Abd El aal, A., Estawrow, M., Safe, E. (2019). Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), 345-350. doi: 10.21608/ejprs.2019.65113
Abd Elrahman M Abd El aal; Mina Estawrow; Ekram Safe. "Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 2, 2019, 345-350. doi: 10.21608/ejprs.2019.65113
Abd El aal, A., Estawrow, M., Safe, E. (2019). 'Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), pp. 345-350. doi: 10.21608/ejprs.2019.65113
Abd El aal, A., Estawrow, M., Safe, E. Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(2): 345-350. doi: 10.21608/ejprs.2019.65113
Aesthetic Reconstruction of Peno-Scrotal Lymphedema: Refinements of Previous Technique
The Department of Plastic and Maxillofacal Surgery, Faculty of Medicine, Ain Shams University, Cairo
Abstract
Background: Lymphedema is emotionally frustrating disease due to its progressive course and no definite curative methods of treatment, it was found that lymphedema results from local and/or systemic failure of the lymphatic transport system, and according to its cause and onset of lymphedema it is classified into primary and secondary lymphedema. Treatment methods of scrotal lymphedema and reconstruction were limited in the literature to lymphangioplasty or direct excision of the involved tissue and local tissue reconstruction. The current study present patients with established scrotal lymphedema and the way of surgical management in excision and reconstruction. Patients and Methods: Ten male patients were involved in the study, their age was ranging between 25-60 years, three patients were primary lymphedema, seven patients were secondary lymphedema. Results: Patients in the study were followed-up postoperatively for a minimum 6-month period, it was found that a clear improvement of the aspect of the external genitalia and subsequent improvement of ambulation, hygiene, and ability to void in the standing position occurred for all patients. Conclusion: The procedure is effective giving good results with no major complications were recorded, the technique based on anatomical background that is why recurrence was not recorded.
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