Preparing for Round Two of Surgery

The recent discovery that Thien Nhan, who will turn 3 in July, has two undescended testicles has lent new urgency to his situation. If left inside the body for too long, his testicles may become damaged. Most infants born with this condition undergo corrective surgery within their first year.

When Thien Nhan was attacked by wild animals at birth, he suffered so much genital damage that doctors were unaware that his testicles remained inside his body. "That he still has his testicles is another miracle," says the boy's mom, Mai Anh. "We hope that this will enable him to forego hormone replacement drugs, and even to father children one day."

Spurred by this stunning discovery, Seattle-based charity Kids Without Borders and American philanthropist Greig Craft are working hard to arrange for Thien Nhan's next surgery. His first genital surgery took place at Dartmouth, NH in the USA last August.

All being well, this autumn surgeons will construct a scrotum from Thien Nhan's own skin, bring down his testicles, further dilate his urethra, and extract the one third of his penis that is now tucked up inside his skin. This is major and highly specialized urethral and plastic surgery. The expenses and logistics are considerable.

Ongoing fundraising efforts are being led by Kids Without Borders and the Asia Injury Prevention Foundation, which is founded and managed by Greig Craft. For more information, please visit http://www.kidswithnoborders.org/ or http://www.asiainjury.org/.

To date, much of the financial help received by Thien Nhan has hailed from Singapore, largely thanks to the heroic efforts of Singapore Straits Times cartoonist Lee Chee Chew, who has raised more than US$50,000 for the tot. To see Mr. Lee's artwork and donor list, please visit: http://chewonitcomics.blogspot.com/

YET AGAIN, OUR MIRACLE BABY BEATS THE ODDS

Once again, Thien Nhan has proven that he deserves the title of “Miracle Baby”. While it was believed that the tot's testicles had been severed in a wild animal attack that destroyed much of his penis and severed his right leg, recent tests performed by Thai specialists at Bangkok’s Medic Complex revealed that the toddler, who is almost 3, has retained two undescended testicles.

This condition, in which the testicles are tucked up inside the body, exists in only about 3-4 percent of male babies at birth. Had Thien Nhan’s testicles descended normally, he would have lost them during the mauling.

“When we found out that he still had his testicles we could hardly believe it. We all cried a lot,” says Thien Nhan’s mom, Mai Anh. “It was like God knew ahead of time that he would be bitten by wild animals and hid them inside his body.”

Despite the good news, various doctors have advised the family to consider gender reassignment. While plastic surgeons can create a penis that looks normal, they warn that the reconstructed organ will have 90 percent less sensation than normal. “We cannot accept turning him into a girl,” says Mai Anh. “Thien Nhan’s character and way of thinking and behaving are very obviously male. If we changed him into a female and then found that in 20 years he couldn’t accept it, we would all feel terrible.”

Next month, the tot will return to Bangkok for more tests in preparation for surgery to create a scrotum and bring down his testicles. “We hope that if we can raise enough money and gain the support of pioneering doctors, Thien Nhan will one day become a fully functioning man,” says his mom. “Medical techniques keep improving with new research in tissue regeneration and organ transplants. He has defied the odds so far so why not continue to hope for the best?”

Many thanks to Greig Craft for organizing and supporting Thien Nhan's latest medical mission; to Dr. Preecha Tiewtranon and the team of experts at Bangkok Medic Complex who examined Thien Nhan; the Sofitel Bangkok Hotel for granting the family 2 free nights' stay and the use of the hotel's van; and Singaporean cartoonist and fundraiser extraordinaire CC Lee for funding travel costs via his personal donations.