’d be left with a lifelong stump, the mechanic turned to alcohol and became a recluse.
But in 2015 doctors revealed he could a new penis grafted from the skin on his arm in a £50,000 NHS-funded op.
However, a lack of oxygen in his blood during surgery meant doctors had to abort midway, and stuck the six-inch penis to his left arm ‘temporarily’.
Hospital delays and the Covid pandemic meant the appendage stayed there for six years — making his life a misery.
He was unable to wear short-sleeved tops in public and couldn’t go swimming with his two children for fear of embarrassment.
But Mr MacDonald finally has his manhood back in the correct place following a nine-hour operation last year.
The separated father-of-two, from Thetford in Norfolk, said: ‘The first thing I did was look down and I was like, “Oh my days. They got it right this time”. I feel like a real man again.’
Malcom MacDonald’s penis fell off 12 years ago due to a blood infection that turned his member black. Despite originally being told he would be left with a stump, medics were able to build him a new six-inch member using skin from his arm in a £50,000 procedure (detailed in graphic)
Malcom MacDonald, 47, had his member amputated in 2014 after a blood infection caused it to decay
Mr MacDonald has told of his ordeal in a Channel 4 documentary ‘The Man with a Penis on His Arm’, which is set to air at 10:05pm on Tuesday, May 5.
His ordeal began in 2014 when a long-term perineum infection — between the scrotum and anus — developed into sepsis, turning his fingers, toes and penis black.
When someone has sepsis, a serious blood infection, the blood begins to clot and prevent vital nutrients and oxygen getting to the furthest parts of the body.
Mr MacDonald said he threw his penis in the bin, with medics originally telling him they could only roll up the remaining stump ‘like a sausage roll’.
For the next two years he became a recluse, turning to alcohol and feeling ‘like a shadow of a man’, he revealed at the time.
The aftermath: After a successful nine-hour operation in 2021, the mechanic finally has his penis removed from his left arm
Before the op: He was forced to live with the member on his arm for six years
How mechanic became first man in world with a penis on his arm
2014: Malcom MacDonald’s long-term perineum infection — between the scrotum and anus — developed into sepsis. This led to his penis turning black and falling off.
2015: Doctors revealed he could a new penis grafted from the skin on his arm in a £50,000 NHS-funded op.
Medics took skin and muscle from the left arm and a vein in the right leg.
The skin was wrapped around the vein and molded into the shape of a penis.
But during an operation to attach it between his legs, it had to be stuck onto his arm due to lack of oxygen in his blood, known as hypoxemia, which is thought to occur in around one in 15 procedures and can be fatal.
It had to be connected to the blood vessels in his arms to keep the penis tissue healthy.
Delays meant the penis was left dangling from his arm for six years.
2019: An NHS staff shortage in December 2019 meant the procedure could not go ahead when planned.
2020: The operation was due to go ahead in April 2020 but the pandemic hit, causing further delays.
2021: Mr MacDonald’s penis was finally extracted from his arm and moved to his groin during a nine-hour operation.
It is fitted with a penile implant, consisting of a saline reservoir, a cylinder that runs along the length of the penis and a pump and release valve that’s inside the scrotum.
The implant allows the user to pump saline fluid that is kept inside the reservoir into the cylinder. Once fully pumped, the penis will be hard enough for sexual intercourse.
But his GP then turned him onto Professor David Ralph, an expert in phallus construction at University College Hospital in London almost two years later.
Professor Ralph revealed he could have a new penis grafted – and he got to choose the size.
Mr MacDonald requested that it be six inches (15cm), which was two inches (5cm) longer than he had previously.
Doctors took a skin flap from his left arm and rolled it to form a makeshift penis.
The arm was chosen because it has skin quality and sensation, medics said.
They also created a urethra within the skin.
But rather than the penis being attached between his legs, it was originally stuck onto his arm due to lack of oxygen in his blood at the time of the operation, known as hypoxemia.
The complication is thought to occur in around one in 15 procedures and can be fatal.
His penis had to be connected to the blood vessels in his left arm to keep the tissue healthy.
While it was on his arm, Mr MacDonald could not pass urine or get an erection.
The procedure to move the penis to his groin was severely delayed because he missed a string of appointments due to transport and scheduling mix-ups, staff shortages and the pandemic.
But doctors said the wait for the procedure would not affect the ability for it to eventually be put in place.
After six years, the penis was then extracted from his arm and moved to his groin during a nine-hour operation.
The shaft was detached from his forearm, allowing it to hang freely and form naturally as skin and tissue.
Penis reattachment surgery is intricate and usually involves plastic surgeons and urologists working together.
The blood vessels and nerves between the arm and penis were divided and the member is removed.
These nerves and blood vessels, which can be thinner than a strand of hair, have to be stitched together with the penile area to establish blood supply to the makeshift penis.
Mr MacDonald will also be able to have sex as doctors installed two tubes, which enable him to inflate the penis with a hand-pump to give him a ‘mechanical’ erection. He will also be able to pass urine.
He was left with the bulge on his arm for six years due to transport problems preventing him from going to hospital, scheduling mix ups, staff shortages and the Covid pandemic.
Mr MacDonald told of how he was unable to wear a short-sleeved top and couldn’t go swimming with his children.
Mr MacDonald told the Channel 4 documentary: ‘This could be a turning point in my life.
‘My luck in life hasn’t been too good so far, but it can only go bad for so long, can’t it?
‘Can you imagine six years of your life with a penis swinging on your arm? It’s been a nightmare, but it’s gone now — the little bugger.’
He also told the documentary that when reaching for a product for an elderly lady in a supermarket, his penis came loose and swung near her head.
Mr MacDonald told the documentary: ‘It’s something to tell the grandchildren, isn’t it?’
The keen darts player also spoke of learning to tuck his darts under the penis.