2020, Number 2
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Rev Mex Urol 2020; 80 (2)
Primary penoscrotal lymphedema, an unusual clinical entity: A case report
García-Manzano RA, García-Espinoza JA, Flores-Carrillo VM, Aguilar-Aragón VB, Martínez-Santiago NY
Language: Spanish
References: 10
Page: 1-7
PDF size: 325.16 Kb.
ABSTRACT
Clinical case: A 52-year-old man was diagnosed with late giant primary
penoscrotal lymphedema and treated with lymphangiectomy plus genital
reconstruction. At the follow-up one year later, there was no disease
recurrence and the preservation of sexual function was achieved.
Relevance: The incidence of giant penoscrotal lymphedema is very low
but its impact on morbidity is high. It is triggered by the accumulation
of protein-rich fluid in subcutaneous cell tissue that produces deformity,
loss of sexual function, and recurrent infections.
Clinical implications: This clinical entity conditions a decline in patient
quality of life by causing discomfort in walking, and especially,
sexual function deterioration.
Discussion and conclusion: Surgical treatment is currently the best
therapeutic option, given that it prevents disease progression and deformity
and preserves function. The best technique is lymphangiectomy
plus genital reconstruction, which is described in the present case
with favorable progression.
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