Best practice in managing scrotal lymphoedema

Abstract

Managing lymphoedema of the male genitals is challenging, distressing and potentially life-threatening if not managed appropriately. Consideration is made of the classification, clinical presentation, lymphatic anatomy and management of genital lymphoedema in clinical practice. The article addresses the Issues raised when caring for patients suffering from this condition. A case history demonstrates the use of a novel innovation. The Whitaker Pouch, which can relieve and manage symptoms facilitating self-management and appropriate best practice.

A Systematic Review of the Evidence for Complete Decongestive Therapy in the Treatment of Lymphedema From 2004 to 2011

“…Head and neck, truncal, and genital LE present unique challenges for compression. Whitaker [43] reviewed the causes, classifications, and clinical presentation of scrotal LE, and made suggestions on how to manage it in clinical practice. She reports on a single case of a patient with scrotal LE secondary to metastatic prostate cancer treated with modified CDT, which consisted of simple, self‐MLD techniques, daily self‐bandaging with a 4‐cm‐wide soft‐mesh conforming bandage, and a circular‐knit support that provided 18‐21 mm Hg of compression.…”

Positive impact of a new compressive garment in patients with genital lymphedema: OLYMPY STUDY

“…This examines six items: feeling of heaviness, tightness, swelling, and presence of urinary disorders, lymphatic papillomatosis, and genital lymphorrea, and correlates well with clinical severity staging systems [32]. Evolution of scrotal perimetry in males was measured using methods described by Whitaker [33,34]. Skin-condition was evaluated by grading skin softness (ranging from indurated to very soft) in the genital region at inclusion and at subsequent visits.…”