Open Access
CC BY 4.0 · Arch Plast Surg 2023; 50(02): 182-187
DOI: 10.1055/s-0042-1757572
Extremity/Lymphedema
Idea and Innovation

Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases

Yasser M. ElKiran
1   Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
,
Amr M. Elshafei 
1   Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
,
Mohamed S. Abdelgawad
1   Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
,
Mohammed F. Kamel
1   Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
,
Hesham A. Sharaf-Eldeen
1   Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
,
Mohammed A. Abdelmaksoud
1   Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Abstract

We aim to provide our surgical techniques, and outcomes of functional scrotal reduction procedures with complete preservation of the genitourinary original anatomy in a simple way without using complicated skin grafting or skin advancement flaps in Patients with huge and long-standing scrotal lymphedema 18 patients ages ranged from 14-65 with a median of 30 years. Functional scrotal and penoscrotal reduction was attained in all cases, without distortion of the genitourinary anatomy and without the need for advancement, rotational or free flaps, maximal scrotal diameter was reduced from median of 61[48-92] cms to a median of 25[21–29] cms (P<0.0001) and remained almost unchanged at the end of the follow up period 26[22-34] cms (P<0.0001). Sexual performance and voiding capacity were improved in all patients, testicular vascularity was unaffected and the Glasgow Benefit Inventory (GBI) for the quality of life showed marked enhancement in the total 55.5[50–72], general 55.5[50–72], social 100[50–100] and physical 16.6[16–33] points subscales. According to our experience, surgery remains the gold standard treatment for management of huge scrotal lymphedema, successful preservation of the genitourinary functions can be attained despite the size in most cases with excellent cosmoses.

Keywords

lymphedema - genitalia - scrotal swelling

Author Contributions

Y.M.E. (Conceptualization, acquisition of data, revising the article), A.M.E. (analysis and interpretation of data, drafting the article), M.S.A. (acquisition of data, drafting the article), M.F.K. (acquisition of data, revising the article), H.A.S.-E. (analysis and interpretation of data, revising the article) M.A.A. (Conceptualization, drafting the article). All authors read and finally approved of the version to be published, all authors were accountable for all aspects of the work.


Ethical Approval

An approval was submitted in our ethics committee department under approval number R/18.12.373.


Patient Consent

Informed consent was obtained from all individual participants included in the study.


Supplementary Material



Publikationsverlauf

Eingereicht: 24. Februar 2022

Angenommen: 29. Juni 2022

Artikel online veröffentlicht:
10. Februar 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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