Giant scrotal lymphedema in a patient with partial falectomy

Authors

  • Rider Palermo Lobaina Hospital General Docente Dr. Juan Bruno Zayas Alfonso, Universidad de Ciencias Médicas. Santiago de Cuba https://orcid.org/0000-0003-0356-8892
  • Eduardo Rojas Soularí Hospital General Docente Dr. Juan Bruno Zayas Alfonso, Universidad de Ciencias Médicas. Santiago de Cuba
  • Raúl Morales Fonseca Hospital General Docente Dr. Juan Bruno Zayas Alfonso, Universidad de Ciencias Médicas. Santiago de Cuba

Keywords:

lymphedema, scrotum, excision of the lymph node, scrotectomy.

Abstract

The case report of a patient is described who, 7 years after carrying out a partial falectomy with inguinal superficial lymphadenectomy and chemotherapy (cisplatin 150)  due to an squamous cell carcinoma of the penis, he went to the Urology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital  in Santiago de Cuba presenting a giant scrotal lymphedema, of lymphatic obstructive origin, with marked repercussion on the biped position and during walking.  The surgical procedure (Homans technique with modifications) was carried out and the patient had a satisfactory clinical course. Then after 2 years of surgery, he was discharged from the out-patient service, because it was considered that he had recovered the physical motor skills and his self-esteem. 

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References

1. Garaffa G, Christopher N, Ralph DJ. The management of genital lymphoedema. BJU Int. 2008;102(4):480-4.

2. Felmerer G, Tobbia D, Zvonik M. A new classification of genital lymphoedema and its surgical treatment. Proceedings of the 23rd International Congress of Lymphology; 19-23 Sep 2011; Malmö, Sweden. Sweden: International Society of Lymphology; 2012.

3. Pereira N, Koshima I. Linfedema: actualización en el diagnóstico y tratamiento quirúrgico. Rev Chil Cir. 2018 [citado 14/01/2019];70(6). Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0718-40262018000600589

4. Schook C, Kulungowski AM, Greene AK, Fishman SJ. Male genital lymphedema: clinical features and management in 25 pediatric patients. J Pediatr Surg. 2014; 49(11):1647-51.

5. Mihara M, Hara H, Tange S, Zhou HP, Kawahara M, Shimizu Y, et al. Multisite Lymphaticovenular Bypass Using Supermicrosurgery Technique for Lymphedema Management in Lower Lymphedema Cases. Plast Reconstr Surg. 2016;138(1):262-72.

6. Kung TA, Champaneria MC, Maki JH, Neligan PC. Current Concepts in the Surgical Management of Lymphedema. Plast Reconstr Surg. 2017;139(4):1003-13.

7. Domènech A, Serrano A, Forner-Cordero I, Gómez F, Maldonado D, Domínguez C. Patología urológica de origen linfático. Cir Pediatr. 2016 [citado 14/01/2019];29(1). Disponible en: https://www.secipe.org/coldata/upload/revista/2016_29-1_35-40.pdf

8. Patel KM, Lin CY, Cheng MH. A prospective evaluation of lymphedema-specific quality-of-life outcomes following vascularized lymph node transfer. Ann Surg Oncol. 2015;22(7):2424-30.

9. Pacheco YD, García-Duque O, Fernández-Palacios J. Linfedema penoescrotal secundario a hidrosadenitis supurativa: a propósito de un caso, revisión de las opciones quirúrgicas. Cir Cir. 2018 [citado 14/01/2019];86:84-8. Disponible en: http://www.cirugiaycirujanos.com/frame_esp.php?id=12

10. Díaz Hernández O, Peña de la Moneda H, Cairós Báez J. Variantes quirúrgicas para el tratamiento del linfedema primario de pene y escroto. Rev Cubana Cir. 2000 [citado 14/01/2019];39(3):230-7. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932000000300011

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Published

2019-07-31

How to Cite

1.
Palermo Lobaina R, Rojas Soularí E, Morales Fonseca R. Giant scrotal lymphedema in a patient with partial falectomy. MEDISAN [Internet]. 2019 Jul. 31 [cited 2025 Sep. 6];23(4):748-57. Available from: https://medisan.sld.cu/index.php/san/article/view/2739

Issue

Vol. 23 No. 4 (2019): julio-agosto

Section

Case Reports

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