Malcolm Macdonald lost his genitalia to a severe infection- sepsis, and now sports a “bionic penis” on his left forearm.

Malcolm, 45, suffered from a perineum infection which led to a severe case of sepsis in 2014, which spread to his extremities, turning his fingers and toes black. Then it began to also affect his genitalia. “When I saw my penis go black I was beside myself,” “It was like a horror film. I knew deep down it was gone and I was going to lose it. Then one day it just dropped off onto the floor.”

For two years, he says his life fell apart then he was referred to Professor David Ralph, a urologist at University College London Hospital who is good in penile

Doctor Ralph and his team partially removed a section of skin, blood vessels and nerves from MacDonald’s left arm, and shaped it into a replacement phallus. A urethra was then created via surgery, and two tubes and a pump were inserted which would allow the new penis to achieve “mechanical” erections. Once the penis was finished, the shaft was detached from the arm, allowing it to grow additional skin and tissue while dangling freely.

“Not having a penis felt awful. It’s most men’s worst fear,” he said. “For me, I was never worried about sex, because I already had two children. It was always more about my self-confidence and simple things like using the loo.”

“I can’t lie, having a penis on your arm for four years is a really strange thing to live with,” he added. “But I am determined this penis will be ultimately used for what it was built for.”