2016
DOI: 10.4322/acr.2016.026
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Giant lymphedema of the penis and scrotum: a case report

Abstract: Lymphedema of the penis and scrotum is a rare entity characterized by enlargement of the skin and subcutaneous tissue of the genital region due to lymphatic drainage impairment. This clinical condition is more frequent in tropical countries due to a higher incidence of filariasis, which, in turn, is the main etiology. We describe the case of a 33-year-old man with large lymphedema of the scrotum and penis due to an acute and chronic inflammatory process, foreign body granuloma, and marked hyalinization. Four c… Show more

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Cited by 19 publications
(24 citation statements)
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“…El LEM es poco frecuente, tiene una naturaleza crónica y progresiva debido a la disfunción del sistema linfático. En los países tropicales el linfedema escrotal es generalmente causado por linfogranuloma venéreo o filariasis 5 . La enfermedad produce una morbilidad significativa en el paciente debido a mala higiene, incontinencia urinaria, disfunción sexual, pérdida de la libido y limitación a la deambulación.…”
Section: Discussionunclassified
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“…El LEM es poco frecuente, tiene una naturaleza crónica y progresiva debido a la disfunción del sistema linfático. En los países tropicales el linfedema escrotal es generalmente causado por linfogranuloma venéreo o filariasis 5 . La enfermedad produce una morbilidad significativa en el paciente debido a mala higiene, incontinencia urinaria, disfunción sexual, pérdida de la libido y limitación a la deambulación.…”
Section: Discussionunclassified
“…Nosotros recomendamos realizar una evaluación multidimensional en los pacientes que son afligidos por esta condición clínica. Algunos autores proponen la realización de varios procedimientos para tratar de forma exitosa esta condición 5 . En 1820, Delpech describió el tratamiento quirúrgico de la elefantiasis genital mediante la resección de toda la piel u tejido subcutáneo con linfedema, la reconstrucción se realizó mediante la aplicación de injertos de espesor parcial en el pene y el escroto lo reconstruyó mediante el avance de colgajos de piel sana del periné posterior 7 .…”
Section: Discussionunclassified
“…The patients in 5 of the previously reported cases were treated with a penectomy and/or circumcision [ 1 , 2 , 4 ], while the remaining patient underwent resection of hypertrophic genital skin followed by covering with a skin graft [ 3 ]. In cases with extensive penoscrotal lymphedema, anatomic reconstruction with a skin flap following complete excision of all hypertrophic tissue is generally indicated [ 7 9 ]. As for the present patient, we resected most of the infiltrated tissue, with the resected specimen weighing 4.8 kg.…”
Section: Discussionmentioning
confidence: 99%
“…However, the adequately prepuce degloving might cause postoperative penile retraction, lymphocytic obstruction-induced perioperative edema in the transposed inner prepuce (short-term) and subcutaneous dartos hyperplasia (long-term), which might subsequently lead to a poor cosmetic appearance of the penis in some cases (Fig. 2) [11][12][13]. Lim et al described that the resection of abnormal dartos fascia completely removing the redundant dartos tissue during surgery was a simple technique to avoid these complications [14].…”
Section: Introductionmentioning
confidence: 99%