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scrotal lymphedema

Roozbeh Tanhaeivash, Tobias Franiel, Marc-Oliver Grimm, Marcus Horstmann
We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.
August 2016: World Journal of Men's Health
Timothy J Tausch, Isamu Tachibana, Jordan A Siegel, Ronald Hoxworth, Jeremy M Scott, Allen F Morey
BACKGROUND: The authors present their experience with reconstructive strategies for men with various manifestations of adult buried penis syndrome, and propose a comprehensive anatomical classification system and treatment algorithm based on pathologic changes in the penile skin and involvement of neighboring abdominal and/or scrotal components. METHODS: The authors reviewed all patients who underwent reconstruction of adult buried penis syndrome at their referral center between 2007 and 2015...
September 2016: Plastic and Reconstructive Surgery
Ting-Fu Su, Herng-Sheng Lee, Hong-Wei Gao, Shin Nieh, Chih-Kung Lin
Massive localized lymphedema (MLL) is an uncommon benign skin lesion typically presenting with prominent edema and vascular proliferation in the adipose tissue of lower limbs. When rarely occurring in scrotum, it instead is characterized by a striking proliferation of dermal smooth muscle bundles mimicking acquired smooth muscle hamartoma of dartos. The authors report a rare case of scrotal MLL. A 57-year-old obese man with a history of previous surgery for rectal adenocarcinoma, 20 years earlier, presented with progressive nodular enlargement of the scrotum for 2 years, causing discomfort, difficulty in ambulation, and cosmetic problems...
July 2015: American Journal of Dermatopathology
Dong-Seok Han, Hoon Jang, Chang-Shik Youn, Seung-Mo Yuk
BACKGROUND: Until recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap. METHODS: From January 2010 to June 2014, we evaluated 12 patients (12-40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach...
2015: BMC Urology
K Siva Sankara Rao, K Appa Rao, S Praveen
Aggressive angiomyxoma tumor is a rare tumor in males. We report a case of incidentally diagnosed aggressive angiomyxoma of scrotum presenting as scrotal lymphedema in a patient who underwent partial penectomy and radiotherapy for carcinoma penis.
April 2015: Indian Journal of Surgery
Nestor Torio-Padron, G Björn Stark, Etelka Földi, Filip Simunovic
Genital lymphedema is a debilitating condition. Currently, therapeutic concepts include conservative and surgical measures of genital volume reduction, but no therapy standards exist. The aim of this study was to analyze our experience with the treatment of male genital lymphedema and to describe our integrated concept, which combines perioperative complex decongestive physiotherapy (CDP) with surgical reduction. We conducted a retrospective study of 51 male patients who were treated in our clinic between 1998 and 2013, acquiring data on etiology, performed therapy, and complication rates...
February 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Ignacio López-Caballero, Itzel Sánchez-Ruvalcaba, Luis Carlos Sánchez-Martinez, Octavio Hernández-Ordoñez, Miguel Gómez-Lara, Víctor Flores-Carrillo
BACKGROUND: Penoscrotal lymphedema (scrotal elephantiasis) is a condition that has been described in areas in which filariasis is endemic. CASE REPORT: This paper presents a case of a 45-year-old man with idiopathic lymphedema isolated to the scrotum. After acquired causes of lymphedema were ruled out, the patient was treated with scrotectomy and penoscrotal reconstruction. Currently, the patient is receiving follow-up care without evidence of recurrence. CONCLUSIONS: Penoscrotal lymphedema may cause symptoms of weakness, immobility and emotional disturbance...
September 2014: Revista Médica del Instituto Mexicano del Seguro Social
J A Machol, P Langenstroer, J R Sanger
BACKGROUND: Lymphedema of the penis and scrotum is physically and psychologically disabling. Obesity is a source of secondary lymphedema. When restricted to specific anatomical regions in obesity, this is termed massive localized lymphedema (MLL). Few surgical cases of specific scrotal MLL in obesity are reported in the literature. We present our case series to improve the management of this complicated pathology. METHODS: This is a retrospective review of obese adult patients with clinically diagnosed scrotal MLL undergoing reduction scrotoplasty by the senior author (J...
December 2014: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Hilary Laurel Brotherhood, Michael Metcalfe, Larry Goldenberg, Peter Pommerville, Cameran Bowman, David Naysmith
Scrotal elephantiasis is a condition rarely encountered in developed nations. It is endemic in tropical regions due to the presence of filariasis (Wucheria bancrofti). We report 2 cases of idiopathic scrotal elephantiasis in Canadian citizens with no history of travel to endemic filariasis regions, malignancy, surgery or radiation. Both patients underwent complete excision of the involved tissue with reconstruction. We found that for advanced cases of scrotal lymphedema, surgery is currently the only solution...
July 2014: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Jose A Plaza, Luis Requena, Dmitry V Kazakov, Elisa Vega, Denisa Kacerovska, Gisela Reyes, Michal Michal, Saul Suster, Martin Sangueza
BACKGROUND: Localized lymphedema is a nonneoplastic condition associated with obesity and predominantly involving the legs. This condition has distinctive clinical and histologic features and only rarely has been mentioned in the dermatologic literature. OBJECTIVE: We sought to evaluate the clinical and histopathologic features. METHODS: The clinicopathologic features in patients with localized lymphedema of the genital region were studied...
August 2014: Journal of the American Academy of Dermatology
Jose Maria Pereira de Godoy, Fernando Nestor Facio, Eleni Cássia Matias de Carvalho, Maria de Fatima Guerreiro Godoy
The objective of this study is to describe a new compression mechanism in the treatment of lymphedema of the penis and scrotum and the ensuing sexual rehabilitation. The patient, a 58-year-old man, had edema of the penile and scrotal region as a result of surgery of the pancreas and spleen and chemotherapy. The patient complained of pain, discomfort, and difficulties to walk and urinate. A clinical diagnosis of lymphedema of the penis and scrotum was reached. Treatment involved the continuous use of a cotton-polyester compression garment for the region together with thorough hygiene skin care...
