More than a year after undergoing a 14-hour operation to transplant a penis, scrotum, and lower abdominal wall, a severely injured veteran reports that he has regained normal sensation and function of his new body parts.

The young man now has “near-normal” erections, the ability to achieve orgasms, and normal sensation in the shaft and tip of his transplanted penis, according to his medical team at Johns Hopkins School of Medicine. He urinates while standing up with a “strong stream” and no issues with urgency or straining. (The transplant did not include donor testicles, to avoid the possibility of fathering non-genetically related children.)

The doctors reported the update on their patient November 7 in the New England Journal of Medicine.