The surgical approach in huge scrotal lymphedema

Parmar, Hiren

doi:10.5455/ijmsph.2013.2.153-155

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…“Elephantiasis” or grade four lymphedema is reserved for patients with chronic progression of the disease and can be detrimental to a patient's quality of life. When filariasis progresses to this point, there is usually no role for microfilaricidal agents 4 …”

Section: Discussionmentioning

confidence: 99%

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Acute management of Fournier's gangrene in the setting of massive lymphedema

Dowd

Patel

Blumenthal

et al. 2020

Urology Case Reports

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Chronic, massive lymphedema of the scrotum can pose therapeutic challenges to the urologist. Uncommonly encountered in developed countries, this dilemma can be amplified in the emergent setting. Along with voiding limitations and pain, lymphedema can lead to recurrent subcutaneous infections. Recurrence of infections can lead to a cycle of worsening lymphedema. We report a case of Fournier's gangrene complicated by massive lymphedema of the scrotum and right leg in a 43 year-old man from Panama, presumably filarial. This case highlights the surgical management of a patient requiring emergent intervention and multidisciplinary approach of reconstructive repair in the acute care setting.

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Section: Discussionmentioning

confidence: 99%

“…Much literature exists on scrotal reconstruction for chronic scrotal lymphedema. Surgical treatment is indicated instances where the scrotal lymphedema is considered moderate to severe 4 . The techniques for reconstruction involve a partial or complete resection of the skin and subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 99%

Acute management of Fournier's gangrene in the setting of massive lymphedema

Dowd

Patel

Blumenthal

et al. 2020

Urology Case Reports

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“…Other commonly used methods include fasciocutaneous flap from the groin and the iliac region [9][10][11][12][13]. These flaps are however bulk.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

Ferdinand¹

2018

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Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.

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“…Surgical treatment is indicated in cases of moderate to severe scrotal lymphedema. 14 , 15 Surgical techniques for the management of this condition are reconstructive. Partial or total resection of the skin and the subcutaneous tissue associated with lymphatic drainage and skin or muscle flaps, micro-vascular reconstructions, and skin grafts may be required.…”

Section: Discussionmentioning

confidence: 99%

Giant lymphedema of the penis and scrotum: a case report

Vives¹,

García‐Perdomo²,

Ocampo-Flórez³

2016

ACR

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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 consecutive surgical interventions were necessary to remove the great part of the affected tissue, which enabled satisfactory results and improved the patient's quality of life.

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The surgical approach in huge scrotal lymphedema

Cited by 8 publications

References 10 publications

Acute management of Fournier's gangrene in the setting of massive lymphedema

Acute management of Fournier's gangrene in the setting of massive lymphedema

Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

Giant lymphedema of the penis and scrotum: a case report

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