Reconstructive Surgery for Penoscrotal Filarial Lymphedema: A Decade of Experience and Follow-up

Singh, Vishwajeet; Sinha, Rahul Janak; Sankhwar, SN; Kumar, Vijay

doi:10.1016/j.urology.2010.10.026

Cited by 29 publications

(35 citation statements)

References 15 publications

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“…13 Several other surgeons reported the same success of STSG in lymphe-dema 7,9,14 ; the largest was a case series of 350 patients with elephantiasis. 12 In this study, we report the success of STSG in lymphedema due to a wide range of etiologies (primary, postpelvic radiation/surgery, hypospadias repair, Klippel-Trenaunay-Weber, and Milroy's lymphedema).…”

Section: Commentmentioning

confidence: 84%

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Alwaal

McAninch

Harris

et al. 2015

Urology

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Objective To report our successful outcomes of genital split-thickness skin graft (STSG) in covering major skin loss and providing good functional and cosmetic outcomes. Materials and Methods A retrospective chart review was performed for all adult urology patients who underwent STSG at our institution from 1998 to 2014. Patients had a wide range of disease etiologies, including tissue loss (eg post-Fournier's gangrene), lymphedema, buried penis, foreign body injection, and tumors. Results A total of 54 patients were identified with the following breakdown of etiology: 13 patients with tissue loss (eg post-Fournier's gangrene), 13 with lymphedema, 12 with buried penis, 8 with foreign body injection, 4 with hidradenitis suppurativa, and 4 with tumors. Fifty-two out of 54 patients had more than 90% graft take, with maintained or improved erection, normal voiding, good cosmetic outcome as judged by the patient and the examining surgeon, and normal mobility. One patient died at 3 months due to cardiovascular cause, and 1 patient had a poor take of the graft. Conclusion We show the wide variety of indications for STSG use, the ease of the technique, and its successful outcomes. We believe this procedure should be offered to patients as a first-line treatment and also as a last resort when other more conservative approaches fail.

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Section: Commentmentioning

confidence: 84%

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Alwaal

McAninch

Harris

et al. 2015

Urology

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“…6,[8][9][10][11][12][13][14][15][16] Reports on isolated penoscrotal lymphedema cases consist of chronic occurrences. In cases affecting the penis-although not a conclusive concept in treatment-penis reconstructions are performed using skin grafting 7,9,10 and local flaps from surrounding healthy tissues and by advancing the foreskin to the proximal. 1,7,10,12 In scrotal reconstruction, skin flaps taken from the superior or the lateral are used following orchiopexy.…”

Section: Discussionmentioning

confidence: 99%

“…In cases affecting the penis-although not a conclusive concept in treatment-penis reconstructions are performed using skin grafting 7,9,10 and local flaps from surrounding healthy tissues and by advancing the foreskin to the proximal. 1,7,10,12 In scrotal reconstruction, skin flaps taken from the superior or the lateral are used following orchiopexy. In cases which this option is not possible, fasciocutaneous transposition or advancement flaps taken from medial thighs are used.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Scrotal Elephantiasis

Evrenos¹,

Özkaya²,

Yaman³

et al. 2016

Turk J Plast Surg

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“…We are inspired by the technique described by Ouzilleau [12] but with a slight modification on scrotoplasty and the use of a skin flap to cover the penis. In uncircumcised patients, the foreskin can be used to cover the distal part of the penile sharp [13]. The surgical excision of the mass and scrotoplasty provides good results [13].…”

Section: Discussionmentioning

confidence: 99%

“…In uncircumcised patients, the foreskin can be used to cover the distal part of the penile sharp [13]. The surgical excision of the mass and scrotoplasty provides good results [13]. Complications of this technique include haemorrhage iatrogenic urethral injury, hematoma and surgical site infection.…”

Section: Discussionmentioning

confidence: 99%

Reconstructive surgery for giant penoscrotal elephantiasis: about one case

Kirakoya

Zango

Paré

et al. 2014

Basic Clin. Androl.

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Elephantiasis of the external genitalia is characterized by lymphedema and thickening of the subcutaneous tissues. This gives the skin an appearance similar to a pachyderm skin. This pathology is invalidating for the patient. Reconstructive surgery is often the only way to restaure aesthetic and functional aspects of the external genitalia. We aim to report a 52 year man with huge penoscrotal elephantiasis who underwent excision and penoscrotal reconstruction at the department of Urology, Yalgado Ouedraogo Teaching Hospital at Ouagadougou.

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Reconstructive Surgery for Penoscrotal Filarial Lymphedema: A Decade of Experience and Follow-up

Cited by 29 publications

References 15 publications

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Utilities of Split-Thickness Skin Grafting for Male Genital Reconstruction

Idiopathic Scrotal Elephantiasis

Reconstructive surgery for giant penoscrotal elephantiasis: about one case

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