Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema
Journal of Surgery
Volume 6, Issue 4, August 2018, Pages: 92-96
Received: May 7, 2018;
Accepted: May 29, 2018;
Published: Jul. 16, 2018
Views 1025 Downloads 68
Nangole Wanjala Ferdinand, Department of Surgery, University of Nairobi, Nairobi, Kenya
Biribwa Kansiime Peter, Department of Surgery, University of Nairobi, Nairobi, Kenya
Follow on us
Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.
Scrotal Lymphoedema, Reconstruction, Flaps
To cite this article
Nangole Wanjala Ferdinand,
Biribwa Kansiime Peter,
Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema, Journal of Surgery.
Vol. 6, No. 4,
2018, pp. 92-96.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Singh V, Sinha RJ, Sankhwar SN et al Reconstructive surgery for penoscrotal filarial lymphedema: a decade of experience and follow-up. Urology. 2011;77(5):1228-31. http://dx.doi.org+/10. 10+ 16/j.urology.2 010.10.026. PMid: [PubMed].
Al-Shaham AA, Sood S. Recurrent furunculos is as a cause of isolated penile lymphedema: a case report. J Med Case Reports. 2010;4(1):196. http://dx.doi.org/10.1186/1752-1947-4-196. PMid: [PMC free article][PubMed].
ThejeswiP, Prabhu S, Augustine AJ et al Giant scrotal lymphoedema: a case report. Int J Surg Case Rep. 2012;3(7):269-71. http://dx.doi.org/10.1016/j.ijscr.2012.03.005. PMid: [PMC free article][PubMed8].
Reitsma W, Wiegman MJ, Damstra RJ. Penile and scrotal lymphedema as an unusual presentation of Crohn’s disease: case report and review of the literature. Lymphology. 2012;5(1):37-41. PMid: [PubMed] 2. Godoy JMP, Facio FN Jr.
Carvalho ECM et al. New compression mechanism in penile-scrotal lymphedema and sexual rehabilitation.Urol Ann. 2014;6(1):88-90. http://dx.doi.org/10.4103/0974-7796.127025. PMid: [PMC free article][PubMed].
Miquel Modolin, Anuar Ibrahim; Surgical treatment of lymphoedema of the penisand scrotum. linics; 2006;AugVol 61.o4 Sao Paulo
Halperin TJ1, Slavin SA, Olumi AF, Borud LJ. Surgical management of scrotal lymphedema using local flapsJ PlastReconstrAesthetSurg.2013 Feb; 66(2):281-6. doi: 10.1016/j.bjps.2012.06.024. Epub 2012 Aug 4.
Champaneria MC1, Workman A et al.Reconstruction of massive localized lymphoedema of the scrotum with a novel fasciocutaneous flap: A rare case presentation and a review of the literatureJ Plast ReconstrAesthet Surg. 2014 Dec; 67(12):1719-25. doi: 10.1016/j.bjps.2014.07.031. Epub 2014 Aug 5.
Pastor C, Granick MS. Scrotal lymphedema. Eplasty. 2011;11:ic15. PMid: [PMC free article][PubMed].
Parmar HD. The surgical approach in huge scrotal lymphedema.Int J Med Sci Public Health. 2013;2(1):153-5. http://dx.doi.org/10.5455/ijmsph.2013.2.153-155
Machol JA 4th, Langenstroer P, Sanger JR. Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity. J Plast Reconstr Aesthet Surg. 2014; 67(12):1719-25.
Franklin Vivesa, Herney Andrés García-Perdomo, b, c, Ginna Marcela Ocampo-Flórez Giant lymphedema of the penis and scrotum: a case report. Autops Case Rep. 2016 Jan-Mar; 6(1): 57–61.
Parmar HD. The surgical approach in huge scrotal lymphedema. Int J Med SciPublic Health. 2013;2(1):153-5.
Sapountzis S, Ciudad P, Lim SY, et al. Modified Charles procedure and lymph node flap transfer for advanced lower extremity lymphedema. Microsurgery. 2014;34(6):439-47. http://dx.doi.org/10.1002/micr.22235. PMid: [PubMed].