The surgery took place just six months ago, three years after the 21-year-old had lost his own organ after infection caused by a botched ceremonial circumcision. Stellenbosch University urologist, Prof. Andre van der Merwe, who led the historic surgical team, explained at a March news conference that South Africa has a particular need for such a surgery: Members of the Xhosa ethnic group often practice adult circumcision, and poor sanitation leads to some 250 amputations every year.

To get permission to use the penis that has now facilitated a pregnancy, van der Merwe’s team had to fashion a new one out of abdominal skin for the deceased donor to be buried with. One day soon, we may not need donors at all: Last year, researchers reported progress in lab-grown penises built with the recipient’s own cells to avoid organ rejection.