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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(6):899-902.
Published online November 1, 2011.
Treatment of Lymphedema of the Scrotum and Penis Using Scrotal Flaps.
Do Heon Lee, Sun Hyung Park, Jung Joon Park, Jae Ha Hwang, Kwang Seog Kim, Sam Yong Lee
Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. pskim@chonnam.ac.kr
Abstract
PURPOSE
Lymphedema of the scrotum and penis is a functionally and emotionally incapacitating problem for patients. Patients suffer pain from swelling, chronic irritation, repeated infections, drainage, and sexual dysfunction. Although there are various methods for the treatment of scrotal and penial lymphedema, achieving a satisfactory reconstruction in severe cases still remains a challenge due to the lack of locally available tissue. METHODS: A 33-year-old man sustained severe lymphedema of the scrotum and penis. He reported a history of swelling since 25 years, which had been intensified during the past few months. There was no history of irritation, surgery, trauma, infection or travel to endemic countries. The authors reconstructed the scrotum and penis using 4 scrotal flaps made by incising the enlarged scrotum crucially.
RESULTS
The postoperative course was uneventful. Histopathologic examination showed nonspecific chronic inflammation. The patient was followed up for 18 months and a good reconstructive result was obtained with no recurrence.
CONCLUSION
The authors' method is safe and easy to perform. This method may be a convenient and reliable alternative for the treatment of severe lymphedema of the scrotum and penis.
Keywords: Lymphedema; Scrotum; Penis; Scrotal flap
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