US Surgeons Perform World's First Bladder Transplant

A surgical team prepares a man for surgery to receive a donated kidney as part of a five-way organ transplant swap in New York, August 1, 2012. REUTERS/Keith Bedford
A surgical team prepares a man for surgery to receive a donated kidney as part of a five-way organ transplant swap in New York, August 1, 2012. REUTERS/Keith Bedford
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US Surgeons Perform World's First Bladder Transplant

A surgical team prepares a man for surgery to receive a donated kidney as part of a five-way organ transplant swap in New York, August 1, 2012. REUTERS/Keith Bedford
A surgical team prepares a man for surgery to receive a donated kidney as part of a five-way organ transplant swap in New York, August 1, 2012. REUTERS/Keith Bedford

Surgeons at a hospital in Los Angeles, California have successfully performed the world's first human bladder transplant, hospital officials said.

The surgery, performed May 4 at Ronald Reagan UCLA Medical Center, is a promising development for other patients suffering from serious bladder disorders.

The recipient of the innovative procedure was Oscar Larrainzar, 41, a father of four who had a large portion of his bladder removed due to cancer several years ago, the University of California, Los Angeles, said in a statement Sunday.

Larrainzar later had both of his kidneys removed due to cancer and end-stage kidney disease and was on dialysis for seven years.

He received both a bladder and a kidney from an organ donor and had them successfully transplanted in an eight-hour operation, AFP reported.

"The surgeons first transplanted the kidney, followed by the bladder; they then connected the kidney to the new bladder using the technique they had pioneered," the UCLA statement said.

Dr. Nima Nassiri, one of the surgeons involved in the historic transplant, said the procedure yielded positive results almost instantaneously.

"The kidney immediately made a large volume of urine, and the patient's kidney function improved immediately," Nassiri said.

"There was no need for any dialysis after surgery, and the urine drained properly into the new bladder."

Nassiri and fellow surgeon Inderbir Gill said full bladder transplants had not been performed previously due to the complex vascular structure of the pelvis, making it a technically difficult procedure.

"This first attempt at bladder transplantation has been over four years in the making," Nassiri said.

Previously, patients in need of bladder reconstruction could have one artificially created using a part of the intestines or have a stoma bag inserted to collect urine.

Those techniques had several short-term and long-term risks that doctors hope will be circumvented with the full bladder transplant, Nassiri said.



Farmed Production of Some Fish - and Seaweed - is Soaring

Farmed salmon -- like the ones grown in pens here in the Australian island state of Tasmania -- are easier to grow than some other fish species. Gregory PLESSE / AFP/File
Farmed salmon -- like the ones grown in pens here in the Australian island state of Tasmania -- are easier to grow than some other fish species. Gregory PLESSE / AFP/File
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Farmed Production of Some Fish - and Seaweed - is Soaring

Farmed salmon -- like the ones grown in pens here in the Australian island state of Tasmania -- are easier to grow than some other fish species. Gregory PLESSE / AFP/File
Farmed salmon -- like the ones grown in pens here in the Australian island state of Tasmania -- are easier to grow than some other fish species. Gregory PLESSE / AFP/File

The amount of farmed seafood we consume -- as opposed to that taken wild from our waters -- is soaring every year, making aquaculture an ever-more important source for many diets, and a response to overfishing.

According to the UN's Food and Agriculture Organization, nearly 99 million tons of aquatic animals (fish, molluscs like oysters and mussels and crustaceans like prawns) were farmed around the world in 2023, five times more than three decades ago.

Since 2022, the farming of aquatic animals has been steadily overtaking fishing around the world -- but with large disparities from species to species.

Fast-growing species

The two biggest sellers on the market in 2023, carp and tilapia, mainly came from freshwater farming, while other widely-consumed fish, like herring, came just from deep sea fishing

Thierry Laugier, a researcher at Ifremer, France's national institute for ocean science and technology, told AFP that fish farmers choose species that grow quickly and with simple requirements, to be able to control the life cycle.

Sales of the most widely farmed fish in Europe, Atlantic salmon, came to 1.9 million tons in 2023, 99 percent of which were farmed.

"We know how to control the ageing or how to launch a reproduction cycle, through injecting hormones," Laugier said.

Asia main producer
Asia is by far the biggest producer of farmed fish, accounting for 92 percent of the 136 million tons -- of both animal and plant species -- produced under manmade conditions in 2023.

"For carp, it comes down to tradition, it has been farmed for thousands of years on the Asian continent," the Ifremer researcher said.

At the other end of the spectrum, sardines and herring are just fished in the oceans, mainly for profitability reasons as some fish grow very slowly.

"It takes around two years to get an adult-sized sardine," Laugier said.

He said farming of some fish has not yet been started as, "for a long time, we thought the ocean was an inexhaustible resource".

Seaweed

Little known in the West, seaweed nevertheless accounts for almost a third of world aquaculture production.

Almost exclusively from Asia, seaweed production increased by nearly 200 percent in two decades, to 38 million tons. It is mainly used in industry, in jellies, pharmaceuticals and cosmetics, the expert said.

He said seaweed also has the major advantage of absorbing not just CO2 in the oceans, but also nitrogen and certain pollutants.

"And from an ecological point of view it is better to farm macroalgae than salmon," Laugier said.