January 2014: Urology Annals
Filiz Cebeci, Levent Verim, Nahide Onsun, Adnan Somay
No abstract text is available yet for this article.
January 2014: Urology Journal
C Garny de La Rivière, A Caudron, B Heyman, C Lok
INTRODUCTION: Crohn's disease is a chronic inflammatory intestinal pathology which can be associated to different extra-digestive manifestations. We reported a case of recurrent genital lymphedema leading to Crohn's disease diagnosis. CASE REPORT: A 49-year-old man was referred for increased penis and scrotal volume, associated with recurrent febrile flare during the 10 previous years. Clinically, we noted an inflammatory penis and scrotum lymphedema. Clinical urological examination, and biological, bacteriological, computer-tomography examinations were negative...
April 2015: La Revue de Médecine Interne
Caterina Quiligotti, Valentina Merico, Chandra Bortolotto
Ultrasound (US) examination in combination with color-Doppler US is the imaging modality of choice for evaluating the scrotum. Scrotal conditions are generally divided into testicular and extratesticular disorders; the latter may affect the epididymis, the spermatic cord, the tunica vaginalis, the skin and the subcutaneous tissue. The embryology of the scrotal contents is complex and has a number of anatomical and clinical consequences. We present the case of a patient with extraosseous Ewing's sarcoma of the thigh and ipsilateral scrotal swelling caused by lymphatic edema secondary to inguinal lymph node involvement...
October 10, 2013: Journal of Ultrasound
Noah Scheinfeld
Hidradenitis suppurativa (HS), a pathologic follicular disease, impacts patients' lives profoundly and usually occurs in isolation. The diseases with the strongest association are obesity, depression, and pain. HS is associated with many diseases including acne conglobata (AC), dissecting cellulitis, pilonidal cysts, and obesity. Pyoderma fistulans sinifica (fox den disease) appears to be the same entity as Hurley Stage 2 of 3 HS. The rate of acne vulgaris in HS patients mirrors unaffected controls. The most common, albeit still uncommon, association is with seronegative, haplotype unlinked arthritis (most importantly B27), in particular spondolyarthritis...
June 2013: Dermatology Online Journal
Arivarasan Karunamurthy, Liron Pantanowitz, Jorge Guzman Lepe, Miguel Reyes-Múgica
ABSTRACT Klippel-Trenaunay syndrome (KTS) is an uncommon congenital angiodysplasia that manifests in infancy and is characterized by venous and lymphatic malformations of the skin, soft tissue, and bone causing limb hypertrophy. We report 2 patients with long-term KTS who developed lethal complications from uncommon and unusual manifestations. The 1st patient was a female with KTS who at 2 years of age underwent a below-the-knee amputation for a massively hypertrophied and malformed left foot. Two years later she required additional surgical removal of vascular malformations involving her left calf with extension to the groin, pubis, and ipsilateral abdomen...
September 2013: Pediatric and Developmental Pathology
Chin-Pao Chang, Yen Lee, Hung-Jen Shih
Cutaneous metastases from urothelial carcinoma of the bladder are a rare disease. In previous reports, the most common metastatic cutaneous lesions were non-tender nodules on the abdominal skin. We report a patient with bladder urothelial carcinoma with cutaneous metastases initially presenting as right leg and suprapubic lymphedema. Bladder tumor was the incidental finding by magnetic resonance venography. Urothelial carcinoma (clinical stage IV) was diagnosed, and chemotherapy was performed. Extensive painful erythematous plaques with an erysipelas-like appearance located on the suprapubic area, chest and abdomen were noted, and cutaneous metastases were confirmed by histopathology...
June 2013: Chinese Journal of Cancer Research, Chung-kuo Yen Cheng Yen Chiu
Leandro Koifman, Daniel Hampl, Nelson Koifman, Antonio José Vides, Antonio Augusto Ornellas
PURPOSE: We reviewed our recent experience with inguinal lymph node dissection in patients with penile cancer to assess the incidence and magnitude of complications caused by this procedure. MATERIALS AND METHODS: Radical bilateral inguinal lymphadenectomy was performed in 170 patients (340 procedures). Prophylactic and therapeutic radical inguinal lymphadenectomy was done in 67 (39.4%) and 103 patients (60.6%), respectively. Operative time and length of hospital stay were examined...
December 2013: Journal of Urology
K D Gordon, G Brice, Y Walker, R Pollok, P Mortimer, C Slater
A 21-year-old man presented to genitourinary (GU) medicine physicians with (initially) painful penile and scrotal swelling. A diagnosis of ano-genital granulomatosis was confirmed on histological analysis of penile skin. Enquiring about systemic symptoms resulted in the additional diagnosis of gastrointestinal Crohn's disease. The patient is now receiving immunosuppressive therapy to treat both conditions.
February 2013: International Journal of STD & AIDS
Oanna Meyer Ganz, Raphaël Gumener, Pascal Gervaz, Julien Schwartz, Brigitte Pittet-Cuénod
BACKGROUND: Fournier's gangrene is a bacterial infection characterized by necrotizing fasciitis, skin and soft tissue involvement, and eventually myositis of the perineal region. Aggressive debridement of devitalized tissue and overlying skin is of paramount importance, but often leaves large defects to be reconstructed. The present case reports successful extensive perineal defects coverage following Fournier's gangrene and management of subsequent penile lymphoedema impairing sexual function in a young patient...
2012: BMC Surgery
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