Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique

Abstract

Background: Lymphedema is emotionally frustratingdisease due to its progressive course and no definite curativemethods of treatment, it was found that lymphedema resultsfrom local and/or systemic failure of the lymphatic transportsystem, and according to its cause and onset of lymphedemait is classified into primary and secondary lymphedema.Treatment methods of scrotal lymphedema and reconstructionwere limited in the literature to lymphangioplasty or directexcision of the involved tissue and local tissue reconstruction.The current study present patients with established scrotallymphedema and the way of surgical management in excisionand reconstruction.Patients and Methods: Ten male patients were involvedin the study, their age was ranging between 25-60 years, threepatients were primary lymphedema, seven patients weresecondary lymphedema.Results: Patients in the study were followed-up postoperativelyfor a minimum 6-month period, it was found that aclear improvement of the aspect of the external genitalia andsubsequent improvement of ambulation, hygiene, and abilityto void in the standing position occurred for all patients.Conclusion: The procedure is effective giving good resultswith no major complications were recorded, the techniquebased on anatomical background that is why recurrence wasnot recorded.